Digital Treatment for Chronic Pain and Addiction in Veterans With Opioid Use Disorder Receiving Buprenorphine

Ki vehet részt

• an ICD-11 opioid use disorder (OUD) diagnosis in the VHA electronic health record (EHR)
• receipt of buprenorphine from outpatient addiction clinic with stable (i.e., unchanged in 2 weeks or since last injection) dose confirmed by the prescribing clinician. Both oral and injectable buprenorphine formulations will be eligible with dose stabilization required to isolate chronic pain from withdrawal-related pain associated with non-therapeutic dose
• presence of musculoskeletal pain that is bothersome or high-impact per the Graded Pain Scale - Revised
• access to a web-connected device to complete daily surveys and connect to Integrating the Management of Pain and Addiction via Collaborative Treatment (IMPACT) treatment site
• ability to participate safely in the walking portion of the intervention as evidenced by patient-reported ability to walk at least one block

Ki nem vehet részt

• planned surgical intervention for pain
• dementia-related electronic health record (EHR) diagnosis
• physical or mental health conditions that would interfere with ability to meaningful engage in Integrating the Management of Pain and Addiction via Collaborative Treatment (IMPACT) and Medication for OUD (MOUD) treatment (e.g., uncontrolled bipolar disorder, active suicidal ideation, receipt of hospice or end-of-life palliative care)
• participant-reported vision or hearing impairments that would preclude use of the Integrating the Management of Pain and Addiction via Collaborative Treatment (IMPACT) system
• legal actions that would make study completion unlikely
• current or past 12 month engagement in CBT for chronic pain treatment