HD2A RASC - Pain Implementation Support Core

HD2A RASC - 疼痛实施支持核心

• 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
• 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

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.

Pain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--在其 治疗不充分的阿片使用障碍(OUD)和疼痛。这一现实已经得到了 国家医学科学院和疾病控制和预防中心等主要机构 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 遏制服药过量死亡浪潮的变化。全国范围内的关注和资金的增加推动了 以证据为基础的高质量疼痛治疗和治疗指南的制定显著上升 满足全面的公共卫生需求：从预防到减少危害再到治疗再到康复 支持。然而，可悲的是，在现实世界的实践中，人们对这些治疗方法的认识不足。为 例如，初级保健提供者--最常见的长期阿片类药物治疗疼痛的处方者--往往缺乏 完全实施循证指南的技能和/或时间，使本已脆弱的患者处于平衡状态 与阿片类药物相关的伤害的风险更高，包括服药过量和慢性疼痛控制不佳。有效地 将研究成果转化为实践并改善这些现实世界中的护理质量缺陷是 传播和实施(D&I)科学领域。作为一个关键的RASC核心， Pain Implementation Support(Pain-IS)的核心是支持成功的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 团队，部署和推进尖端的研发方法。我们将把最好的D&I科学带到痛苦中 治疗质量差距，统一实施科学家和疼痛研究人员-近期目标是 加强对创新项目和影响公众健康的最终目标的研究。具体来说， 为了与其他核心保持一致，我们将评估创新的关键组件的当前状态 5个关键方面的研发能力项目：a)干预的证据基础；b)利益攸关方 参与c)背景决定因素；d)选择执行战略；以及e)执行 结果，包括极为重要但往往被忽视的公平领域。我们将协助 使用在评估阶段收集的信息的创新项目，以便：a)增强动力，以 利用Core的专业知识，通过量身定制的D&I方法加强他们的研究；b)提供D&I 关于上述组成部分的实施支助计划，并使用共享决策方法来 确定如何以最佳方式提供技术援助(执行支助)；以及，c)共同领导区域合作与合作委员会 学习协作。我们将与RASC和其他核心合作，推进创新项目 与维持和公平有关的活动：将项目与整个外地联系起来，促进项目的 对政策/融资的影响，并促进利益攸关方持续参与宣传。