Study Protocol for the Healing Opioid Misuse and Pain Through Engagement Trial: Integrated Treatment for Individuals With Co-occurring Chronic Pain and Opioid Use Disorder.

Autor:	Hurlocker MC; Department of Psychology, Center on Alcohol, Substance Use, and Addictions, University of New Mexico, Albuquerque, USA., Kirouac M; Department of Psychology, Center on Alcohol, Substance Use, and Addictions, University of New Mexico, Albuquerque, USA., Gillezeau C; Department of Psychology, Center on Alcohol, Substance Use, and Addictions, University of New Mexico, Albuquerque, USA., Hijaz D; Department of Psychology, Center on Alcohol, Substance Use, and Addictions, University of New Mexico, Albuquerque, USA., Moniz-Lewis DIK; Department of Psychology, Center on Alcohol, Substance Use, and Addictions, University of New Mexico, Albuquerque, USA., Carlon HA; Department of Psychology, Center on Alcohol, Substance Use, and Addictions, University of New Mexico, Albuquerque, USA., Coleman GC; Department of Psychiatry, Michigan Medicine Addiction Treatment Services, University of Michigan, Ann Arbor, MI, USA., Ilgen MA; Department of Psychiatry, Michigan Medicine Addiction Treatment Services, University of Michigan, Ann Arbor, MI, USA.; VA Center for Clinical Management Research, U.S. Department of Veterans Affairs, Ann Arbor, MI, USA., Pearson MR; Department of Psychology, Center on Alcohol, Substance Use, and Addictions, University of New Mexico, Albuquerque, USA., Vowles KE; School of Psychology, Queen's University Belfast and Belfast Centre for Pain Rehabilitation, Belfast Health and Social Care Trust, Belfast, UK., Witkiewitz K; Department of Psychology, Center on Alcohol, Substance Use, and Addictions, University of New Mexico, Albuquerque, USA.
Jazyk:	angličtina
Zdroj:	Substance use & addiction journal [Subst Use Addctn J] 2024 Jan 31, pp. 29767342241228126. Date of Electronic Publication: 2024 Jan 31.
DOI:	10.1177/29767342241228126
Abstrakt:	Chronic pain and opioid use disorder (OUD) are public health crises and their co-occurrence has led to further complications and public health impacts. Provision of treatments for comorbid chronic pain and OUD is paramount to address these public health crises. Medications for OUD (MOUD) are gold standard treatments for OUD that have also demonstrated benefit in pain management. However, clinics that provide MOUD for chronic pain or OUD often lack behavioral treatments to address the challenges experienced by individuals with both conditions. Developing and implementing a behavioral treatment that complements MOUD may better equip clinics to provide comprehensive care to the growing proportion of clients who present with comorbid chronic pain and OUD. In the Healing Opioid misuse and Pain through Engagement (HOPE) Trial, we are using an effectiveness-implementation hybrid design to examine the benefits of an integrated behavioral treatment and to determine the feasibility of implementing the integrated treatment into clinics that provide MOUD. The treatment integrated 2 evidence-based treatments-Acceptance and Commitment Therapy and Mindfulness-Based Relapse Prevention-to target the emotional, behavioral, and physiological sequelae of OUD and chronic pain. Implementation feasibility will include assessing changes in implementation readiness and identifying facilitators and barriers to implementing the integrated treatment among all personnel employed in clinics that provide MOUD. This commentary offers an overview of the study and design and details adaptations we made to our study protocol, based largely on clinic personnel time constraints and variable clinic procedures during the COVID-19 pandemic. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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