Patient-Centered Chronic Pain Care

University of Florida39 enrolled

Overview

This study will adapt and scale existing AHRQ-supported interoperable CDS for patient-centered chronic pain care. The objective of this project is to study the adaptation and implementation of an existing interoperable CDS tool for pain treatment shared decision making, with tailored implementation support, in primary care clinical settings. The central hypothesis is that tailored implementation support will increase CDS adoption and shared decision making.

This study will adapt and scale the use of existing AHRQ-supported interoperable CDS that aids patient-centered chronic pain treatment decision making. The research will generate critical evidence on scalable strategies to implement and evaluate interoperable CDS in real-world settings across different types of EHRs. The pragmatic trial will enhance the reach of interoperable CDS to more diverse populations. Together, these efforts will lead to important new technology and evidence that patients, clinicians, and health systems can use to improve care for millions of Americans who suffer from pain and other chronic conditions.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

Conditions

Chronic Pain Opioid Use Musculoskeletal Pain

Interventions

Pain Manager + tailored implementation supportBEHAVIORAL

Individualized training, technical assistance, and workflow assessments.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Primary care patients receiving care at a participating clinic * Patients with chronic non-cancer musculoskeletal pain and with a recent history of opioid use Exclusion Criteria: * Due to the fact that the clinical decision support tool is currently available in English only, non-English speaking patients will not be eligible to participate

Locations (1)

UF Health Family Medicine - Commonwealth

Jacksonville, Florida, United States

Outcomes

Primary Outcomes

Adoption

Rate of qualifying patients seen for whom CDS use is documented

Time frame: During the implementation trial (5 months total)

Secondary Outcomes

Reach

Rate of clinic encounters where CDS is documented

Time frame: During the implementation trial (5 months total)

Shared decision making

SDM-Q-9 questionnaire: 9-item Shared Decision Making Questionnaire

Time frame: Immediately after the intervention

Pain and function

PEG-3: 3-item scale that measures pain on average, its interference with enjoyment of life, and with general activity

Time frame: Baseline/pre-intervention, and at 1 and 3 months

Any opioid prescription

Binary measure of treatment choice that increases opioid-related risks

Time frame: Baseline/pre-intervention, and at 1 and 3 months

Opioid prescriptions ≥50 MME/day

Binary measure of treatment choice that increases opioid-related risks

Time frame: Baseline/pre-intervention, and at 1 and 3 months

Opioid prescriptions ≥90 MME/day

Binary measure of treatment choice that increases opioid-related risks

Time frame: Baseline/pre-intervention, and at 1 and 3 months

Benzodiazepine prescription concurrent with opioid prescription

Binary measure of treatment choice that increases opioid-related risks

Data from ClinicalTrials.gov

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