Dealing with Pain Management
Today, clinicians are often faced with a variety of treatment options when faced with a patient experiencing chronic pain. Meanwhile, ongoing efforts to address the public health crisis of opioid misuses has resulted in a decline in opioid prescribing among providers.
With many options to consider when treating a patient with chronic pain, primary care providers could greatly benefit from tools to facilitate decision-making around appropriate treatment plans that consider a patient’s history and input along with the balance of risks and benefits.
Researchers Christopher Albert Harle, and Ramzi Georg Salloum at the University of Florida https://www.ufl.edu received a grant from AHRQ https://www.ahrq.gov for $2,952,700 (Grant Number R18 HS028584).
Drs. Harle and Salloum believe that primary care providers delivering the right treatment for patients should involve shared decision-making and could benefit from implementing tools to facilitate the process.
The goal to scale and disseminate interoperable Chronic Decision Support (CDS) tools for chronic pain treatment such as MyPAIN and PainManager have been selected in clinics at the University of Florida Health and the OneFlorida Clinical Research Consortium.
Researchers are going to:
- Adapt and tailor Pain Manager, AHRQ’s interoperable CDS Tool for implementation in primary care clinics affiliated with the OneFlorida Clinical Research Consortium
- Evaluate the effect of tailored implementation support on Pain Manager’s adoption for pain treatment shared decision making
- Establish the feasibility and obtain preliminary data in preparation for a multisite pragmatic trial targeting the effectiveness of Pain Manager
The use of MyPAIN and PainManager will aid clinicians in collaboratively addressing chronic pain with their patients. It will allow them to share their understanding of the patient’s condition, discuss individual patient goals, and help patients make decisions about what care and treatment is going to be used.
The researchers will tailor the functionality and user interface of the existing Pain Manager tool through a series of interviews and design sessions with both patients and primary care clinicians.
They will then implement the tool into EHRs across eight clinics within the OneFlorida Clinical Research Consortium system to support shared decision-making for pain treatment.