The goal of this Mentored Patient-Oriented Research Career Development Award (K23) is for Benjamin Morasco, Ph.D. to become an independent scientist studying innovative approaches for the assessment and treatment of chronic pain and comorbid substance use disorder (SLID) in patients with hepatitis C. The candidate proposes a program of research and training with the following goals: further his understanding of pain, addiction, and SLID;expand his knowledge regarding strategies to address the non-pharmacological treatment of pain and SLID;develop expertise in the psychosocial needs of patients with the hepatitis C virus (HCV);and acquire advanced research skills that will prepare him for a career as an independent investigator. Dr. Morasco will work closely with his mentors, Drs. Peter Mauser, Dennis Turk, Alan Marlatt, and Steven Dobscha throughout the course of this award to meet the above objectives. The resources at the Oregon Health &Science University and Portland VA Medical Center, combined with the expert guidance of the mentoring team, will provide the ideal opportunity for Dr. Morasco to develop expertise in the assessment and treatment of comorbid pain and SLID. As part of this K23 award, Dr. Morasco will (1) conduct a cross-sectional study examining the biopsychosocial factors that are associated with chronic pain in patients with HCV, and (2) develop and pilot test a group-based cognitive-behavioral treatment to reduce pain, improve physical and emotional functioning, and reduce substance use in patients with HCV. Results from these studies will be used to apply for R01 funding to test the newly developed intervention in a randomized controlled trial. The long-term goal of this research is to develop a better understanding of the treatment needs of HCV patients, and ultimately improve the treatment of pain and comorbid substance use in this patient population. Successful completion of the proposed studies will prepare Dr. Morasco to become an independent investigator with expertise conducting clinical research in the combined treatment of pain and SLID, particularly in patients with HCV. Relevance to Public Health: We expect that this project will contribute needed information about the factors that contribute to pain in patients with hepatitis C. If the newly developed treatment is effective, the health-related quality of life among hepatitis C patients will be improved.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23DA023467-05
Application #
8284438
Study Section
Special Emphasis Panel (ZDA1-EXL-T (04))
Program Officer
Aklin, Will
Project Start
2008-07-15
Project End
2014-01-30
Budget Start
2012-07-01
Budget End
2014-01-30
Support Year
5
Fiscal Year
2012
Total Cost
$166,684
Indirect Cost
$12,178
Name
Oregon Health and Science University
Department
Psychiatry
Type
Schools of Medicine
DUNS #
096997515
City
Portland
State
OR
Country
United States
Zip Code
97239
Morasco, Benjamin J; OýýNeil, Maya E; Duckart, Jonathan P et al. (2014) Comparison of health service use among veterans with methamphetamine versus alcohol use disorders. J Addict Med 8:47-52
Morasco, Benjamin J; Cavanagh, Renee; Gritzner, Susan et al. (2013) Care management practices for chronic pain in veterans prescribed high doses of opioid medications. Fam Pract 30:671-8
Dobscha, Steven K; Morasco, Benjamin J; Duckart, Jonathan P et al. (2013) Correlates of prescription opioid initiation and long-term opioid use in veterans with persistent pain. Clin J Pain 29:102-8
Weimer, Melissa B; Macey, Tara A; Nicolaidis, Christina et al. (2013) Sex differences in the medical care of VA patients with chronic non-cancer pain. Pain Med 14:1839-47
Morasco, Benjamin J; Lovejoy, Travis I; Lu, Mary et al. (2013) The relationship between PTSD and chronic pain: mediating role of coping strategies and depression. Pain 154:609-16
Morasco, Benjamin J; Turk, Dennis C; Donovan, Dennis M et al. (2013) Risk for prescription opioid misuse among patients with a history of substance use disorder. Drug Alcohol Depend 127:193-9
Patterson, Alexander L; Gritzner, Susan; Resnick, Michael P et al. (2012) Smoking cigarettes as a coping strategy for chronic pain is associated with greater pain intensity and poorer pain-related function. J Pain 13:285-92
Morasco, Benjamin J; Corson, Kathryn; Turk, Dennis C et al. (2011) Association between substance use disorder status and pain-related function following 12 months of treatment in primary care patients with musculoskeletal pain. J Pain 12:352-9
Morasco, Benjamin J; Duckart, Jonathan P; Dobscha, Steven K (2011) Adherence to clinical guidelines for opioid therapy for chronic pain in patients with substance use disorder. J Gen Intern Med 26:965-71
Weinstock, Jeremiah; Burton, Steve; Rash, Carla J et al. (2011) Predictors of engaging in problem gambling treatment: data from the West Virginia Problem Gamblers Help Network. Psychol Addict Behav 25:372-9

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