Friday, September 23rd
Evidence - clinical trials - systematic review - guidelines - implementation science | Evidence, clinical trials, systematic review, guidelines and implementation science
Effective and Scalable Behavioral Interventions for Acute and Chronic Pain in Adults with Opioid Use and Misuse
Dr. Darnall and team have completed numerous randomized trials in adults with results supporting specific scalable behavioral interventions for opioid and pain reduction. Scalable solutions are needed to provide ‘whole person’ pain care to the 1 in 3 who are living with ongoing pain of some type, and the hundreds of millions of people undergoing surgery each year. Published evidence will be presented for brief and digital interventions for acute and chronic pain, and new NIDA-funded research applying app-based treatment in adults with comorbid opioid misuse. These interventions are being applied internationally: the single-session pain relief skills class (“Empowered Relief”; 2 hrs) is active in 15 countries with 7 language translations. An acute pain version of Empowered Relief is being delivered in adult and adolescent perioperative settings in the U.S. and the U.K., and Cleveland Clinic Spine Surgery integrated Empowered Relief into standard care for spine surgery patients. We may envision how brief, scalable and effective behavioral treatment for pain may transform surgical and chronic pain care with low-burden, low-cost home-based options. A highlight will be discussion of active and national NIDA-funded research applying app-based Empowered Relief that is tailored to meet the needs of people with opioid misuse.