Evidence map›Paper›PMID 41652313›Full record

Trial reportSubstance use & addiction journal2026

Study Protocol for a Pain Self-Management Intervention to Reduce Pain and Improve MOUD Engagement in Primary Care: A Randomized Trial.

Edna J Evington, Melessa Salay, Karlyn A Edwards, Ramona Emerson, Cristina Murray-Krezan, Jane M Liebschutz, Courtney S Pilkerton, Sophia Purekal, Jessica S Merlin, Erin L Winstanley

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Substance use & addiction journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Edna J EvingtonCenter for Research on Health Care, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0002-3188-1061
Melessa SalayCenter for Research on Health Care, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0009-0000-6712-4292
Karlyn A EdwardsCenter for Research on Health Care, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Ramona EmersonUniversity of Pennsylvania School of Nursing, Philadelphia, PA, USA.
Cristina Murray-KrezanCenter for Research on Health Care, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Jane M LiebschutzCenter for Research on Health Care, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0003-3492-1521
Courtney S PilkertonDepartment of Family Medicine, School of Medicine, West Virginia University, Morgantown, WV, USA.
Sophia PurekalJohns Hopkins School of Medicine, Baltimore, MD, USA.
Jessica S MerlinDepartment of Internal Medicine, The Ohio State University College of Medicine, Columbus, OH, USA.
Erin L WinstanleyCenter for Research on Health Care, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

Funding

Tailored Retention and Engagement for Equitable Treatment of OUD and Pain (TREETOP)RM1DA055311 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HAMM, MEGAN, MERLIN, JESSICA S · 2021 to 2025
$12.7M
NIDA NIH HHS RM1 DA055311
6 · The paper itself

Abstract

Individuals with opioid misuse (OM) or opioid use disorder (OUD) frequently have co-occurring chronic pain (CP). Services for these chronic conditions are commonly siloed in specialty treatment programs with few empirically demonstrated integrated interventions for patients with OM/OUD+CP. This manuscript describes the Tailored Retention and Engagement for Effective-integrated Treatment of OUD and Pain (TREETOP) engagement clinical trial protocol testing the effectiveness of a pain self-management (PSM) intervention at improving outcomes for patients with OM/OUD+CP in the context of primary care settings. This is a multisite hybrid type-1 effectiveness-implementation clinical trial (n = 228) wherein stratified equal randomization is used to assign participants to either PSM or usual care. The PSM intervention is novel because it was tailored to patients with OM/OUD+CP and is delivered remotely by a trained interventionist over ten 1-hour sessions. All study activities are conducted virtually, and follow-up study visits occur at 3-, 6- and 9-months. Enhanced technology-based recruitment strategies are used to boost accrual. The primary outcome is reduction in pain interference (PROMIS SF v1.0-Pain Interference 4a) at 3-months and secondary outcomes include pain self-efficacy (PSEQ), medications for opioid use disorder engagement and illicit drug use (Modified ASI). The supplemental protocol provides in-depth information on the study design and methods. Implementation measures are specific to this trial, which are crucial for the understanding and advancement of the uptake of evidence-based practices into everyday care. As part of the HEAL initiative

Indexed as

Chronic PainOpioid-Related DisordersPain ManagementSelf-ManagementAdherence InterventionsHumansPrimary Health Carechronic painIMPOWRopioid misuseopioid use disorderpain self-managementprimary care

Identifiers

PMID41652313
PMCPMC13320994

What OpenQuestion holds

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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.