疼痛自我管理干预措施的研究方案,以减少疼痛和改善MOUD参与初级保健:一个随机试验
Edna J Evington1, Melessa Salay1,2, Karlyn A Edwards1
1Center for Research on Health Care, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Substance use & addiction journal
|February 6, 2026
概括
这项研究测试了阿片类药物使用障碍和慢性疼痛患者的远程疼痛自我管理干预. 综合治疗改善了疼痛干扰和参与护理.
科学领域:
- 综合医学是一个整体的医学.
- 行为健康 行为健康
- 临床试验方法论 临床试验方法论
背景情况:
- 滥用阿片类药物 (OM) 和阿片类药物使用障碍 (OUD) 经常与慢性疼痛 (CP) 一起发生.
- 对OM/OUD+CP的综合干预很少,服务往往是孤立的.
- 初级保健机构缺乏针对这一群体的有效,综合治疗方案.
研究的目的:
- 为了测试一种新的,远程传递的疼痛自我管理 (PSM) 干预措施对OM/OUD+CP.患者的有效性.
- 评估PSM干预对疼痛干扰,疼痛自我有效性和与阿片类药物使用障碍药物接触的影响.
- 评估将基于证据的实践纳入初级保健的实施措施.
主要方法:
- 一个多站点混合型-1有效性实施随机对照试验 (n=228) 将PSM与常规护理进行比较.
- 有OM/OUD+CP的参与者被随机分配到接受10个1小时的远程PSM会议或通常的护理.
- 在3,6和9个月测量的结果包括疼痛干扰,疼痛自我有效性和OUD治疗参与度.
主要成果:
- 在3个月后,PSM干预措施在减少疼痛干扰方面表现出有效性.
- 在疼痛自我有效性和与阿片类药物使用障碍药物接触方面观察到改善.
- 远程交付模型显示了广泛覆盖和融入初级保健的潜力.
结论:
- 远程提供,定制的疼痛自我管理干预措施对阿片类药物使用障碍和慢性疼痛患者有效.
- 像TREETOP这样的综合护理模型可以改善这种复杂的患者群体的治疗结果.
- 这种方法有可能提高缺乏服务的个人获得基于证据的护理的机会.
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