HD2A RASC - Pain Implementation Support Core

HD2A RASC - 疼痛实施支持核心

基本信息

批准号：
10708984
负责人：
WILLIAM C BECKER
金额：
$ 58.01万
依托单位：
STANFORD UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-30 至 2027-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10708984
关键词：
Academy Accidents Acute Address Adoption Adverse effects Advocacy American Attention Behavior Therapy Behavioral Caring Catalogs Centers for Disease Control and Prevention (U.S.)Cessation of life Charge Common Data Element Complex Data Analytics Development Diagnosis Dimensions Dissemination and Implementation Education Epidemic Equity Funding Goals Guidelines Harm Reduction Health Status Healthcare Systems Impairment Institute of Medicine (U.S.)Intervention Lead Learning Link Long-Term Effects Longevity Managed Care Measures Mediation Medicine Methodology Methods Modeling Morbidity - disease rate Motivation Opioid Overdose Pain Pain Clinics Pain management Pain quality Patients Pharmacological Treatment Phase Policies Prevalence Prevention Public Health Publications Qualifying Quality of Care Quality of life Recommendation Recovery Support Reporting Research Research Personnel Risk Factors Science Scientist Signal Transduction Time Translating United States National Institutes of Health career chronic pain chronic pain management disability disparity gap dissemination science evidence base evidence based guidelines high risk implementation facilitation implementation intervention implementation measures implementation outcomes implementation science implementation strategy implementation trial improved information gathering innovation medication for opioid use disorder member opioid epidemic opioid overdose opioid therapy opioid use disorder overdose death pain relief patient oriented population health pragmatic implementation prescription opioid prescription opioid misuse primary care provider program dissemination resource guides shared decision making skills social stigma stem symposium treatment guidelines uptake

Academy Accidents Acute Address Adoption Adverse effects Advocacy American Attention Behavior Therapy Behavioral Caring Catalogs Centers for Disease Control and Prevention (U.S.)Cessation of life Charge Common Data Element Complex Data Analytics Development Diagnosis Dimensions Dissemination and Implementation Education Epidemic Equity Funding Goals Guidelines Harm Reduction Health Status Healthcare Systems Impairment Institute of Medicine (U.S.)Intervention Lead Learning Link Long-Term Effects Longevity Managed Care Measures Mediation Medicine Methodology Methods Modeling Morbidity - disease rate Motivation Opioid Overdose Pain Pain Clinics Pain management Pain quality Patients Pharmacological Treatment Phase Policies Prevalence Prevention Public Health Publications Qualifying Quality of Care Quality of life Recommendation Recovery Support Reporting Research Research Personnel Risk Factors Science Scientist Signal Transduction Time Translating United States National Institutes of Health career chronic pain chronic pain management disability disparity gap dissemination science evidence base evidence based guidelines high risk implementation facilitation implementation intervention implementation measures implementation outcomes implementation science implementation strategy implementation trial improved information gathering innovation medication for opioid use disorder member opioid epidemic opioid overdose opioid therapy opioid use disorder overdose death pain relief patient oriented population health pragmatic implementation prescription opioid prescription opioid misuse primary care provider program dissemination resource guides shared decision making skills social stigma stem symposium treatment guidelines uptake

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项目摘要

PAIN IMPLEMENTATION SUPPORT CORE: PROJECT SUMMARY/ABSTRACT The ongoing opioid overdose crisis – the leading cause of accidental deaths among Americans – has at its roots inadequately treated opioid use disorder (OUD) and pain. This reality has been recognized by the National Academy of Medicine and the Centers for Disease Control and Prevention, among other major organizations charged with protecting the public health, sparking an unprecedented influx of funding and policy changes to stem the tide of overdose deaths. The nationwide attention and funding increase have driven a marked rise in the development of evidence-based, high-quality pain treatments and treatment guidelines addressing the full spectrum of public health need: from prevention to harm reduction to treatment to recovery support. However, there has been woefully inadequate uptake of these treatments in real-world practice. For example, primary care providers--the most frequent prescribers of long-term opioid therapy for pain--often lack skills and/or time to fully implement evidence-based guidelines, putting already vulnerable patients at even higher risk for opioid-related harms, including overdose, and poorly-controlled chronic pain. Effectively translating research findings into practice and ameliorating these real-world quality of care deficits are the domains of dissemination and implementation (D&I) science. As a key RASC core, the overarching goal of the Pain Implementation Support (Pain-IS) Core is to support HD2A Innovation Projects in successful implementation of effective pain interventions through the coordinated efforts of a highly expert collaborative team, deploying and advancing cutting edge D&I methods. We will bring the best of D&I science to the pain treatment quality gap, unifying implementation scientists and pain researchers—with the proximal goal of enhancing research in the Innovation Projects and the ultimate goal of impacting the public health. Specifically, in alignment with the other Cores, we will ASSESS the current status of key components of the Innovation Projects on D&I capability in 5 key dimensions: a) evidentiary basis for the intervention; b) stakeholder engagement c) contextual determinants; d) selection of implementation strategies; and, e) implementation outcomes including the critically important but often overlooked domain of equity. We will ASSIST the Innovation Projects using the information gathered in the ASSESS phase in order to: a) enhance motivation to enhance their studies with tailored D&I approaches that draw upon the Core’s expertise; b) provide a D&I Implementation Support Plan on the components above and using a shared decision-making approach to determine how best to offer technical assistance (implementation support); and, c) to co-lead the RASC Learning Collaborative. In concert with the RASC and other cores, we will ADVANCE the innovation projects activities with respect to sustainment and equity: linking projects with the field at large, promoting projects’ impacts on policy/financing, and facilitating ongoing stakeholder engagement towards advocacy.

疼痛实施支持核心：项目摘要/摘要正在进行的阿片类药物过量危机 - 美国人意外死亡的主要原因 - 根部治疗的阿片类药物使用障碍（OUD）和疼痛不足。这个现实已被国家医学院和疾病控制与预防中心，以及其他主要主要负责保护公共卫生的组织，引发了资金和政策的前所未有的影响改变过量死亡的潮流。全国范围内的关注和资金增加驱动了循证，高质量疼痛治疗和治疗指南的开发显着增加满足公共卫生需求的全部范围：从预防到损害减少到治疗，再到康复支持。但是，在现实世界实践中，这些治疗方法的吸收不足。为了例如，初级保健提供者 - 最常见的长期阿片类药物疗法的处方者，通常缺乏技能和/或时间完全实施基于证据的准则，将已经脆弱的患者置于阿片类药物相关危害的风险较高，包括过量服用和控制较差的慢性疼痛。有效地将研究结果转化为实践，并改善这些现实的护理质量定义是传播和实施（D＆I）科学领域。作为关键的RASC核心，总的总体目标疼痛实施支持（PAIN-IS）核心是成功支持HD2A创新项目通过高度专家协作的协调努力实施有效的疼痛干预措施团队，部署和推进前沿D＆I方法。我们将把最好的D＆I科学带来痛苦治疗质量差距，统一实施科学家和痛苦研究人员，其代理目标的目标增强创新项目的研究，以及影响公共卫生的最终目标。具体来说，在与其他核心的一致性时，我们将评估创新关键组成部分的当前状态 D＆I能力的项目在5个关键方面：a）干预的描述基础； b）利益相关者参与c）上下文决定者； d）选择实施策略；并且，e）实施结果包括至关重要但经常被忽视的公平领域。我们将协助使用在评估阶段收集的信息来进行创新项目，以：a）增强动力通过量身定制的D＆I方法来增强他们的研究，从而利用核心的专业知识； b）提供D＆I 在上述组件上实施支持计划，并使用共同的决策方法确定如何最好地提供技术帮助（实施支持）；并且，c）共同领导RASC 学习协作。与RASC和其他核心一致，我们将推进创新项目关于维持和公平的活动：将项目与大型领域联系起来，促进项目对政策/融资的影响，并支持正在进行的利益相关者参与倡导。