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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
×

The Role of Nonpharmacological
Approaches to Pain Management

PROCEEDINGS OF A WORKSHOP

Lisa Bain, Sheena M. Posey Norris, and Clare Stroud,
Rapporteurs

Forum on Neuroscience and
Nervous System Disorders

Global Forum on Innovation in Health Professional
Education

Board on Health Sciences Policy

Board on Global Health

Health and Medicine Division

images

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Washington, DC
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
×

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This activity was supported by contracts between the National Academy of Sciences and the Academic Collaborative for Integrative Health; Academy of Nutrition and Dietetics; Accreditation Council for Graduate Medical Education; Aetna Foundation; Alzheimer’s Association; American Academy of Nursing; American Association of Colleges of Nursing; American Association of Colleges of Osteopathic Medicine; American Association of Colleges of Pharmacy; American Board of Family Medicine; American College of Obstetricians and Gynecologists; American Council of Academic Physical Therapy; American Dental Education Association; American Medical Association; American Nurses Credentialing Center; American Occupational Therapy Association; American Osteopathic Association; American Physical Therapy Association; American Psychological Association; American Speech-Language-Hearing Association; Association of American Medical Colleges; Association of American Veterinary Medical Colleges; Association of Schools and Colleges of Optometry; Association of Schools and Programs of Public Health; Association of Schools of the Allied Health Professions; Athletic Training Strategic Alliance; Cohen Veterans Bioscience; Council on Social Work Education; Department of Health and Human Services’ Food and Drug Administration (5R13FD005362-02) and National Institutes of Health (NIH) (HHSN26300001 and 75N98019F00469 [Under Master Base HHSN263201800029I]) through the Eunice Kennedy Shriver National Institute of Child Health and Human Development’s National Center for Medical Rehabilitation Research, National Center for Complementary and Integrative Health, National Eye Institute, National Institute of Mental Health, National Institute of Neurological Disorders and Stroke, National Institute on Aging, National Institute on Alcohol Abuse and Alcoholism, National Institute on Drug Abuse, NIH Blueprint for Neuroscience Research, and Office of Behavioral and Social Sciences Research; Department of Veterans Affairs (VA240-14-C-0057); Eli Lilly and Company; Foundation for Chiropractic Progress; Foundation for the National Institutes of Health; Gatsby Charitable Foundation; The Institute for Integrative Health; Janssen Research & Development, LLC; Jonas Nursing and Veterans Healthcare; Josiah Macy Jr. Foundation; Michigan Center for Interprofessional Education; The Kavli Foundation; Lundbeck Research USA; Merck Research Laboratories; The Michael J. Fox Foundation for Parkinson’s Research; National Academies of Practice; National Association of Social Workers; National Board for Certified Counselors and Affiliates; National Board of Medical Examiners; National Council of State Boards of Nursing; National League for Nursing; National Multiple Sclerosis Society; National Science Foundation (BCS-1064270); One Mind; Organization for Associate Degree Nursing; Physician Assistant Education Association; Sanofi; Society for Neuroscience; Society for Simulation in Healthcare; Takeda Pharmaceuticals International, Inc.; University of Toronto; Weill Cornell Medicine–Qatar; and Wellcome Trust. Any opinions, findings, conclusions, or recommendations

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
×

expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-49091-7
International Standard Book Number-10: 0-309-49091-X
Digital Object Identifier: https://doi.org/10.17226/25406

Additional copies of this publication are available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

Copyright 2019 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2019. The role of nonpharmacological approaches to pain management: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/25406.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
×

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The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.

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Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
×

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Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task.

Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies.

For information about other products and activities of the National Academies, please visit www.nationalacademies.org/about/whatwedo.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
×

PLANNING COMMITTEE ON THE ROLE OF NONPHARMACOLOGICAL APPROACHES TO PAIN MANAGEMENT1

DANIEL CHERKIN (Co-Chair), Kaiser Permanente Washington Health Research Institute (Emeritus)

ANTHONY DELITTO (Co-Chair), University of Pittsburgh

JOHN CHAE, Case Western Reserve University

MEGAN DRISCOLL, University of Pittsburgh Medical Center

KIM DUNLEAVY, University of Florida

STEVEN GEORGE, Duke University

ELIZABETH (LIZA) GOLDBLATT, Academic Collaborative for Integrative Health

ALAN JETTE, Massachusetts General Hospital Institute of Health Professions

ROBERT KERNS, Yale University

JOHN KRYSTAL, Yale University

ANNE MARIE MCKENZIE-BROWN, Emory University

VITALY NAPADOW, Massachusetts General Hospital; Harvard University

ROBERT SAPER, Boston University

DENNIS TURK, University of Washington

CHRISTIN VEASLEY, Chronic Pain Research Alliance

Health and Medicine Division Staff

SHEENA M. POSEY NORRIS, Program Officer

ANNA FAHLSTROM, Research Assistant

PHOENIX WILSON, Senior Program Assistant

CLARE STROUD, Director, Forum on Neuroscience and Nervous System Disorders

PATRICIA CUFF, Director, Global Forum on Innovation in Health Professional Education

ANDREW M. POPE, Director, Board on Health Sciences Policy

JULIE PAVLIN, Director, Board on Global Health

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
×

FORUM ON NEUROSCIENCE AND NERVOUS SYSTEM DISORDERS1

STORY LANDIS (Co-Chair), Director Emeritus, National Institute of Neurological Disorders and Stroke

JOHN KRYSTAL (Co-Chair), Yale University

SUSAN AMARA, Society for Neuroscience

RITA BALICE-GORDON, Sanofi

KATJA BROSE, Chan Zuckerberg Initiative

EMERY BROWN, Harvard Medical School and Massachusetts Institute of Technology

DANIEL BURCH, Pharmaceutical Product Development, LLC

JOSEPH BUXBAUM, Icahn School of Medicine at Mount Sinai

SARAH CADDICK, Gatsby Charitable Foundation

ROSA CANET-AVILES, Foundation for the National Institutes of Health

MARIA CARRILLO, Alzheimer’s Association

E. ANTONIO CHIOCCA, Harvard Medical School

TIMOTHY COETZEE, National Multiple Sclerosis Society

JONATHAN COHEN, Princeton University

ROBERT CONLEY, Eli Lilly and Company

JAMES DESHLER, National Science Foundation

BILLY DUNN, Food and Drug Administration

MICHAEL EGAN, Merck Research Laboratories

JOSHUA GORDON, National Institute of Mental Health

HENRY T. GREELY, Stanford University

RAQUEL GUR, University of Pennsylvania

MAGALI HAAS, Cohen Veterans Bioscience

RAMONA HICKS, One Mind

RICHARD HODES, National Institute on Aging

STUART HOFFMAN, Department of Veterans Affairs

STEVEN HYMAN, Broad Institute of Massachusetts Institute of Technology and Harvard University

FRANCES JENSEN, University of Pennsylvania

GEORGE KOOB, National Institute on Alcohol Abuse and Alcoholism

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
×

WALTER KOROSHETZ, National Institute of Neurological Disorders and Stroke

ALAN LESHNER, American Association for the Advancement of Science (Emeritus)

HUSSEINI MANJI, Janssen Research & Development, LLC

CAROLINE MONTOJO, The Kavli Foundation

ATUL PANDE, Tal Medical

STEVEN PAUL, Voyager Therapeutics, Inc.

EMILIANGELO RATTI, Takeda Pharmaceuticals International, Inc.

DOUGLAS SHEELEY, National Institute of Dental and Craniofacial Research

TODD SHERER, The Michael J. Fox Foundation for Parkinson’s Research

DAVID SHURTLEFF, National Center for Complementary and Integrative Health

PAUL SIEVING, National Eye Institute

NORA VOLKOW, National Institute on Drug Abuse

ANDREW WELCHMAN, Wellcome Trust

DOUG WILLIAMSON, Lundbeck

STEVIN ZORN, MindImmune Therapeutics, Inc.

Health and Medicine Division Staff

CLARE STROUD, Forum Director

SHEENA M. POSEY NORRIS, Program Officer

PHOENIX WILSON, Senior Program Assistant

BARDIA MASSOUDKHAN, Financial Associate

ANDREW M. POPE, Director, Board on Health Sciences Policy

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
×

GLOBAL FORUM ON INNOVATION IN HEALTH PROFESSIONAL EDUCATION1

CASWELL EVANS (Co-Chair), University of Illinois at Chicago College of Dentistry

DEBORAH POWELL (Co-Chair), University of Minnesota

MALCOLM COX (Co-Chair Emeritus), University of Pennsylvania, formerly Department of Veterans Affairs

SUSAN SCRIMSHAW (Co-Chair Emeritus), The Sage Colleges

FRANK ASCIONE, University of Michigan

TIMI AGAR BARWICK, Physician Assistant Education Association

DAVID BENTON, National Council of State Boards of Nursing

JOANNA CAIN, University of Massachusetts School of Medicine

KATHY CHAPPELL, American Nurses Credentialing Center

STEVEN CHESBRO, American Physical Therapy Association

AMY APARICIO CLARK, Aetna Foundation

DARLA SPENCE COFFEY, Council on Social Work Education

DARLENE CURLEY, Jonas Nursing and Veterans Healthcare

JAN DE MAESENEER, Ghent University

MARIETJIE DE VILLIERS, Stellenbosch University

KIM DUNLEAVY, American Council of Academic Physical Therapy

KATHRIN (KATIE) ELIOT, Academy of Nutrition and Dietetics

ELIZABETH (LIZA) GOLDBLATT, Academic Collaborative for Integrative Health

CATHERINE GRUS, American Psychological Association

SUSAN HANRAHAN, Association of Schools of the Allied Health Professions

NEIL HARVISON, American Occupational Therapy Association

ERIC HOLMBOE, Accreditation Council for Graduate Medical Education

ELIZABETH HOPPE, Association of Schools and Colleges of Optometry

HOLLY HUMPHREY, Josiah Macy Jr. Foundation

EMILIA IWU, Jonas Nursing and Veterans Healthcare

PAMELA JEFFRIES, The George Washington University

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
×

SANDEEP (SUNNY) KISHORE, Young Professionals Chronic Disease Network

KATHLEEN KLINK, Veterans Health Administration

CHAO MA, Peking Union Medical College

ANDREW MACCABE, Association of American Veterinary Medical Colleges

LAURA MAGAÑA VALLADARES, Association of Schools and Programs of Public Health

LUCINDA MAINE, American Association of Colleges of Pharmacy

BEVERLY MALONE, National League for Nursing

MARY E. (BETH) MANCINI, Society for Simulation in Healthcare

ANGELO MCCLAIN, National Association of Social Workers

LEMMIETTA G. MCNEILLY, American Speech-Language-Hearing Association

MARK MERRICK, Commission on Accreditation of Athletic Training Education

DONNA MEYER, Organization of Associate Degree Nursing

WARREN NEWTON, American Board of Family Medicine

BJÖRG PALSDOTTIR, Training for Health Equity Network (THEnet)

MIGUEL PANIAGUA, National Board of Medical Examiners

RAJATA RAJATANAVIN, Mahidol University

LUCY SAVITZ, Kaiser Permanente

WENDI SCHWEIGER, National Board for Certified Counselors, Inc. & Affiliates

NELSON SEWANKAMBO, Makerere University College of Health Sciences

STEPHEN SHANNON, American Association of Colleges of Osteopathic Medicine

JAVAID I. SHEIKH, Weill Cornell Medicine–Qatar

SUSAN SKOCHELAK, American Medical Association

ZOHRAY TALIB, The George Washington University

MARIA TASSONE, University of Toronto

DEBORAH TRAUTMAN, American Association of Colleges of Nursing

MICHELLE TROSETH, National Academies of Practice

RICHARD (RICK) W. VALACHOVIC, American Dental Education Association

CYNTHIA A. WALKER, Medtronic

Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
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ALISON J. WHELAN, Association of American Medical Colleges

ADRIENNE WHITE-FAINES, American Osteopathic Association

XUEJUN ZENG, Peking Union Medical College

BRENDA ZIERLER, University of Washington

Health and Medicine Division Staff

PATRICIA A. CUFF, Senior Program Officer

ANNA FAHLSTROM, Research Assistant

DANIEL CESNALIS, Financial Associate

JULIE PAVLIN, Director, Board on Global Health

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
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Reviewers

This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.

We thank the following individuals for their review of this proceedings:

ROGER CHOU, Oregon Health & Science University

PENNEY COWAN, American Chronic Pain Association

CARMEN GREEN, University of Michigan Medical School

CATHERINE LIVINGSTON, Oregon Health Authority

ERIC SCHOOMAKER, Uniformed Services University of the Health Sciences

HEATHER TICK, University of Washington School of Medicine

BOB TWILLMAN, Academy of Integrative Pain Management

JUDY WATT-WATSON, University of Toronto

Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by BRIAN STROM, Rutgers, the State University of New Jersey. He was responsible for making certain that an independent examination of this proceedings was carried out in

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
×

accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteurs and the National Academies.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
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Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25406.
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Pain is a leading cause of disability globally. The dramatic increase in opioid prescriptions within the past decade in the United States has contributed to the opioid epidemic the country currently faces, magnifying the need for longer term solutions to treat pain. The substantial burden of pain and the ongoing opioid crisis have attracted increased attention in medical and public policy communities, resulting in a revolution in thinking about how pain is managed. This new thinking acknowledges the complexity and biopsychosocial nature of the pain experience and the need for multifaceted pain management approaches with both pharmacological and nonpharmacological therapies.

The magnitude and urgency of the twin problems of chronic pain and opioid addiction, combined with the changing landscape of pain management, prompted the National Academies of Sciences, Engineering, and Medicine to convene a workshop on December 4–5, 2018, in Washington, DC. The workshop brought together a diverse group of stakeholders to discuss the current status of nonpharmacological approaches to pain management, gaps, and future directions. This publication summarizes the presentations and discussions from the workshop.

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