A Smartphone App to Facilitate Buprenorphine Discontinuation
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Opiate Use Disorder
- Sponsor
- Butler Hospital
- Enrollment
- 15
- Locations
- 1
- Primary Endpoint
- Opiate use
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
The investigators propose to develop a smartphone app (called BetterOFF) that will help patients manage opioid withdrawal during opioid medication taper and detoxification. The BetterOFF smartphone intervention will be a resource patients can access anytime and anywhere. If the BetterOFF intervention were to be effective in helping patients discontinue opioid medication, it could be integrated into the standard of care of office-based clinical practices, as well as substance use programs, thereby having a substantial public health impact.
Detailed Description
Many of the growing number of patients prescribed long-term opioid medication (for a variety of reasons including a history of illicit opioid use or management of chronic pain) will express an interest in discontinuing medication. However, many patients, physically dependent on opioids, fear the withdrawal symptoms that inevitably occur with opioid medication discontinuation and will experience a decrease in their self-efficacy for abstinence at the end of a taper. As a result, tapering is often slow and done hesitantly, and relapse rates after an opioid taper are high and associated with broad consequences, including significant negative physical, mental, and social problems. Even with optimal tapering protocols, patients need novel approaches to manage the discontinuation of opiate agonist treatment. Given this important gap in opioid treatment delivery, we propose to develop a theoretically-driven, smartphone-delivered intervention (Better Off app) to help patients effectively manage the experience of opioid medication discontinuation.
Investigators
Eligibility Criteria
Inclusion Criteria
- •between 18-65 years of age;
- •currently receiving opioid medication;
- •interesting in discontinuing opioid medication
- •has a smartphone
Exclusion Criteria
- •non-English speaking.
Outcomes
Primary Outcomes
Opiate use
Time Frame: 1 month post-taper
Days of opiate use at follow-up
Secondary Outcomes
- Fear of withdrawal symptoms(1 month post-taper)
- Opiate Withdrawal(Baseline to 1 month post-taper)