Coordinated Treatment of Addiction to Prescription Pain Medications

Award Information
Agency: Department of Health and Human Services
Branch: N/A
Contract: 1R44DA034404-01A1
Agency Tracking Number: R44DA034404
Amount: $265,319.00
Phase: Phase I
Program: SBIR
Awards Year: 2013
Solicitation Year: 2013
Solicitation Topic Code: NIDA
Solicitation Number: PA12-088
Small Business Information
101-A Market Street, CHAPEL HILL, NC, -
DUNS: 957153596
HUBZone Owned: N
Woman Owned: N
Socially and Economically Disadvantaged: N
Principal Investigator
 (919) 960-8118
Business Contact
Phone: (919) 960-8118
Research Institution
DESCRIPTION (provided by applicant): In 2010, more than 12 million people reported using prescription pain medications (opioids) non-medically (without a prescription) [1], and 2 million people reported using prescription painkillers non-medically for thefirst time [1]. In 2009, 1/3 o people older than 12 initiated illicit drug use via non-medical use of prescription drugs [2]. Each year the problem results in more morbidity and mortality (often due to accidental overdose). Office-based opioid treatment (OBOT) with buprenorphine can break the cycle of addiction to opioids. Unfortunately, the quality and availability of treatment for prescription opioid addiction varies, and involves novel agreements and testing (e.g., urine drug testing). Patients must also navigate a complex treatment process with special concerns and unique challenges including fixed and frequent outpatient visits, and following standard procedures to limit diversion and misuse of buprenorphine. Our existing and successful PC/mobile web-based provider education product has provided training to thousands of physicians on the proper prescribing of buprenorphine. In this project, we seek to add a novel supporting framework for patients in treatment for opioid prescription drug addiction called The Patient Support Center. Components include: 1. Patient and provider matched data collection and communication functionality to facilitate open and accurate communication and allow the patient and provider to work in tandem to treatopioid addiction. Via the functionality they can collect and communicate patient data, request information, and communicate plans. We will investigate integrating our service into an EMR; 2. A patient support extension that provides patients with the knowledge, skills, encouragement, and awareness to fully participate in OBOT; 3. Additional provider training to assist providers in implementing a more patient-centered approach. Phase I focuses on product design work, developing prototype tools, measuring acceptability and usability of the product, and Phase II planning including finalizing evaluation test sites. Phase I completes the product and evaluates its impact using a randomized, cross-over wait-list control design to assess impact, including effect onpatient outcomes. We will specifically assess: 1. Short term impact on patient's knowledge, self-efficacy, attitude, and satisfaction, 2. Providers' acceptability and satisfaction with the experience, and 3. Patient outcomes using standardized instrumentssuch as the Brief Addiction Monitor (BAM), and a checklist of required patient behaviors to be completed by the providers. The finalized Phase II product will be integrated it into an electronic health record in one of our evaluation sites. PUBLIC HEALTH RELEVANCE PUBLIC HEALTH RELEVANCE: Treatment of pain with prescription medications such as oxycodone (Oxycontin (R)) can often lead to addiction to opioids and subsequent drug seeking behavior and poor health outcomes. Treatment with buprenorphine is effective and is of tremendous value; however, the treatment requires coordinated attention to multiple details on the part of the patient and the provider if it is to proceed smoothly and succeed. The proposed Patient Support Centerwill improve the outcomes of patients with addiction to prescription pain medications by enhancing an existing and successful product with: 1. patient-provider data collection and communication tools, 2. patient focused skills training and support, and, 3.specific training for providers in how to work in tandem with patients to help return patients to their baseline, before the onset of addiction to opioid medications.

* Information listed above is at the time of submission. *

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