A Multicomponent Intervention to Improve Primary Care Provider Adherence to Chronic Opioid Therapy Guidelines and Reduce Opioid Misuse: A Cluster Randomized Controlled Trial Protocol

Journal of Substance Abuse Treatment

Volumn 60, Issue , 2016, Pages 101-109

  Lasser, Karen E ^a,b   Shanahan, Christopher ^a   Parker, Victoria ^b   Beers, Donna ^a   Xuan, Ziming ^b   Heymann, Orlaith ^a   Lange, Allison ^a   Liebschutz, Jane M ^a  

^a BOSTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b BOSTON UNIVERSITY SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

Academic detailing; Cluster randomized trial; Nurse care management; Patient registry; Prescription opioid misuse; Primary care

Indexed keywords

OPIATE;

ADULT; AGE; ARTICLE; BEHAVIOR DISORDER; CHRONIC PAIN; CLINICAL ARTICLE; CONTROLLED STUDY; DISEASE MODEL; DISEASE REGISTRY; DRUG ABUSE; EDUCATION; ELECTRONIC MEDICAL RECORD; FEMALE; HEALTH CARE MANAGEMENT; HEALTH CARE PERSONNEL; HEALTH CARE QUALITY; HEALTH CENTER; HOSPITAL PATIENT; HUMAN; INFORMED CONSENT; INTENTION TO TREAT ANALYSIS; INTERVENTION STUDY; MALE; MEDICATION COMPLIANCE; MIDDLE AGED; MUSCULOSKELETAL PAIN; NEUROPATHIC PAIN; NURSING CARE; OUTPATIENT; PATIENT CARE; PATIENT MONITORING; PRACTICE GUIDELINE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; RANDOMIZATION; RANDOMIZED CONTROLLED TRIAL; RISK ASSESSMENT; TRAINING; TREATMENT PLANNING; URBAN AREA; VALIDATION STUDY; CLINICAL PROTOCOL; MASSACHUSETTS; OPIOID-RELATED DISORDERS; OUTCOME ASSESSMENT; PRESCRIPTION DRUG MISUSE; PRIMARY HEALTH CARE; PROTOCOL COMPLIANCE; REGISTER; STANDARDS;

ADULT; BOSTON; CLINICAL PROTOCOLS; GUIDELINE ADHERENCE; HEALTH PERSONNEL; HUMANS; OPIOID-RELATED DISORDERS; OUTCOME ASSESSMENT (HEALTH CARE); PRESCRIPTION DRUG MISUSE; PRIMARY HEALTH CARE; REGISTRIES;

EID: 84952639795     PISSN: 07405472     EISSN: 18736483     Source Type: Journal    
DOI: 10.1016/j.jsat.2015.06.018     Document Type: Article

References (39)

1. Alford D.P., LaBelle C.T., Kretsch N., Bergeron A., Winter M., Botticelli M. Collaborative care of opioid-addicted patients in primary care using buprenorphine: five-year experience. Archives of Internal Medicine 2011, 171(5):425-431. [Research Support, N.I.H., Extramural Research Support, U.S. Gov't, Non-P.H.S.]. 10.1001/archinternmed.2010.541.
2. Ballantyne J.C., Mao J. Opioid therapy for chronic pain. The New England Journal of Medicine 2003, 349:1943-1953. [Research Support, U.S. Gov't, P.H.S. Review]. 10.1056/NEJMra025411.
3. Bodenheimer T., Wagner E.H., Grumbach K. Improving primary care for patients with chronic illness. JAMA 2002, 288:1775-1779.
4. Carter A., Hall W. Informed consent to opioid agonist maintenance treatment: Recommended ethical guidelines. The International Journal on Drug Policy 2008, 19:79-89. [Research Support, Non-U.S. Gov't]. 10.1016/j.drugpo.2007.09.007.
5. Chou R.F.G., Fine P.G., Adler J.A., Ballantyne J.C., Davies P., Donovan M.I., Fishbain D.A., Foley K.M., Fudin J., Gilson A.M., Kelter A., Mauskop A., O'Connor P.G., Passik S.D., Pasternak G.W., Portenoy R.K., Rich B.A., Roberts R.G., Todd K.H., Miaskowski C. Clinical guidelines for the use of chronic opioid therapy in chronic noncancer pain. The Journal of Pain 2009, 10:113-130.
6. Durbeej N., Berman A.H., Gumpert C.H., Palmstierna T., Kristiansson M., Alm C. Validation of the Alcohol Use Disorders Identification Test and the Drug Use Disorders Identification Test in a Swedish sample of suspected offenders with signs of mental health problems: Results from the mental disorder, substance abuse and crime study. Journal of Substance Abuse Treatment 2010, 39:364-377.
7. Figlie N.B., Pillon S.C., Dunn J., Laranjeira R. The frequency of smoking and problem drinking among general hospital inpatients in Brazil - using the AUDIT and Fagerstrom questionnaires. São Paulo Medical Journal=Revista Paulista de Medicina 2000, 118:139-143.
8. Fox A.D., Kunins H.V., Starrels J.L. Which skills are associated with residents' sense of preparedness to manage chronic pain?. Journal of Opioid Management 2012, 8:328-336.
9. Garvin D.A., Edmondson A.C., Gino F. Is yours a learning organization?. Harvard Business Review 2008, 86:109-116.
10. Gourlay D.L., Heit H.A., Almahrezi A. Universal precautions in pain medicine: A rational approach to the treatment of chronic pain. Pain Medicine 2005, 6:107-112.
11. Grimshaw J.M., Thomas R.E., MacLennan G., Fraser C., Ramsay C.R., Vale L., Donaldson C. Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technology Assessment 2004, 8:iii-iv. [Research Support, Non-U.S. Gov't Review], 1-72.
12. Hariharan J., Lamb G.C., Neuner J.M. Long-term opioid contract use for chronic pain management in primary care practice. A five year experience. [Comparative Study]. Journal of General Internal Medicine 2007, 22:485-490. 10.1007/s11606-006-0084-1.
13. Hettema J.E., Ernst D., Williams J.R., Miller K.J. Parallel processes: Using motivational interviewing as an implementation coaching strategy. The Journal of Behavioral Health Services & Research 2014, 41:324-336.
14. Hettema J.E., Sorensen J.L., Uy M., Jain S. Motivational enhancement therapy to increase resident physician engagement in substance abuse education. Substance Abuse 2009, 30:244-247.
15. Johnson J.A., Lee A., Vinson D., Seale J.P. Use of AUDIT-based measures to identify unhealthy alcohol use and alcohol dependence in primary care: A validation study. Alcoholism, Clinical and Experimental Research 2013, 37:1530-0277.
16. Katz N., Panas L., Kim M., Audet A.D., Bilansky A., Eadie J., Carrow G. Usefulness of prescription monitoring programs for surveillance--analysis of Schedule II opioid prescription data in Massachusetts, 1996-2006. Pharmacoepidemiology and Drug Safety 2010, 19:115-123. [Historical Article Research Support, U.S. Gov't, Non-P.H.S.]. 10.1002/pds.1878.
17. Khalid L., Liebschutz J.M., Xuan Z., Dossabhoy S., Kim Y., Crooks D., Lasser K.E. Adherence to prescription opioid monitoring guidelines among residents and attending physicians in the primary care setting. Pain Medicine 2014, 19:480-487.
18. Krebs E.E., Lorenz K.A., Bair M.J., Damush T.M., Wu J., Sutherland J.M., Kroenke K. Development and initial validation of the PEG, a three-item scale assessing pain intensity and interference. Journal of General Internal Medicine 2009, 24:733-738. [Comparative Study Research Support, N.I.H., Extramural, U.S. Gov't, Non-P.H.S. Validation Studies]. 10.1007/s11606-009-0981-1.
19. Kroenke K., Bair M.J., Damush T.M., Wu J., Hoke S., Sutherland J., Tu W. Optimized antidepressant therapy and pain self-management in primary care patients with depression and musculoskeletal pain: A randomized controlled trial. JAMA 2009, 301:2099-2110.
20. Kroenke K., Krebs E.E., Wu J., Yu Z., Chumbler N.R., Bair M.J. Telecare collaborative management of chronic pain in primary care: A randomized clinical trial. JAMA 2014, 312:240-248.
21. Landon B.E., Hicks L.S., O'Malley A.J., Lieu T.A., Keegan T., McNeil B.J., Guadagnoli E. Improving the management of chronic disease at community health centers. The New England Journal of Medicine 2007, 356:921-934. [Evaluation Studies Research Support, U.S. Gov't, P.H.S.]. 10.1056/NEJMsa062860.
22. Lange A., Lasser K.E., Xuan Z., Khalid L., Beers D., Heymann O.D., Liebschutz J.M. Variability in opioid prescription monitoring and evidence of aberrant medication taking behaviors in urban safety-net clinics. Pain 2015, 156:335-340.
23. Lundin A., Hallgren M., Balliu N., Forsell Y. The Use of Alcohol Use Disorders Identification Test (AUDIT) in detecting alcohol use disorder and risk drinking in the general population: Validation of AUDIT using schedules for clinical assessment in neuropsychiatry. Alcoholism, Clinical and Experimental Research 2015, 39:158-165.
24. Manchikanti L., Manchukonda R., Pampati V., Damron K.S., Brandon D.E., Cash K.A., McManus C.D. Does random urine drug testing reduce illicit drug use in chronic pain patients receiving opioids?. Pain Physician 2006, 9:123-129. [Comparative Study Randomized Controlled Trial].
25. Mdege N.D., Lang J. Screening instruments for detecting illicit drug use/abuse that could be useful in general hospital wards: A systematic review. Addictive Behaviors 2011, 36:1111-1119. 10.1016/j.addbeh.2011.07.007.
26. Meneses-Gaya C., Zuardi A.W., Loureiro S.R., Hallak J.E., Trzesniak C., de Azevedo Marques J.M., Crippa J.A. Is the full version of the AUDIT really necessary? Study of the validity and internal construct of its abbreviated versions. Alcoholism, Clinical and Experimental Research 2010, 34:1417-1424. Comparative Study Research Support, Non-U.S. Gov't Validation Studies]. 10.1111/j.1530-0277.2010.01225.x.
27. Milette K., Hudson M., Baron M., Thombs B.D. Comparison of the PHQ-9 and CES-D depression scales in systemic sclerosis: Internal consistency reliability, convergent validity and clinical correlates. Rheumatology 2010, 49:789-796. Multicenter Study Research Support, Non-U.S. Gov't]. 10.1093/rheumatology/kep443.
28. Morasco B.J., Duckart J.P., Dobscha S.K. Adherence to clinical guidelines for opioid therapy for chronic pain in patients with substance use disorder. Journal of General Internal Medicine 2011, 26:965-971. 10.1007/s11606-011-1734-5.
29. O'Brien M.A., Rogers S., Jamtvedt G., Oxman A.D., Odgaard-Jensen J., Kristoffersen D.T., Harvey E.L. Educational outreach visits: Effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews 2007, CD000409. [Meta-Analysis Review]. 10.1002/14651858.CD000409.pub2.
30. Passik S.D., Kirsh K.L. Assessing aberrant drug-taking behaviors in the patient with chronic pain. Current Pain and Headache Reports 2004, 8:289-294.
31. Reid M.C., Engles-Horton L.L., Weber M.B., Kerns R.D., Rogers E.L., O'Connor P.G. Use of opioid medications for chronic noncancer pain syndromes in primary care. Journal of General Internal Medicine 2002, 17:173-179. [Research Support, U.S. Gov't, Non-P.H.S.].
32. Shojania K.G., Jennings A., Mayhew A., Ramsay C.R., Eccles M.P., Grimshaw J. The effects of on-screen, point of care computer reminders on processes and outcomes of care. Cochrane Database of Systematic Reviews 2009, CD001096. [Meta-Analysis Review]. 10.1002/14651858.CD001096.pub2.
33. Solomon D.H., Van Houten L., Glynn R.J., Baden L., Curtis K., Schrager H., Avorn J. Academic detailing to improve use of broad-spectrum antibiotics at an academic medical center. Archives of Internal Medicine 2001, 161:1897-1902. [Clinical Trial Randomized Controlled Trial Research Support, Non-U.S. Gov't].
34. Soumerai S.B., Salem-Schatz S., Avorn J., Casteris C.S., Ross-Degnan D., Popovsky M.A. A controlled trial of educational outreach to improve blood transfusion practice. JAMA: The Journal of the American Medical Association 1993, 270:961-966. [Clinical Trial Multicenter Study Randomized Controlled Trial Research Support, U.S. Gov't, P.H.S.].
35. Starrels J.L., Becker W.C., Weiner M.G., Li X., Heo M., Turner B.J. Low use of opioid risk reduction strategies in primary care even for high risk patients with chronic pain. Journal of General Internal Medicine 2011, 26:958-964. 10.1007/s11606-011-1648-2.
36. Substance Abuse and Mental Health Services Administration Results from the 2006 National Survey on Drug Use and Health: National findings 2007.
37. Wang J., Christo P.J. The influence of prescription monitoring programs on chronic pain management. Pain Physician 2009, 12:507-515.
38. Zgierska A., Miller M., Rabago D. Patient satisfaction, prescription drug abuse, and potential unintended consequences. Journal of the American Medical Association 2012, 307.
39. Zuithoff N.P., Vergouwe Y., King M., Nazareth I., van Wezep M.J., Moons K.G., Geerlings M.I. The Patient Health Questionnaire-9 for detection of major depressive disorder in primary care: Consequences of current thresholds in a crosssectional study. BMC Family Practice 2010, 11:98. [Research Support, Non-U.S. Gov't Validation Studies]. 10.1186/1471-2296-11-98.