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

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/摘要持续存在的阿片类药物过量危机是美国人意外死亡的主要原因。根源是阿片类药物使用障碍（OUD）治疗不当和疼痛这一现实已经得到了认可。美国国家医学院和疾病控制与预防中心等专业负责保护公众健康的组织，引发了前所未有的资金和政策涌入为遏制服药过量死亡浪潮而做出的改变引起了全国范围内的关注和资金的增加。基于证据的高质量疼痛治疗和治疗指南的开发显着增加满足全方位的公共卫生需求：从预防到减少伤害到治疗到康复然而，令人遗憾的是，这些治疗方法在现实世界中的应用却远远不够。例如，初级保健提供者（长期阿片类药物治疗疼痛最常见的处方者）通常缺乏充分实施循证指南的技能和/或时间，使本已脆弱的患者处于甚至阿片类药物相关危害的风险较高，包括服用过量和慢性疼痛控制不佳。将研究成果转化为实践并改善现实世界的护理质量缺陷是传播和实施 (D&I) 科学领域作为关键的 RASC 核心，是该项目的总体目标。疼痛实施支持（Pain-IS）的核心是支持 HD2A 创新项目的成功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，部署和推进最先进的 D&I 方法，我们将把最好的 D&I 科学带给人们。治疗质量差距，联合实施科学家和疼痛研究人员——近期目标是加强创新项目的研究以及影响公众健康的最终目标。与其他核心保持一致，我们将评估创新关键组成部分的现状 5 个关键维度的 D&I 能力项目：a) 干预的证据基础；b) 利益相关者；参与 c) 背景决定因素； d) 实施策略的选择；以及 e) 实施；成果，包括至关重要但经常被忽视的公平领域。创新项目使用评估阶段收集的信息，以便：a) 增强创新的动力通过利用核心专业知识的定制 D&I 方法来加强他们的研究 b) 提供 D&I；针对上述组成部分的实施支持计划并使用共同决策方法确定如何最好地提供技术援助（实施支持）；以及，c) 共同领导 RASC；学习协作。我们将与 RASC 和其他核心一起推进创新项目。与可持续性和公平相关的活动：将项目与整个领域联系起来，促进项目的对政策/融资的影响，并促进利益相关者持续参与宣传。