{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T12:13:34Z","timestamp":1788783214111,"version":"build-2803163510"},"reference-count":43,"publisher":"Oxford University Press (OUP)","issue":"1","funder":[{"name":"VA Rehabilitation Research and Development office","award":["I21RX002741"],"award-info":[{"award-number":["I21RX002741"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Brief non-pharmacologic chronic pain treatments are largely effective and widely recommended for pain self-management. The purpose of this study was to evaluate veteran and provider perceptions of acceptability, appropriateness, and feasibility of Brief Cognitive Behavioral Therapy (Brief CBT-CP) content and materials to inform future implementation efforts in primary care and other integrated settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative analysis of data from a pilot randomized controlled trial (RCT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Two Veterans Affairs (VA) primary care clinics in the Northeast.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects<\/jats:title>\n                    <jats:p>Veterans (n\u2009=\u200910) who completed Brief CBT-CP treatment, integrated behavioral health providers (IBHPs; n\u2009=\u20093 clinical social workers; n\u2009=\u20094 clinical psychologists), and primary care physicians (PCPs; n\u2009=\u20095).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Rapid Qualitative Analysis of semi-structured interview data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>Brief CBT-CP, an adapted intervention for chronic pain intended for use in primary care and other integrated care settings utilizing brief treatment modalities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>PCPs and IBHPs described Brief CBT-CP as highly acceptable and clinically useful, particularly in response to its focus on biopsychosocial pain self-management skills. Similarly, veterans pointed to the non-pharmacologic skills as a highly acceptable component of treatment. The intervention was also viewed as highly appropriate by providers who emphasized the treatment\u2019s alignment with the tenets of primary care, accessibility, and potential to strengthen stepped care adherence. Some providers suggested minor modifications to the content. Veterans regarded Brief CBT-CP as highly appropriate due to the customizability of the non-pharmacologic skills which helped them achieve their recovery goals while acknowledging that the primary limitation was the intervention\u2019s inability to completely eliminate pain. Providers, who viewed the intervention as practical overall, anticipated issues such as patient readiness and logistics as potentially impacting treatment uptake; veterans, however, perceived the intervention as feasible, favoring flexibility with scheduling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Veterans and providers endorsed Brief CBT-CP as a highly acceptable, highly appropriate, and generally feasible non-pharmacological behavioral pain treatment. Veterans described improvements across behavioral, cognitive, and affective domains including decreased pain levels, increased pain tolerance, improved functioning, and decreased stress related to pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Trial Information<\/jats:title>\n                    <jats:p>The Clinical Trials Registration #NCT03490981.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/tbm\/ibag011","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T15:47:07Z","timestamp":1773330427000},"source":"Crossref","is-referenced-by-count":0,"title":["Patient and provider perspectives of Brief Cognitive Behavioral Therapy for Chronic Pain: a qualitative analysis of a pilot randomized controlled trial"],"prefix":"10.1093","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6953-4690","authenticated-orcid":false,"given":"Mandy","family":"Conrad","sequence":"first","affiliation":[{"name":"VA Center for Integrated Healthcare, VA Western New York Healthcare System , Buffalo, NY,","place":["United States"]},{"name":"Mental Health Service, Iowa City VA Healthcare System , Iowa City, IA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin M","family":"Kimber","sequence":"additional","affiliation":[{"name":"Psychology, VA Western New York Healthcare System , Buffalo, NY,","place":["United States"]},{"name":"Department of Psychology, Russell Sage College , Troy, NY,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dezarie","family":"Moskal","sequence":"additional","affiliation":[{"name":"VA Center for Integrated Healthcare, Syracuse VA Medical Center , Syracuse, NY,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent A","family":"Pietropaoli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Paul R","family":"King","sequence":"additional","affiliation":[{"name":"VA Center for Integrated Healthcare, VA Western New York Healthcare System , Buffalo, NY,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory P","family":"Beehler","sequence":"additional","affiliation":[{"name":"VA Center for Integrated Healthcare, VA Western New York Healthcare System , Buffalo, NY,","place":["United States"]},{"name":"School of Public Health and Health Professions, University at Buffalo , Buffalo, NY,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"key":"2026090707570464000_ibag011-B1","doi-asserted-by":"publisher","first-page":"T21","DOI":"10.1016\/j.jpain.2016.02.006","article-title":"Assessment of psychosocial and functional impact of chronic pain","volume":"17","author":"Turk","year":"2016","journal-title":"J Pain"},{"key":"2026090707570464000_ibag011-B2","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.15585\/mmwr.mm6736a2","article-title":"Prevalence of chronic pain and high-impact chronic pain among adults\u2014United States, 2016","volume":"67","author":"Dahlhamer","year":"2018","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2026090707570464000_ibag011-B3","doi-asserted-by":"publisher","first-page":"310","DOI":"10.1136\/military-2023-002554","article-title":"Prevalence of chronic non-cancer pain among military veterans: a systematic review and meta-analysis of observational studies","volume":"171","author":"Qureshi","year":"2025","journal-title":"BMJ Mil Health"},{"key":"2026090707570464000_ibag011-B4","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1111\/pme.12388","article-title":"Persistent pain and comorbidity among operation enduring freedom\/operation Iraqi freedom\/operation new dawn veterans","volume":"15","author":"Higgins","year":"2014","journal-title":"Pain Med"},{"key":"2026090707570464000_ibag011-B5","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.jpain.2016.10.021","article-title":"Severe pain in veterans: the effect of age and sex, and comparisons with the general population","volume":"18","author":"Nahin","year":"2017","journal-title":"J Pain"},{"key":"2026090707570464000_ibag011-B6","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1682\/jrrd.2003.09.0371","article-title":"Veterans\u2019 reports of pain and associations with ratings of health, health-risk behaviors, affective distress, and use of the healthcare system","volume":"40","author":"Kerns","year":"2003","journal-title":"J Rehabil Res Dev"},{"key":"2026090707570464000_ibag011-B7","doi-asserted-by":"publisher","first-page":"S118","DOI":"10.2105\/AJPH.2011.300451","article-title":"The role of pain, functioning, and mental health in suicidality among veterans affairs primary care patients","volume":"102","author":"Magruder","year":"2012","journal-title":"Am J Public Health"},{"key":"2026090707570464000_ibag011-B8","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1177\/2374373518786013","article-title":"Impact of chronic pain on patients\u2019 quality of life: a comparative mixed-methods study","volume":"6","author":"Hadi","year":"2019","journal-title":"J Patient Exp"},{"key":"2026090707570464000_ibag011-B9","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1037\/a0035747","article-title":"Cognitive-behavioral therapy for individuals with chronic pain: efficacy, innovations, and directions for research","volume":"69","author":"Ehde","year":"2014","journal-title":"Am Psychol"},{"key":"2026090707570464000_ibag011-B10","doi-asserted-by":"crossref","first-page":"2620","DOI":"10.1007\/s11606-019-05086-4","article-title":"VA\/DoD clinical practice guideline: diagnosis and treatment of low back pain","volume":"34","author":"Pangarkar","year":"2019","journal-title":"J Gen Intern Med"},{"key":"2026090707570464000_ibag011-B11","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1016\/j.jpain.2019.12.008","article-title":"Doctor recommendations are related to patient interest and use of behavioral treatment for chronic pain and addiction","volume":"21","author":"Brunkow","year":"2020","journal-title":"J Pain"},{"key":"2026090707570464000_ibag011-B12","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1007\/s10488-010-0319-7","article-title":"Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda","volume":"38","author":"Proctor","year":"2011","journal-title":"Adm Policy Ment Health"},{"key":"2026090707570464000_ibag011-B13","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1186\/s12875-017-0608-2","article-title":"Barriers and facilitators to use of non-pharmacological treatments in chronic pain","volume":"18","author":"Becker","year":"2017","journal-title":"BMC Fam Pract"},{"key":"2026090707570464000_ibag011-B14","doi-asserted-by":"publisher","first-page":"1376462","DOI":"10.3389\/fpain.2024.1376462","article-title":"The perpetual evidence-practice gap: addressing ongoing barriers to chronic pain management in primary care in three steps","volume":"5","author":"Ashcraft","year":"2024","journal-title":"Front Pain Res (Lausanne)"},{"key":"2026090707570464000_ibag011-B15","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1186\/s12913-024-10558-3","article-title":"A patient activation intervention in primary care for patients with chronic pain on long term opioid therapy: results from a randomized control trial","volume":"24","author":"Does","year":"2024","journal-title":"BMC Health Serv Res"},{"key":"2026090707570464000_ibag011-B16","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1037\/ser0000506","article-title":"Cognitive behavioral therapy for chronic pain in veterans: evidence for clinical effectiveness in a model program","volume":"19","author":"Murphy","year":"2022","journal-title":"Psychol Serv"},{"key":"2026090707570464000_ibag011-B17","doi-asserted-by":"publisher","first-page":"931","DOI":"10.1007\/s11606-017-4047-5","article-title":"Managing chronic pain in primary care: it really does take a village","volume":"32","author":"Seal","year":"2017","journal-title":"J Gen Intern Med"},{"key":"2026090707570464000_ibag011-B18","author":"National Institutes of Health","year":"."},{"key":"2026090707570464000_ibag011-B19","doi-asserted-by":"publisher","first-page":"351","DOI":"10.1037\/fsh0000606","article-title":"Patients\u2019 perspectives of brief cognitive behavioral therapy for chronic pain: treatment satisfaction, perceived utility, and global assessment of change","volume":"39","author":"Beehler","year":"2021","journal-title":"Fam Syst Health"},{"key":"2026090707570464000_ibag011-B20","doi-asserted-by":"crossref","DOI":"10.1007\/s10880-026-10148-x","article-title":"Feasibility outcomes from a pilot randomized controlled trial of brief cognitive behavioral therapy for chronic pain among military veterans","volume-title":"Clin Psychol Med Settings","author":"Beehler"},{"key":"2026090707570464000_ibag011-B21","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1186\/s13012-019-0853-y","article-title":"Comparison of rapid vs in-depth qualitative analytic methods from a process evaluation of academic detailing in the veterans health administration","volume":"14","author":"Gale","year":"2019","journal-title":"Implement Sci"},{"key":"2026090707570464000_ibag011-B22","volume-title":"Qualitative Methods in Rapid Turn-around Health Services Research","author":"Hamilton","year":"2013"},{"key":"2026090707570464000_ibag011-B23","volume-title":"Qualitative Data Analysis","author":"Miles","year":"1994","edition":"2nd"},{"key":"2026090707570464000_ibag011-B24","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1177\/1525822X05279903","article-title":"How many interviews are enough? An experiment with data saturation and variability","volume":"18","author":"Guest","year":"2006","journal-title":"Field Methods"},{"key":"2026090707570464000_ibag011-B25","author":"Department of Veterans Affairs, Veterans Health Administration (VHA)","year":"2009"},{"key":"2026090707570464000_ibag011-B26","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1037\/fsh0000899","article-title":"Brief behavioral intervention for chronic pain in integrated primary care: what are we waiting for?","volume":"42","author":"Beehler","year":"2024","journal-title":"Fam Syst Health"},{"key":"2026090707570464000_ibag011-B27","doi-asserted-by":"publisher","first-page":"e628","DOI":"10.1093\/milmed\/usy018","article-title":"Veteran experiences seeking non-pharmacologic approaches for pain","volume":"183","author":"Giannitrapani","year":"2018","journal-title":"Mil Med"},{"key":"2026090707570464000_ibag011-B28","volume-title":"Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research","author":"IOM (Institute of Medicine)","year":"2011"},{"key":"2026090707570464000_ibag011-B29","doi-asserted-by":"publisher","first-page":"3937","DOI":"10.1007\/s11606-021-07370-8","article-title":"Non-pharmacological treatment for chronic pain in US veterans treated within the veterans health administration: implications for expansion in US healthcare systems","volume":"37","author":"Mannes","year":"2022","journal-title":"J Gen Intern Med"},{"key":"2026090707570464000_ibag011-B30","doi-asserted-by":"publisher","first-page":"101934","DOI":"10.1016\/j.berh.2024.101934","article-title":"Practical approaches for clinicians in chronic pain management: strategies and solutions","volume":"38","author":"Sturgeon","year":"2024","journal-title":"Best Pract Res Clin Rheumatol"},{"key":"2026090707570464000_ibag011-B31","author":"Carey","year":"2017"},{"key":"2026090707570464000_ibag011-B32","doi-asserted-by":"publisher","first-page":"2164956119838845","DOI":"10.1177\/2164956119838845","article-title":"Patient experiences with integrated pain care: a qualitative evaluation of one VA\u2019s biopsychosocial approach to chronic pain treatment and opioid safety","volume":"8","author":"Purcell","year":"2019","journal-title":"Glob Adv Health Med"},{"key":"2026090707570464000_ibag011-B33","doi-asserted-by":"publisher","first-page":"1280","DOI":"10.1111\/j.1526-4637.2009.00707.x","article-title":"Barriers and facilitators to chronic pain self-management: a qualitative study of primary care patients with comorbid musculoskeletal pain and depression","volume":"10","author":"Bair","year":"2009","journal-title":"Pain Med"},{"key":"2026090707570464000_ibag011-B34","doi-asserted-by":"crossref","first-page":"1","DOI":"10.15585\/mmwr.rr7103a1","article-title":"CDC clinical practice guideline for prescribing opioids for pain","volume":"71","author":"Dowell","year":"2022","journal-title":"MMWR Recomm Rep"},{"key":"2026090707570464000_ibag011-B35","author":"Department of Veterans Affairs & Department of Defense","year":"2017"},{"key":"2026090707570464000_ibag011-B36","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1007\/s11606-021-06967-3","article-title":"Reducing frustration and improving management of chronic pain in primary care: is shared decision-making sufficient?","volume":"37","author":"Matthias","year":"2022","journal-title":"J Gen Intern Med"},{"key":"2026090707570464000_ibag011-B37","author":"U.S Department of Veterans Affairs","year":"."},{"key":"2026090707570464000_ibag011-B38","volume-title":"Brief Cognitive Behavioral Therapy for Chronic Pain: Therapist Manual, Ver 2.0","author":"Beehler","year":"2021"},{"key":"2026090707570464000_ibag011-B39","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1007\/s13142-011-0094-3","article-title":"Implementation of the veterans health administration national pain management strategy","volume":"1","author":"Kerns","year":"2011","journal-title":"Transl Behav Med"},{"key":"2026090707570464000_ibag011-B40","doi-asserted-by":"publisher","first-page":"970","DOI":"10.1093\/pm\/pnz341","article-title":"Pain care in the department of veterans affairs: understanding how a cultural shift in pain care impacts provider decisions and collaboration","volume":"21","author":"Mattocks","year":"2020","journal-title":"Pain Med"},{"key":"2026090707570464000_ibag011-B41","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1001\/jamapsychiatry.2019.0254","article-title":"Engaging mental health professionals in addressing pain","volume":"76","author":"Edmond","year":"2019","journal-title":"JAMA Psychiatry"},{"key":"2026090707570464000_ibag011-B42","doi-asserted-by":"publisher","first-page":"101978","DOI":"10.1016\/j.copsyc.2024.101978","article-title":"Brief interventions for chronic pain: approaches and evidence","volume":"62","author":"Darnall","year":"2025","journal-title":"Curr Opin Psychol"},{"key":"2026090707570464000_ibag011-B43","doi-asserted-by":"publisher","first-page":"1167","DOI":"10.1093\/pm\/pnaa312","article-title":"Barriers to and facilitators of multimodal chronic pain care for veterans: a national qualitative study","volume":"22","author":"Leonard","year":"2021","journal-title":"Pain Med"}],"container-title":["Translational Behavioral Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/tbm\/article-pdf\/16\/1\/ibag011\/70522519\/ibag011.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/tbm\/article-pdf\/16\/1\/ibag011\/70522519\/ibag011.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T11:57:09Z","timestamp":1788782229000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/tbm\/article\/doi\/10.1093\/tbm\/ibag011\/8654033"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":43,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1,7]]}},"URL":"https:\/\/doi.org\/10.1093\/tbm\/ibag011","relation":{},"ISSN":["1613-9860"],"issn-type":[{"value":"1613-9860","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026]]},"published":{"date-parts":[[2026]]},"article-number":"ibag011"}}