Patient-Centered Chronic Pain Care (IPRO)

University of Florida

Status: Completed

Conditions: Musculoskeletal Pain; Chronic Pain; Opioid Use

Treatments: Behavioral: Pain Manager + tailored implementation support

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT05256394

IRB202101931

1R18HS028584-01 (U.S. AHRQ Grant/Contract)

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 39 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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39 participants in 2 patient groups

Pain Manager + tailored implementation support Pain Manager

Active Comparator group

Description:

Pain Manager is a decision support tool. All study clinics will begin the trial with Pain Manager integrated and available in their EHR. Consistent with the stepped-wedge design, intensive implementation support (e.g, administrative support, technical support)will be provided to two clinics at once by a multidisciplinary team.

Treatment:

Behavioral: Pain Manager + tailored implementation support

Pain Manager implementation in EHR

No Intervention group

Description:

Pain Manager is a decision support tool. All study clinics will begin the trial with Pain Manager integrated and available in their EHR. The other 6 clinics will have no additional tailor support.