Strategies to Improve Pain and Enjoy Life

Inclusion Criteria: * age 18-80 years * receiving care at a Kaiser Washington primary care clinic; * Chronic Non-Cancer Pain, defined as patient-reported pain on more than half the days in the past 6 months; * currently on higher-dose long-term opioid therapy, defined as \>90 days' supply in the past 180 days with a mean daily dose of 40 mg MED or greater in the past 90 days, as first identified via Kaiser's pharmacy dispensing data and subsequently validated by patient self-report during screening for the trial * consent to participate in the study arm to which they are randomly assigned * able to read, speak, and write English adequate for outcome measures * enrollment in Kaiser for at least 6 months prior and no plans to disenroll over the next year. Exclusion Criteria: * receiving treatment for cancer * enrollment in palliative or hospice care * use in past year of parenteral, transdermal, or transmucosal opioids * residing in nursing home or assisted living * using any implanted device for pain control * psychotic symptoms, psychiatric hospitalization or suicide attempts in the past year * current suicidal ideation with plan or intent * dementia diagnosis in Electronic Health Record * Patients on buprenorphine for any reason, or methadone or naltrexone for treatment of Opioid Use Disorder