Pain Self-Management and Treatment Engagement for Patients Taking Opioids

This is randomized trial of a pain self-management (PSM) intervention for chronic pain tailored to individuals with opioid misuse or opioid use disorder (OUD) as compared to usual care. The investigators hypothesize that PSM will be effective in improving both reducing pain and improving MOUD engagement among individuals with co-occurring opioid misuse/OUD and chronic pain. This is a multisite trial recruiting from primary care clinics located in Pennsylvania, West Virginia and Maryland. Interventions: Participants will be randomized to either PSM or Usual Care. Pain Self-Management (PSM): PSM is a manualized pain self-management behavioral intervention tailored to patients with chronic pain and opioid misuse/OUD. PSM consists of 10 intervention sessions delivered via phone or web-based communication platform. Sessions will be led by a staff interventionist. Usual Care (UC): Usual care or "treatment as usual" refers to the standard of care that patient participants receive at their primary care clinic. The standard of care for patients is to discuss issues related to chronic pain and opioid use with their providers and to receive clinical care for these conditions. Study Duration: \~27 months (18 months of recruitment + 9 months follow-up) Participant Duration: 9 months