HD2A RASC - Pain Implementation Support Core

Pain实施支持核心：项目总结/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-已经在其 阿片类药物使用障碍（OUD）治疗不当和疼痛。这一现实得到了 国家医学科学院和疾病控制和预防中心，以及其他主要的 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 阻止吸毒过量死亡浪潮的变化。全国范围内的关注和资金增加推动了 基于证据的高质量疼痛治疗和治疗指南的发展显着增加 满足全方位的公共卫生需求：从预防到减少伤害，从治疗到康复 支持.然而，在现实世界的实践中，这些治疗方法的使用量远远不够。为 例如，初级保健提供者-长期阿片类药物治疗疼痛的最常见处方者-通常缺乏 充分实施循证指南的技能和/或时间，使已经脆弱的患者处于平衡状态 阿片类药物相关危害的风险更高，包括过量和控制不良的慢性疼痛。有效 将研究成果转化为实践并改善这些现实世界的护理质量缺陷是 传播和实施（D&I）科学。作为一个关键的RASC核心， Pain实施支持（Pain-IS）核心是支持HD 2A创新项目的成功实施， 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，部署和推进尖端的D&I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-近端目标是 加强创新项目的研究，最终目标是影响公众健康。具体地说， 与其他核心项目保持一致，我们将评估创新项目关键组成部分的现状 关于D&I能力的5个关键方面的项目：a）干预的证据基础; B）利益攸关方 c）背景决定因素; d）执行战略的选择;以及e）执行 这些成果包括至关重要但往往被忽视的公平领域。我们将协助 创新项目利用在评估阶段收集的信息，以便：a）提高动力， 利用核心小组的专门知识，采用量身定制的D&I方法，加强他们的研究; B）提供D&I 执行支助计划，并采用共同决策办法， 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。与RASC和其他核心合作，我们将推进创新项目 在可持续性和公平方面的活动：将项目与整个实地联系起来，促进项目 对政策/筹资的影响，并促进利益攸关方持续参与宣传工作。

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.