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N/A N=49 Health Services Research

Consensus-based Algorithms to Address Opioid Misuse Behaviors Among Individuals Prescribed Long-term Opioid Therapy

Opioid Misuse · Chronic Pain

Enrolled (actual)
49
Serious AEs
0.0%
Results posted
Jun 2025
Primary outcome: Primary: Feasibility of Algorithms — 7; 13 Participants

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Pilot study of algorithms implementation package (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of Pittsburgh
Primary completion
Sep 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Feasibility of Algorithms
7; 13
PRIMARY
Acceptability of Algorithms
19; 7
SECONDARY
Preliminary Effectiveness of Algorithms - MME Reduction ≥10%
297; 122; 270
SECONDARY
Preliminary Effectiveness - Average MME Within Last 90 Days
105.25; 96.76; 96.48
SECONDARY
Preliminary Effectiveness of Algorithms - Opioid Discontinuation
95; 109; 166
SECONDARY
Preliminary Effectiveness of the Algorithms - New OUD Diagnoses
0; 0; 0

Summary

The NIH Helping to End Addiction Long-term (HEAL) initiative has identified a critical next step to addressing the opioid crisis: improving treatments for opioid misuse behaviors (e.g., using more opioids than prescribed, illicit substance use) in patients prescribed long-term opioid therapy for chronic pain. In previous work, the investigators have developed innovative consensus-based algorithms to manage these behaviors. By developing implementation strategies for these algorithms, this project is directly responsive to the HEAL initiative and promises to reduce opioid misuse-related harms.

Eligibility Criteria

Inclusion Criteria

  • Clinicians practicing at UPMC community primary care clinics.

Exclusion Criteria

  • Clinicians not practicing at UPMC community primary care clinics.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05182606). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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