PIPages
Labs

Trevor Lentz

Duke University, NC·Medicine & Clinical Research

Pain in muscles, joints and bones is one of the most common reasons people see a doctor, and for millions it becomes high impact chronic pain, meaning pain that persistently limits daily life and work. Such pain usually travels with psychological distress, and treatments that address the mind, such as relaxation skills and counseling, can measurably improve outcomes.

Fields

Medicine & Clinical Research

Psychology

Public Health & Epidemiology

Topics

musculoskeletal pain

high impact chronic pain

psychological distress

Grants
1 known grant, through Jul 2028

What they work on

  1. Test the feasibility of a Psychological Support and Resource Navigator program in orthopedic care, using benchmarks for enrollment of eligible patients, completion of navigator calls, fidelity to the program and psychological resource use by twelve weeks.
  2. Assess acceptability of the navigator program through participant satisfaction and qualitative interviews in a mixed methods evaluation.
  3. Compare the navigator program with a brochure listing psychological resources in a two-arm trial of 63 orthopedic patients with high pain-related psychological distress, randomized 2:1.
  4. Evaluate whether an automated electronic health record alert can identify orthopedic patients with high pain-related psychological distress and prompt clinicians to connect them to resources such as painTRAINER, psychologically informed physical therapy and counseling.

More about the research

In ordinary care that side of pain is often skipped: orthopedic clinicians rarely have training in psychological assessment, may be uncomfortable raising mental health, and have little time in a visit.

Why it matters

Patients with high impact chronic musculoskeletal pain often have unmet psychological needs that go unaddressed during orthopedic care. If a navigator embedded in an orthopedic clinic proves feasible and acceptable, it could connect more of these patients to counseling, psychologically informed physical therapy and self-management tools, and lay the groundwork for larger trials testing whether such support reduces pain-related disability and suffering.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

Enhanced Navigation to Improve Pain-related Psychological Support and Resource Use in Orthopedics

NIH · Aug 2026 – Jul 2028

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The school

Duke University: 61 labs on PI Pages, $1.6B a year on research, 417 research doctorates a year.

More about Duke University

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