{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T08:03:46Z","timestamp":1780301026074,"version":"3.54.0"},"reference-count":35,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100014055","name":"U.S. Army Medical Research Acquisition Activity","doi-asserted-by":"crossref","award":["W81XWH-18-2-0008"],"award-info":[{"award-number":["W81XWH-18-2-0008"]}],"id":[{"id":"10.13039\/100014055","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Clin Psychol Med Settings"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Chronic pain is common among military service members, retirees, and families, yet non-pharmacologic options in primary care are limited. This pilot study evaluated the feasibility, and outcomes of Brief Cognitive Behavioral Therapy for Chronic Pain (BCBT-CP) delivered by integrated Behavioral Health Consultants (BHCs) in a Military Health System (MHS) clinic. This prospective, observational pragmatic pilot study recruited 44 Department of Defense beneficiaries (\n                    <jats:underline>M<\/jats:underline>\n                    age\u2009=\u200944.5\u00a0years [SD\u2009=\u20099.3\u00a0years]; 75% female; 50% Caucasian; 47.7% military family members, 38.6% retirees) with chronic pain (\u2265\u200912\u00a0weeks). As part of usual care, participants received BCBT-CP, a modular skills-based intervention delivered within the Primary Care Behavioral Health model. Measures included the Defense and Veterans Pain Rating Scale (DVPRS), the Pain, Enjoyment of Life, and General Activity (PEG-3) scale, and the Behavioral Health Measure (BHM-20), assessed at baseline, during treatment, and 3- and 6-months after the baseline assessment. Feasibility was high, with 44 of 45 approached patients enrolling in the study. These participants attended a median of 3 appointments (IQR 2\u20136) over 52\u00a0days (IQR 22\u2013110.5). Significant improvements were observed on DVPRS pain intensity (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u2009.001) and interference with activity, sleep, and stress. PEG total and subscales also improved (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u2009.05). No significant changes were detected on the BHM-20. Follow-up outcome data suggested partial loss of gains due to small sample size and attrition. Using BHCs to implement BCBT-CP in MHS primary care is feasible and improves short-term pain outcomes. Larger trials should test strategies to sustain benefits.\n                  <\/jats:p>","DOI":"10.1007\/s10880-025-10121-0","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T15:35:36Z","timestamp":1768836936000},"page":"281-293","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Targeting Chronic Pain in Primary Care Settings Using Behavioral Health Consultants: A Pilot Study Implementing Brief Cognitive Behavioral Therapy for Chronic Pain"],"prefix":"10.1007","volume":"33","author":[{"given":"Jeffrey L.","family":"Goodie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn E.","family":"Kanzler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy A.","family":"McGeary","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey","family":"Young-McCaughan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan L.","family":"Peterson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Briana A.","family":"Cobos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne C.","family":"Dobmeyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher L.","family":"Hunter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Blue","family":"Star","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aditya","family":"Bhagwat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy T.","family":"Houle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill C.","family":"Buhrer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Fowler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Brackins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melody R.","family":"Cardona","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald D.","family":"McGeary","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,19]]},"reference":[{"key":"10121_CR1","volume-title":"Brief cognitive behavioral therapy for chronic pain: BHC manual","author":"GP Beehler","year":"2018","unstructured":"Beehler, G. 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Goodie, Kathryn E. Kanzler, Cindy A. McGeary, Stacey Young-McCaughan, Alan L. Peterson, Briana A. Cobos, Anne C. Dobmeyer, Christopher L. Hunter, John Blue Star, Aditya Bhagwat, Timothy T. Houle, Jill C. Buhrer, Paul Fowler, Nicole Brackins, Melody R. Cardona and Donald D. McGeary declare that they have no conflict of interest","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was approved by the University of Texas Health Science Center at San Antonio\u2019s Institutional Review Board acting as the single IRB with the Carl R. Darnall Army Medical Center and the Uniformed Services University relying upon the UTHSCSA regulatory review under a Defense Health Agency General Reliance Agreement. The U. S. Army Medical Research and Development Command Office of Human Research Protection monitored the regulatory approvals in accordance with the funded award.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"This study involved research with human participants and was reviewed and approved by the appropriate institutional review board (IRB).","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Statement of Human and Animal Rights"}},{"value":"All procedures were conducted in accordance with the ethical standards of the responsible institutional and national research committees and with the 2013 revision of the Declaration of Helsinki.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}