{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T03:17:08Z","timestamp":1792898228403,"version":"4.5.0"},"reference-count":95,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,3,26]],"date-time":"2024-03-26T00:00:00Z","timestamp":1711411200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000008","name":"Health Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000008","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100013392","name":"Minist\u00e8re de la Sant\u00e9 et des Services sociaux","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013392","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Opioid use disorder often co\u2010occurs with chronic pain but assessment and treatment of these co\u2010occurring disorders is complex. This review aims to identify current treatments and delivery models for co\u2010occurring chronic pain and opioid use disorder (OUD) documented in the scientific literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Scoping review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The review was conducted in six databases in June 2022 (no time limit): CINAHL, PsycINFO, Web of Science, Cochrane, PubMed and Embase. The PRISMA\u2010ScR checklist was used to guide reporting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Forty\u2010seven publications addressing the issue of co\u2010occurring chronic pain and OUD management were included. Randomized controlled trials provide evidence for the effectiveness of opioid agonist treatments (OAT) such as methadone or buprenorphine\/naloxone, as well as for combining OAT with Mindfulness\u2010Oriented Recovery Enhancement or cognitive behavioural therapy. A number of other pharmacological treatments (opioid and nonopioid), nonpharmacological treatments (e.g. physiotherapy) and service delivery models (e.g. simultaneous treatment of comorbidities, interdisciplinary and interprofessional collaboration) are also underlined. In most cases, authors recommend a combination of strategies to meet patient needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The scoping review reveals gaps in evidence\u2010based knowledge to effectively care for co\u2010occurring chronic pain and OUD, but several experts recommend the uptake of known \u2018best\u2019 practices such as integrated treatment of the multiple biopsychosocial dimensions of the co\u2010occurring disorders as well as collaborative interdisciplinary work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Improving services is dependent on alleviating barriers such as working in silos, the costs associated with nonpharmacological treatments, and the double stigma associated with pain in people with a substance use disorder.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.17139","type":"journal-article","created":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T02:55:09Z","timestamp":1711508109000},"page":"3056-3076","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["The current state of knowledge on care for co\u2010occurring chronic pain and opioid use disorder: A scoping review"],"prefix":"10.1111","volume":"33","author":[{"given":"L\u00e9onie","family":"Archambault","sequence":"first","affiliation":[{"name":"Universit\u00e9 de Sherbrooke and Douglas Research Center  Montr\u00e9al Quebec Canada"},{"name":"Institut universitaire sur les d\u00e9pendances, Direction de l\u2019enseignement universitaire et de la recherche CIUSSS du Centre\u2010Sud\u2010de\u2010l\u2019\u00cele\u2010de\u2010Montr\u00e9al  Montr\u00e9al Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karine","family":"Bertrand","sequence":"additional","affiliation":[{"name":"Institut Universitaire Sur les d\u00e9pendances and Community Health Science Dept., Universit\u00e9 de Sherbrooke  Longueuil Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc O.","family":"Martel","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry &amp; Department of Anesthesiology McGill University  Montr\u00e9al Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e9lanie","family":"B\u00e9rub\u00e9","sequence":"additional","affiliation":[{"name":"Facult\u00e9 Des Sciences infimi\u00e8res Universit\u00e9 Laval  Quebec City Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salima","family":"Belhouari","sequence":"additional","affiliation":[{"name":"Douglas Research Center  Montr\u00e9al Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8049-1588","authenticated-orcid":false,"given":"Michel","family":"Perreault","sequence":"additional","affiliation":[{"name":"Douglas Research Center and Dept. of Psychiatry McGill University  Montr\u00e9al Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,26]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajad.13135"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000000633"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"key":"e_1_2_14_6_1","unstructured":"Ashburn M. 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