Managing pain and opioid use in older adults
Addressing Opioid Use Disorder in the Elderly Through Primary Care Innovation: Pain and Opioid Management in Older Adults
This study is testing a new program to help older adults in Oklahoma manage their pain and use of opioids more safely in primary care settings.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 1035 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | University of Oklahoma Academic / other |
| Locations | 1 site (Oklahoma City, Oklahoma) |
| Trial ID | NCT05037682 on ClinicalTrials.gov |
What this trial studies
This initiative focuses on developing and implementing a comprehensive opioid use disorder management program specifically tailored for older adults in Oklahoma primary care settings. The program aims to enhance pain management approaches by utilizing a multi-faceted, person-centered strategy that incorporates feedback from healthcare professionals and patient advisory boards. Over a two-year period, the project will assist at least 36 primary care practices in adopting these innovative pain management techniques, ensuring they are suitable and beneficial for older patients. The approach includes refining existing guidelines and tools to meet the unique needs of this vulnerable population.
Who should consider this trial
Good fit: Ideal candidates for this initiative are chronic pain patients aged 60 or older, or younger individuals who are vulnerable due to disability or significant functional limitations.
Not a fit: Patients who do not experience chronic pain or are not considered vulnerable due to age or disability may not benefit from this program.
Why it matters
Potential benefit: If successful, this program could significantly improve pain management and reduce opioid misuse among older adults.
How similar studies have performed: Other studies have shown promise in implementing tailored pain management strategies for older adults, indicating that this approach could be effective.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * For the Practice: Deliver primary care services to older adults. Be located in Oklahoma. Be willing to complete a pre- and post-practice characteristic and building blocks of primary care survey. Use an electronic health record. * For Practice Clinicians: Be an MD, DO, PA, or APRN licensed to practice in Oklahoma. Be willing to complete a pre- and post- practice member survey. Be willing to work with the OPHIC external support personnel to use the performance measures. * For Practice Staff: Be employed by the practice. Be willing to complete a pre- and post- practice member survey. Be willing to work with the OPHIC external support personnel to use performance measures to optimize pain management approaches in older adults. * For Practice Patients: Be chronic pain patients aged 60 or older, or may be younger, but vulnerable due to disability, significant functional limitation or social deprivation. Be willing to complete PROMIS-29 surveys, participate in RISE-OK Project activities, and provide feedback on the RISE-OK program. Exclusion Criteria: * Practices: Does not provide primary care. Provides only urgent care and does not provide continuity of care or long-term follow-up care. Does not use an electronic health record. * Clinicians: Do not provide primary care with continuity and chronic care follow-up. Planning to leave practice within the next 12 months, including if the clinician is planning to retire within the next 12 months. * Practice Staff: Under 18 years of age. * Patients: Not older adult chronic pain patients.
Where this trial is running
Oklahoma City, Oklahoma
- Oklahoma Clinical and Translational Science Institute — Oklahoma City, Oklahoma, United States (Recruiting)
Study contacts
- Principal investigator: Steven Crawford, MD — University of Oklahoma
- Study coordinator: Timothy VanWagoner, PhD
- Email: Timothy-VanWagoner@ouhsc.edu
- Phone: (405) 271-3480
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.