Reating Opioid Misuse Via Mindfulness-Based Just-in-Time Adaptive Intervention
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Chronic Pain
- Sponsor
- University of Utah
- Enrollment
- 63
- Locations
- 1
- Primary Endpoint
- Change in momentary craving
- Status
- Active, not recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
This pilot RCT will examine the preliminary efficacy of a telehealth version of Mindfulness-Oriented Recovery Enhancement (MORE) enriched with a smartphone-based just-in-time adaptive intervention (JITAI) for patients with chronic pain on long-term opioid therapy.
Investigators
Eric Garland
Professor
University of Utah
Eligibility Criteria
Inclusion Criteria
- •Current chronic pain diagnosis determined by physician assessment (including but not limited to ICD-9 diagnoses 338.0, 338.21, 338.22, 338.28, 338.29, 338.4)
- •Current use of prescription opioid agonist or mixed agonist-antagonist analgesics for \>90 days
- •Willingness to participate in study interventions and assessments
Exclusion Criteria
- •Prior experience with Mindfulness-Based Stress Reduction, Mindfulness-Based Cognitive Therapy, or Mindfulness-Based Relapse Prevention
- •Active suicidality, schizophrenia, psychotic disorder
- •Presence of clinically unstable systemic illness judged to interfere with treatment
- •No access to internet (which will prevent telehealth-based treatment)
Outcomes
Primary Outcomes
Change in momentary craving
Time Frame: Baseline through 1-month follow-up
Craving measured by numeric rating scale via ecological momentary assessments (min 0, max 10, with higher scores meaning more craving)
Change in momentary pain: numeric rating scale
Time Frame: Baseline through 1-month follow-up
Pain measured by numeric rating scale via ecological momentary assessments (min 0, max 10, with higher scores meaning more pain)
Secondary Outcomes
- Change in momentary stress(Baseline through 1-month follow-up)
- Change in momentary positive affect(Baseline through 1-month follow-up)
- Change in heart rate variability(Baseline through 1-month follow-up)