Journal of Rehabilitation Research & Development (JRRD)

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Volume 48 Number 9, 2011
   Pages 1119 — 1128

Abstract —  Complementary and alternative medicine use among veterans with chronic noncancer pain

Lauren M. Denneson, PhD;* Kathryn Corson, PhD; Steven K. Dobscha, MD

Portland Center for the Study of Chronic, Comorbid Physical and Mental Disorders, Portland Department of Veterans Affairs Medical Center, Portland, OR; Department of Psychiatry, Oregon Health & Science University, Portland, OR

Abstract — We describe prior use and willingness to try complementary and alternative medicine (CAM) among 401 veterans experiencing chronic noncancer pain and explore differences between CAM users and nonusers. Participants in a randomized controlled trial of a collaborative intervention for chronic pain from five Department of Veterans Affairs (VA) primary care clinics self-reported prior use and willingness to try chiropractic care, massage therapy, herbal medicines, and acupuncture. Prior CAM users were compared with nonusers on demographic characteristics, pain-related clinical characteristics, disease burden, and treatment satisfaction. A majority of veterans (n = 327, 82%) reported prior use of at least one CAM modality, and nearly all (n = 399, 99%) were willing to try CAM treatment for pain. Chiropractic care was the least preferred option, whereas massage therapy was the most preferred (75% and 96%, respectively). CAM users were less likely to have service-connection disabilities (54% vs 68%; chi square  = 4.64, p = 0.03) and reported having spent a larger percentage of their lives in pain (26% vs 20%; Z = 1.40, p = 0.04) than nonusers. We detected few differences between veterans who had tried CAM and those who had not, suggesting that CAM may have broad appeal among veterans with chronic pain. Implications for VA policy and practice and for clinicians treating veterans with chronic pain are discussed.

Clinical Trial Registration: ClinicalTrials.gov. NCT00129480, "Improving the Treatment of Chronic Pain in Primary Care"; http://www.clinicaltrials.gov.

Key words: acupuncture, aged, alternative therapies, chiropractic, chronic pain, complementary therapies, delivery of healthcare, herbal medicine, massage therapy, veterans.


View HTML  ¦  View PDF  ¦  Contents Vol. 48, No. 9
This article and any supplementary material should be cited as follows:
Denneson LM, Corson K, Dobscha SK. Complementary and alternative medicine use among veterans with chronic noncancer pain. J Rehabil Res Dev. 2011;48(9): 1119-28.
DOI:10.1682/JRRD.2010.12.0243
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Last Reviewed or Updated  Monday, November 21, 2011 12:07 PM

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