Substance Abuse Treatment for High Risk Chronic Pain Patients on Opioid Therapy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 84
- 试验地点
- 2
- 主要终点
- Drug Misuse Index: 1) physician ratings of misuse (ABC), 2) structured self-report interview (PDUQ), and 3) urine tox screens
研究概览
简要总结
Chronic back pain patients are often dismissed from a pain center or a primary care practice when they are noncompliant with opioid therapy, instead of being offered treatments to reduce misuse and to improve compliance. Unfortunately, there are few treatment resources for such patients. This study seeks to remedy that problem, with the goal of reducing the rate of prescription opioid misuse among noncompliant patients through the use of novel tracking, education, and counseling interventions.
详细描述
This study will evaluate drug misuse behavior over 6 months with the use of self-report questionnaires, physician ratings, urine toxicology screens, and electronic diary data.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •chronic pain for >6 months
- •history of taking daily opioids for pain for >6 months
- •average >3 on a pain intensity scale of 0 to 10 over past week
- •able to speak and understand English
- •chronic neck or back pain as primary pain complaint
- •willingness to participate
排除标准
- •current opioid addiction (M.I.N.I. Section K)
- •current diagnosis of cancer or any other malignant disease
- •acute osteomyelitis or acute bone disease
- •nonambulatory
- •present or past DSM-IV diagnosis of schizophrenia, delusional disorder, psychotic disorder, or dissociative disorder
- •pregnancy
- •any clinically unstable systemic illness judged to interfere with treatment
- •an acute condition requiring surgery
- •taking opioids intermittently
结局指标
主要结局
Drug Misuse Index: 1) physician ratings of misuse (ABC), 2) structured self-report interview (PDUQ), and 3) urine tox screens
时间窗: All subjects will be followed for 6 months.
次要结局
- 1) Rate of patient dismissal from a pain center, 2) treatment satisfaction ratings(Subjects will be followed for 6 months.)