Search

Matthew J. Bair, MD, MS

Associate Professor of Medicine, Indiana University School of Medicine
Research Scientist, Indiana University Center for Health Services and Outcomes Research
Research Scientist, William M. Tierney Center for Health Services Research, Regenstrief Institute, Inc.
Core Investigator, VA HSR&D Center for Health Information and Communication

   Dr. Bair is a core investigator for the VA Health Services Research and Development Center for Health Information and Communication, an attending physician in the Inpatient Medicine Service at Richard L. Roudebush VA Medical Center, and Associate Professor of Medicine in the Indiana University School of Medicine. His specific program of research is focused on affective disorders (e.g. depression and anxiety) and chronic pain and developing strategies to improve pain management in the primary care setting.  

 

   Dr. Bair currently serves as editorial board member for the journals Pain Medicine and Pain Practice and deputy editor for the Journal of General Internal Medicine.  He is director of the Health Services Research & Development Advanced Fellowship Program at Roudebush VA Medical Center, and teaches implementation research methods and evidence-based medicine to medical residents, fellows, and IUPUI junior faculty.  In 2013, IU medical students selected him as “Outstanding Educator”, and in 2014, he received an Indiana University Teaching Award for his instruction in the Student Outpatient Clinic.

 

   In 2007, Dr. Bair was awarded a Merit Review grant from the VA Rehabilitative Research & Development to conduct a randomized controlled trial to compare a combination of pain treatments, including algorithm-based analgesics, pain self-management, and cognitive behavioral therapy, versus usual care. This was the first of many interventions for chronic pain treatment of Operation Enduring Freedom and Operation Iraqi Freedom veterans.

Dr. Bair is board certified in Internal Medicine and a staff physician in Richard L. Roudebush VA Medical Center. Clinical interests include effective pain management in primary care settings.

 

CLINICAL INTERESTS

  Internal Medicine

 

HOSPITALS & AFFILIATIONS

Hospital Privileges:  
     Richard L. Roudebush VA Medical Center  

 

EDUCATION

School of Medicine      Medical College of Wisconsin
Residency

     Fitzsimons Army Medical Center

       University of Colorado Health Sciences
Fellowship      Regenstrief Institute, Inc. / Indiana University
Fellowship      Richard L. Roudebush VA Medical Center / Indiana University

Active Studies


Trial Outcomes for Massage: Caregiver-Assisted vs. Therapist-Treated (TOMCATT)

2017-21, Principal Investigator

Solicitation: Solicitation: VA Health Services Research and Development (HSR&D), Project # IIR 15-333

Aims: The TOMCATT study will compare the effects of two massage interventions (care ally-assisted massage and therapist-treated massage) vs. control on pain-related disability. Comparing the effects of two massage interventions vs. control on secondary outcomes, including pain severity, health-related quality of life, depression, anxiety, and stress. As well as examining the implementation potential of both massage interventions, including facilitators and barriers, treatment and adherence, and intervention costs. 

 

Comparative effectiveness of patient-centered strategies to improve pain management and opioid safety for Veterans

2016-21, Co-Investigator (PI: Krebs)

Solicitation: PCORI Patient Centered Outcomes Research Institute

Aims: Patients with chronic pain need treatments that manage their pain, don’t interfere with everyday activities, and don’t have the risks that come with taking opioid pain medicine. Researchers are recruiting patients who visit Veterans Affairs healthcare facilities for care and who have pain even though they use opioid pain medicine. This study is comparing treatment options that may help patients control their pain and take less opioid pain medicine.

 

Improving Pain-Related Outcomes for Veterans (IMPROVE)

2015-19, Co-Investigator (PIs: Becker, Heapy, Midboe)

Solicitation: VA Health Services Research and Development (HSR&D), Stroke Quality Enhancement Research Initiative (QUERI): QUE 15-460

Aims: To improve function and quality of life as well as decrease morbidity and mortality among patients with chronic pain. In multi-model pain care, evidence-based non-pharmacologic treatment modalities are incorporated alongside pharmacologic treatment, reduction in high-dose opioid therapy and avoidance of opioid-benzodiazepine combination therapy. To address needs for specific strategies and tools, this QUERI program has assembled an expert team of implementation scientists, clinical researchers with extensive expertise in pain management, and has partnered with clinical leadership to create a consortium of inter-related and complementary projects that address cross-cutting quality gaps in pain care. Specific project objectives include developing and refining implementation tools and strategies that facilitate uptake and increase access to evidence-based, multi-modal pain management services.

 

Primary care intervention to reduce prescription opioid overdoses

2015-19, Co-Investigator (PI: Robert)

Solicitation: VA Health Services Research and Development (HSR&D), Project # IIR 13-322

Research & Technical Area: QUERI Treatment – Efficacy/Effectiveness Clinical Trial

Aims: Our proposed intervention will incorporate motivational enhancement (ME), as well as cognitive-behavioral strategies, to provide tailored feedback regarding risks associated with opioid use, elicit commitment talk to reduce patients' overdose risk behavior and over-reliance on opioids for pain management, and impart specific cognitive and behavioral "tools" related to pain management and safe use of opioids. The objectives are to examine if patients randomly assigned to a ME brief intervention for overdose prevention report reduced overdose risk behavior over one year of follow-up compared to an enhanced usual care condition (EUC); and to examine if patients randomly assigned to a ME brief intervention report reduced prescription opioid use over one year of follow-up compared to a usual care condition. 

 

Evaluation of a peer coach-led intervention for the improvement of pain symptoms (ECLIPSE)

2015-19, Co-Investigator (PI: Matthias)

Solicitation: VA Health Services Research and Development (HSR&D), Project # IIR 14-070

Aims:  Evaluation of a Peer Coach-Led Intervention for the Improvement of Pain Symptoms (ECLIPSE) is a randomized controlled trial designed to test the effectiveness of a peer coach-delivered pain self-management intervention versus controls receiving a 2-hour class on pain and pain self-management.  Aim 1: To compare 6-month (primary end point) and 9-month (sustained effect) effects of peer-supported chronic pain self-management versus control on overall pain (intensity and function), measured by the Brief Pain Inventory (BPI). Aim 2: To compare 6- and 9-month effects of peer-supported chronic pain management versus control on self-efficacy, social support, pain coping, patient activation, health-related quality of life, and health service utilization. Aim 3 (pre-implementation aim): To explore facilitators and barriers to the implementation of peer support for chronic pain, intervention costs, and fidelity to the model. 

 

Comprehensive vs. Assisted Management of Mood and Pain Symptoms (CAMMPS) Trial

2014-18, Co-Investigator (PI: Kroenke)

Solicitation: VA Health Services Research and Development (HSR&D), Project # IIR 12-095

Aims: The Comprehensive vs. Assisted Management of Mood and Physical Symptoms (CAMMPS) study is a randomized comparative effectiveness trial designed to test the relative effectiveness of a lower-resource vs. a higher-resource enhancement of usual primary care in the management of veterans suffering from pain plus comorbid anxiety and/or depression. 

 

Analgesic safety and effectiveness in older adults with arthritis

2014-18, Co-Investigator (PI: Hwang)

Solicitation: VA Health Services Research and Development (HSR&D), Project # IIR 12-106

Aims: The objectives of the proposal are to expand upon the limitations of recent studies by evaluating the safety and effectiveness of 3 commonly used analgesic medications types (opioids, NSAIDs, coxibs) for patients with chronic pain. This will be done with 2 concurrent projects evaluating analgesic use in older veterans diagnosed with arthritis. The first will be a prospective cohort study, the second will use national administrative data. Specific aims will be to determine: 1. the long-term safety of commonly used analgesic medications in older veterans diagnosed with arthritis, 2. the effectiveness of commonly used analgesic medications in older veterans diagnosed with arthritis, 3. the factors that predict positive and negative analgesic treatment outcomes for this cohort. 

Selected Publications                               |                            Go To PubMed List >>

 

  1. Higgins DM, Fenton BT, Driscoll MA, Heapy AA, Kerns RD, Bair MJ, Carroll C, Brennan PL, Burgess DJ, Piette JD, Haskell SG, Brandt CA, Goulet JL. Gender Differences in Demographic and Clinical Correlates among Veterans with Musculoskeletal Disorders. Womens Health Issues. 2017 Mar 18. pii:S1049-3867(16)30130-X. doi: 10.1016/j.whi.2017.01.008. PubMed PMID: 28325585.

  2. Outcalt SD, Nicolaidis C, Bair MJ, Myers LJ, Miech EJ, Matthias MS. A Qualitative Examination of Pain Centrality Among Veterans of Iraq and Afghanistan Conflicts. Pain Med. 2017 Feb 1;18(2):211-219. doi: 10.1093/pm/pnw137. PubMed PMID: 28204704.

  3. Matthias MS, Kukla M, McGuire AB, Bair MJ. How Do Patients with Chronic Pain Benefit from a Peer-Supported Pain Self-Management Intervention? A Qualitative Investigation. Pain Med. 2016 Dec;17(12):2247-2255. doi: 10.1093/pm/pnw138. Epub 2016 Jul 8. PubMed PMID: 28025359.

  4. Quinn PD, Hur K, Chang Z, Krebs EE, Bair MJ, Scott EL, Rickert ME, Gibbons RD,Kroenke K, D?Onofrio BM. Incident and long-term opioid therapy among patients with psychiatric conditions and medications: a national study of commercial health care claims. Pain. 2017 Jan;158(1):140-148. PubMed PMID: 27984526; PubMed Central PMCID: PMC5171228.

  5. Eliacin J, Coffing JM, Matthias MS, Burgess DJ, Bair MJ, Rollins AL. The Relationship Between Race, Patient Activation, and Working Alliance: Implications for Patient Engagement in Mental Health Care. Adm Policy Ment Health. 2016 Dec 1. [Epub ahead of print] PubMed PMID: 27904992

  6. Hausmann LR, Brandt CA, Carroll CM, Fenton BT, Ibrahim SA, Becker WC, Burgess DJ, Wandner LD, Bair MJ, Goulet JL. Racial and Ethnic Differences in Total Knee Arthroplasty in the Veterans Affairs Healthcare System (2001 - 2013). Arthritis Care Res (Hoboken). 2016 Oct 27. doi: 10.1002/acr.23137. PubMed PMID: 27788302.

  7. Sternke EA, Abrahamson K, Bair MJ. Comorbid Chronic Pain and Depression:Patient Perspectives on Empathy. Pain Manag Nurs. 2016 Dec;17(6):363-371. doi:10.1016/j.pmn.2016.07.003. PubMed PMID: 27769812.

  8. Bauer SM, McGuire AB, Kukla M, McGuire S, Bair MJ, Matthias MS. Veterans' pain management goals: Changes during the course of a peer-led pain self-management program. Patient Educ Couns. 2016 Dec;99(12):2080-2086. doi:10.1016/j.pec.2016.07.034.  PubMed PMID: 27516437.

  9. Merlin JS, Young SR, Johnson MO, Saag M, Demonte W, Modi R, Shurbaji S,Anderson WA, Kerns R, Bair MJ, Kertesz S, Davies S, Turan JM. Using Patient Perspectives to Inform the Development of a Behavioral Intervention for ChronicPain in Patients with HIV: A Qualitative Study. Pain Med. 2017 May1;18(5):879-888. doi: 10.1093/pm/pnw150. PubMed PMID: 27425186.

  10. Matthias MS, Kukla M, McGuire AB, Bair MJ. How Do Patients with Chronic Pain Benefit from a Peer-Supported Pain Self-Management Intervention? A Qualitative Investigation. Pain Med. 2016 Jul 8. pii: pnw138. PubMed PMID: 27402958.

IU CHSOR | 1101 West Tenth Street, 2nd Floor | Campus Address: Regenstrief Building (RF2) | Indianapolis, Indiana 46202-4800 | Ph: 317.274.9026 | Fax: 317.274.9304