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Table 5 Supportive interventions identified

From: Association between supportive interventions and healthcare utilization and outcomes in patients on long-term prescribed opioid therapy presenting to acute healthcare settings: a systematic review and meta-analysis

Harm Reduction strategy

General Definition

Cohort

RCTs

Support for patients in pain

Support groups, case management and pain clinic vetting and referrals.

8

4

Hospital ED policy

Local practices to limit ED or inpatient OA prescribing and checking prescription drugs monitoring programs prior to prescribing

4

 

Electronic alert system

Systems that alert providers to possible opioid abuse situations without mandating their use

4

 

Provider education

Education of medical professionals in chronic pain treatment

3

 

Statewide prescription policies

Practices or wide-ranging regulations to limit OA prescription within a legislative territory

3

 

Addiction treatment

Opioid agonist therapies and policies supporting their use

2

 

Community education

Promotion of public awareness of prescription opioid overdose

2

 

Diversion control

Removal of unused medications and training of local law enforcement with OA diversion

2

 

Naloxone policies

Promotion of the adoption of policies to disseminate the opioid antagonist naloxone to opioid users

2