Chronic Pain Clinical Trial
Official title:
Implementing Opioid Risk Reduction Strategies Into Primary Care Practice
Prescription opioid misuse is a significant public health problem as well as a patient
safety concern. Primary care providers are the leading prescribers of opioids for chronic
pain, yet few providers follow standard practice guidelines regarding assessment and
monitoring. The investigators propose a novel system change in delivery of primary care
services to decrease misuse of and addiction to prescription opioids for patients with
chronic pain.
The proposed intervention for the overall project includes a nurse-managed registry for
planning individual patient care and conducting population-based care for a population of
patients receiving opioids for chronic pain. Academic detailing to clinicians is another
effective way to improve care. Finally, the researchers will create a knowledge management
tool to facilitate guideline adherence. This tool will be accessible via an internet link,
and will include validated instruments to assess patient status and also to facilitate
physician adherence to suggested monitoring.
This project will implement interventions in the primary care setting to improve management
of patients prescribed opioid therapy for chronic non-cancer pain.
Prescription opioid misuse is a significant current public health problem as well as a
patient safety concern. Primary care providers are the leading prescribers of opioids for
chronic pain, yet few providers follow standard practice guidelines regarding assessment and
monitoring. The investigators propose a novel system change in delivery of primary care
services to decrease misuse of and addiction to prescription opioids for patients with
chronic pain.
The researchers will conduct a cluster randomized controlled trial, randomizing 50 primary
care providers and their estimated 500 patients to the intervention condition (nurse care
management, registry, electronic decision support tools, and academic detailing) or control
condition (electronic decision support tools and educational outreach only). The primary
outcomes, measured at twelve months, are PCP adherence to chronic opioid therapy guidelines
and opioid misuse.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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