{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T19:29:08Z","timestamp":1785266948234,"version":"3.55.0"},"reference-count":43,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2021,1,27]],"date-time":"2021-01-27T00:00:00Z","timestamp":1611705600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,10,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To examine the impact of educational materials for chronic overlapping pain conditions (COPCs), the feasibility of delivering materials online, and to explore its impact on self-reported self-management applications at 3-month follow-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Prospective cohort study<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>Online<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Subjects<\/jats:title>\n                  <jats:p>Individuals from a university-wide active research repository with \u22651 coded diagnostic COPC by ICD-9\/10 in the medical record.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We determined the number of COPCs per participant as indicated by diagnostic codes in the medical record. Consenting participants completed self-report questionnaires and read educational materials. We assessed content awareness and knowledge pre- and post-exposure to education. Comprehension was assessed via embedded questions in reading materials in real time. Participants then completed assessments regarding concept retention, self-management engagement, and pain-related symptoms at 3-months.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>N\u2009=\u2009216 individuals enrolled, with 181 (84%) completing both timepoints. Results indicated that participants understood materials. Knowledge and understanding of COPCs increased significantly after education and was retained at 3-months. Patient characteristics suggested the number of diagnosed COPCs was inversely related to age. Symptoms or self-management application did not change significantly over the 3-month period.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The educational materials facilitated teaching of key pain concepts in self-management programs, which translated easily into an electronic format. Education alone may not elicit self-management engagement or symptom reduction in this population; however, conclusions are limited by the study\u2019s uncontrolled design. Education is likely an important and meaningful first step in comprehensive COPC self-management.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/pm\/pnab018","type":"journal-article","created":{"date-parts":[[2021,1,18]],"date-time":"2021-01-18T20:25:59Z","timestamp":1611001559000},"page":"2252-2262","source":"Crossref","is-referenced-by-count":4,"title":["Electronic Delivery of Pain Education for Chronic Overlapping Pain Conditions: A Prospective Cohort Study"],"prefix":"10.1093","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9419-8502","authenticated-orcid":false,"given":"Lindsey C","family":"McKernan","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"},{"name":"Department of Physical Medicine & Rehabilitation, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"},{"name":"Osher Center for Integrative Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie J","family":"Crofford","sequence":"additional","affiliation":[{"name":"Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahra","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon N","family":"Vandekar","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William S","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Department of Urologic Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn A","family":"Hansen","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine & Rehabilitation, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"},{"name":"Osher Center for Integrative Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel J","family":"Clauw","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University of Michigan, Ann Arbor, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University of Michigan, Ann Arbor, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,1,27]]},"reference":[{"issue":"2","key":"2021121700282471100_pnab018-B1","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/j.rdc.2016.01.009","article-title":"Patient-reported outcomes and fibromyalgia","volume":"42","author":"Williams","year":"2016","journal-title":"Rheum Dis Clin North Am"},{"issue":"9","key":"2021121700282471100_pnab018-B2","doi-asserted-by":"crossref","first-page":"T93","DOI":"10.1016\/j.jpain.2016.06.002","article-title":"Overlapping chronic pain conditions: Implications for diagnosis and classification","volume":"17","author":"Maixner","year":"2016","journal-title":"J Pain"},{"key":"2021121700282471100_pnab018-B3","author":"Veasley","year":"2015"},{"issue":"2","key":"2021121700282471100_pnab018-B4","doi-asserted-by":"crossref","first-page":"e12135","DOI":"10.1111\/jabr.12135","article-title":"Phenotypic features of central sensitization","volume":"23","author":"Williams","year":"2018","journal-title":"J Appl Biobehav Res"},{"issue":"2","key":"2021121700282471100_pnab018-B5","doi-asserted-by":"crossref","first-page":"e12137","DOI":"10.1111\/jabr.12137","article-title":"The neurobiology of central sensitization","volume":"23","author":"Harte","year":"2018","journal-title":"J Appl Biobehav Res"},{"issue":"2","key":"2021121700282471100_pnab018-B6","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1097\/01.psy.0000204652.27246.5b","article-title":"Physicians\u2019 responses to patients\u2019 medically unexplained symptoms","volume":"68","author":"Epstein","year":"2006","journal-title":"Psychosom Med"},{"issue":"2","key":"2021121700282471100_pnab018-B7","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1348\/135910706X104076","article-title":"How do you explain a pain that can't be seen? 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