Decision Support and Behavioral Health for Reducing High-Dose Opioids in Comorbid Chronic Pain, Depression and Anxiety: Stepped-Wedge Cluster Randomized Trial.

ABSTRACT:

Background

High prevalence of depression or anxiety with opioid use for chronic pain complicates co-management and may influence prescribing behaviors.

Objective

Compare clinical effectiveness of electronic medical record clinical decision support (EMR-CDS) versus additional behavioral health (BH) care management for reducing rates of high-dose opioid prescriptions.

Design

Type 2 effectiveness-implementation hybrid stepped-wedge cluster randomized trial in 35 primary care clinics within a health system in LA, USA.

Participants

Patients aged 18+ receiving chronic opioid therapy for non-cancer pain with depression or anxiety and matched controls.

Intervention

EMR-CDS included opioid risk mitigation procedures. BH care included cognitive behavioral therapy;

SUBMITTER: Price-Haywood EG 

PROVIDER: S-EPMC11576687 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature