Evidence map›Paper›PMID 41851426›Full record

ArticleJournal of behavioral medicine2026

Guidance for simultaneous treatment of chronic pain and PTSD: a Delphi study.

Belle Zaccari, Steffany Moonaz, Summer Newell, Tiona Wu, Miles Evanisko, Travis I Lovejoy

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of behavioral medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Belle ZaccariCenter to Improve Veteran Involvement in Care, VA Portland Health Care System, P3MHR, 3710 SW US Veterans Hospital Rd., Portland, OR, 97239, USA. belle.zaccari@va.gov.ORCID http://orcid.org/0000-0003-2260-6620
Steffany MoonazSouthern California University of Health Sciences, Whittier, CA, USA.ORCID http://orcid.org/0000-0003-3143-1631
Summer NewellCenter to Improve Veteran Involvement in Care, VA Portland Health Care System, P3MHR, 3710 SW US Veterans Hospital Rd., Portland, OR, 97239, USA.ORCID http://orcid.org/0000-0001-7876-5693
Tiona WuIllinois Institute of Technology, Chicago, IL, USA.ORCID http://orcid.org/0009-0004-3509-7321
Miles EvaniskoOregon State University, Corvallis, OR, USA.ORCID http://orcid.org/0009-0005-1870-9354
Travis I LovejoyCenter to Improve Veteran Involvement in Care, VA Portland Health Care System, P3MHR, 3710 SW US Veterans Hospital Rd., Portland, OR, 97239, USA.ORCID http://orcid.org/0000-0001-7298-6567

Funding

Health Services Research and Development HSR&D SWI 22-001
6 · The paper itself

Abstract

Despite the high co-prevalence of chronic pain and PTSD (CP + PTSD) among Veterans, there are no established guidelines for simultaneous treatment. This Delphi study provides guidance on simultaneous treatment for CP + PTSD. We used snowball sampling to recruit experts in CP + PTSD from nationwide VA facilities to participate in qualitative interviews and four rounds of a Delphi survey. The initial list of experts was compiled based on our previous work. Qualitative interviews were recorded, transcribed, and analyzed using the Framework Method. This approach identified Delphi survey items for quantitative rating. Individual items were rated using a Likert scale and items not reaching consensus were forwarded to subsequent rounds. A priori termination criteria determined the completion of Delphi survey rounds. Twenty-three experts from 13 VA facilities completed interviews and 15 (65%) completed four rounds of the Delphi survey. Interviews yielded 5 domains (61 items) for the first consensus-building survey round. Feedback from rounds 1 and 2 resulted in an additional 10 items. Of the 71 items, a priori group consensus for a final item list was reached on 48 items. Expert consensus identified guidance (Main Considerations, Key Intervention Components, Care Delivery Options, Facilitators, and Barriers) for the simultaneous treatment of CP + PTSD within the VA healthcare system. Future research that reports on the application of this guidance will facilitate improvements in healthcare and advance the field of integrative care for common comorbidities.

Indexed as

Chronic PainStress Disorders, Post-TraumaticConsensusDelphi TechniqueFemaleHumansMaleUnited StatesVeteransChronic painDelphiPTSDSimultaneous treatmentVeteran

Identifiers

PMID41851426

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.