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While BUP is effective in preventing overdose, it does not address the psychological aspects of OUD and CP comorbidity and treatment retention rates are as low as 50%. The Virtual Opioid use disorder Integrated Chronic Pain Treatment (VOICE) study (NCT05039554) is a novel effectiveness-implementation trial to test a 12-week virtual group Acceptance and Commitment Therapy (ACT) protocol and a care management smartphone application (app; Valera Health) on pain and opioid use in patients with OUD and CP receiving BUP. Using a 2\u2009\u00d7\u20092 factorial design, participants (expected N\u2009=\u2009280) are randomized into: ACT, Valera app, ACT\u2009+\u2009Valera, or Treatment as Usual arm. This study is taking place in the Bronx, NY, a racially\/ethnically diverse community that faces numerous socioeconomic stressors and is one of the nation\u2019s epicenters of the opioid epidemic. We created a culturally responsive ACT group protocol, and Valera psychoeducational material. 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