Community pharmacist engagement in opioid use disorder prevention and treatment behaviors: A descriptive analysis

Salwan, A.; Hagemeier, Nicholas E.; Tudiver, Fred; Dowling-McClay, KariLynn; Foster, Kelly N.; Arnold, Jessie; Alamian, Arsham; Pack, Robert P.

doi:10.1016/j.japh.2020.06.008

Cited by 12 publications

(10 citation statements)

References 36 publications

(39 reference statements)

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“…Pharmacists often work in interdisciplinary care teams and make recommendations to both providers and patients about pharmacologic and non-pharmacologic interventions, including pain management ( 64 – 66 ). Given an important role of pharmacists in opioid stewardship and prevention of future opioid crisis ( 67 , 68 ), we hypothesize here that pharmacists recommendations to integrate digital therapeutics with opioid-based analgesia will improve outcomes of opioid tapering programs ( 69 – 73 ). Recently, the Academy of Managed Care Pharmacy convened a forum that brought digital therapeutic innovators, payers, pharmacy benefit managers, and other key stakeholders to discuss the role of digital interventions as therapeutic options ( 74 ).…”

Section: Discussionmentioning

confidence: 99%

Adjunct Digital Interventions Improve Opioid-Based Pain Management: Impact of Virtual Reality and Mobile Applications on Patient-Centered Pharmacy Care

Giravi

Biskupiak

Tyler

et al. 2022

Front. Digit. Health

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Digital therapeutics (DTx, mobile medical apps, software as a medical device) are rapidly emerging as clinically effective treatments for diverse chronic diseases. For example, the Food and Drug Administration (FDA) has recently authorized a prescription virtual reality (VR) app for treatment of moderate to severe low back pain. The FDA has also approved an adjunct digital therapy in conjunction with buprenorphine for opioid use disorder, further illustrating opportunities to integrate digital therapeutics with pharmacotherapies. There are ongoing needs to disseminate knowledge about advances in digital interventions among health care professionals, policymakers, and the public at large. This mini-review summarizes accumulating clinical evidence of digital interventions delivered via virtual reality and mobile apps to improve opioid-based analgesia. We identified relevant randomized controlled trials (RCTs) using Embase and PubMed databases which reported pain scores with a validated pain scale (e.g., visual analog scales, graphic rating scale, numeric rating scale) and use of a digital intervention in conjunction with opiates. Among identified RCTs, the majority of studies reported improved pain scores in the digital intervention group, as compared to “treatment as usual” group. Our work suggests that VR and mobile apps can be used as adjunct digital therapies for pain management. We discuss these findings in the context of how digital health technologies can transform patient-centered pharmacy care.

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Section: Discussionmentioning

confidence: 99%

Adjunct Digital Interventions Improve Opioid-Based Pain Management: Impact of Virtual Reality and Mobile Applications on Patient-Centered Pharmacy Care

Giravi

Biskupiak

Tyler

et al. 2022

Front. Digit. Health

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“…Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) 81 24-Question tool to predict ADRB. Each item is rated 0-4.…”

Section: Effect Of Opioids On Orthopaedic Patientsmentioning

confidence: 99%

“…Approximately 90% of Americans live within 5 miles of a community pharmacy, and pharmacists in such settings may be able to help detect patients at risk of opioid overdoses [79][80][81] . The current model of health care delivery, however, is characterized by many barriers that can cause patients to view their physician and community pharmacist as separate health care workers who do not communicate directly with each other 79,80 .…”

Section: Pharmacistmentioning

confidence: 99%

“…Current Opioid Misuse Measure (COMM) 81 17-Question patient assessment tool to identify aberrant drug-related behaviors (ADRB)…”

Section: Effect Of Opioids On Orthopaedic Patientsmentioning

confidence: 99%

“…The total score ranges between 0 and 68. A score of $ 9 suggests current ADRB Opioid Risk Tool (ORT) 81 5-Question tool to assess risk of opioid abuse or aberrant drug-related behaviors.…”

Section: Effect Of Opioids On Orthopaedic Patientsmentioning

confidence: 99%

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Team Approach: Use of Opioids in Orthopaedic Practice

et al. 2023

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The opioid epidemic represents a serious health burden on patients across the United States. » This epidemic is particularly pertinent to the field of orthopaedics because it is one of the fields providing the highest volume of opioid prescriptions.» The use of opioids before orthopaedic surgery has been associated with decreased patient-reported outcomes, increased surgery-related complications, and chronic opioid use.» Several patient-level factors, such as preoperative opioid consumption and musculoskeletal and mental health conditions, contribute to the prolonged use of opioids after surgery, and various screening tools for identifying high-risk drug use patterns are available.» The identification of these high-risk patients should be followed by strategies aimed at mitigating opioid misuse, including patient education, opioid use optimization, and a collaborative approach between health care providers.

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Educational programs implemented for pharmacists after state passage of a standing order for naloxone: A systematic review of current practices

Freibott¹,

Walker²,

Maio³

et al. 2021

Journal of the American Pharmacists Association

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Community pharmacist engagement in opioid use disorder prevention and treatment behaviors: A descriptive analysis

Cited by 12 publications

References 36 publications

Adjunct Digital Interventions Improve Opioid-Based Pain Management: Impact of Virtual Reality and Mobile Applications on Patient-Centered Pharmacy Care

Adjunct Digital Interventions Improve Opioid-Based Pain Management: Impact of Virtual Reality and Mobile Applications on Patient-Centered Pharmacy Care

Team Approach: Use of Opioids in Orthopaedic Practice

Educational programs implemented for pharmacists after state passage of a standing order for naloxone: A systematic review of current practices

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