Wake Forest IMPOWR Dissemination Education and Coordination Center (IDEA-CC)
Full Description
People with chronic pain (CP) and opioid use disorder (OUD) face fragmented clinical pathways that undermine treatment for both conditions. The clinical and research separation between CP and OUD leaves patients vulnerable to poor outcomes, while insurance structures create artificial barriers where identical medications have drastically different costs based on their indicated use. The IMPOWR program addresses this critical need for integrated approaches to CP and OUD treatment.Our central hypothesis is that improving co-morbid CP and OUD treatment requires validated screening tools and provider education to bridge the research-to-practice gap. We will advance this mission through two aims: Aim 3: Develop and validate a brief pain clinical screening tool for substance use treatment providers through systematic review and stakeholder engagement.
This aim begins with a systematic scoping review of existing pain screening tools in substance use treatment settings, followed by provider surveys to understand screening preferences, implementation challenges, and workflow integration. Based on these findings, we will develop a brief pain screening tool and conduct validation to ensure reliability in clinical settings that aligns with partner-identified needs. Aim 4: Develop evidence-based provider education focused on clinical assessment, treatment approaches, and practical strategies for navigating treatment access barriers. Materials developed through review of existing literature will include case-based scenarios addressing common clinical and systems-level obstacles to integrated care delivery, including areas identified by NIH IMPOWR partners such as trauma-informed care for people with pain.
By focusing on these complementary aims, IDEA-CC will support NIH NIDA's goal to enhance treatments for co-occurring OUD and CP while improving the research-to-practice pipeline for this key clinical population.
Grant Number: 5R24DA055306-03
NIH Institute/Center: NIH
Principal Investigator: MEREDITH ADAMS
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