Evidence map›Paper›PMID 34389937›Full record

ArticleJournal of general internal medicine2022

Engagement in Prescription Opioid Tapering Research: the EMPOWER Study and a Coproduction Model of Success.

Aram Mardian, Luzmercy Perez, Ting Pun, Matthias Cheung, Joel Porter, Korina De Bruyne, Ming-Chih Kao, Pamela Flood, Nathaniel Moore, Luana Colloca and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 10 institutions in 3 countries.

Aram MardianPhoenix VA Health Care System, Chronic Pain Wellness Center, Department of Family, Community, and Preventive Medicine, University of Arizona College of Medicine - Phoenix, 650 East Indian School Road, Phoenix, AZ, 85012, USA.
Luzmercy PerezDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, 1070 Arastradero Road, Suite 200, MC 5596, Palo Alto, CA, 94304, USA.
Ting PunDepartment of Obstetrics and Gynecology, Queen Mary Hospital, University of Hongkong, Hongkong, China.
Matthias CheungThomas J. Long School of Pharmacy, University of the Pacific, Stockton, CA, USA.
Joel PorterDepartment of Family Medicine, Intermountain Healthcare, 2075 N University Park BLVD, Layton, UT, 84041, USA.
Korina De BruyneDivision of Primary, Preventive and Community Care, Stanford School of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Ming-Chih KaoDepartment of Anesthesiology, Perioperative and Pain Medicine, Division of Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Pamela FloodDepartment of Anesthesiology, Perioperative and Pain Medicine, Division of Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Nathaniel MooreMedNOW Clinics, Denver, CO, USA.
Luana CollocaUniversity of Maryland School of Nursing, Baltimore, MD, USA.
Eric CramerDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, 1070 Arastradero Road, Suite 200, MC 5596, Palo Alto, CA, 94304, USA.
Claire E Ashton-JamesPain Management Research Institute, The University of Sydney, St Leonards, Australia.
Kate LorigStanford University School of Medicine, Stanford, CA, USA.
Sean C MackeyDepartment of Anesthesiology, Perioperative and Pain Medicine, Division of Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Beth D DarnallDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, 1070 Arastradero Road, Suite 200, MC 5596, Palo Alto, CA, 94304, USA. bdarnall@stanford.edu.ORCID 0000-0003-3590-511X
Stanford Medicine · USStanford University · USCommunity Care · USHealthNow New York · USIntermountain Healthcare · USQueen Mary Hospital · CNThe University of Sydney · AUUniversity of Arizona · USUniversity of Maryland, Baltimore · USUniversity of the Pacific · US

Funding

Patient-Centered Outcomes Research Institute OPD-1610-37 007
6 · The paper itself

Abstract

Patients with chronic pain experience stigma within the healthcare system. This stigma is compounded for those taking long-term prescription opioids. Often, public messaging and organizational policies have telegraphed that opioid treatment is a problem to be solved by focusing only on medication reduction efforts. Lack of data has contributed to misperceptions and poor opioid policies. In part, data collection remains poor because patients feel fractured from systems of care and are often not interested in engaging with opioid reduction mandates and research. Similarly, clinicians may fail to engage with opioid stewardship and research due to complexities that exceed their training or capacities. The EMPOWER study applies a coproduction model that engages researchers, patients, clinicians, managers, and other health system users. Key stakeholders shaped the design of the study to best ensure acceptability and engagement of the "end users"-patients who enroll in the study and the clinicians who implement the opioid tapers. Targeting the needs of any stakeholder group in isolation is suboptimal. Accordingly, we detail the EMPOWER patient-centered opioid tapering clinical research framework and specific strategies to address stakeholder concerns. We also discuss how this framework may be applied to enhance engagement in healthcare research broadly.

Indexed as

Analgesics, OpioidChronic PainHealth Services ResearchHumansPrescriptionsAnalgesics, Opioid

Identifiers

PMID34389937
PMCPMC8993995
OpenAlexW3190374546

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.