An Adaptive Psychological Intervention to Improve Pain and Reduce Opioid Use Following an Injury
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 80
- 主要终点
- Opioid use
研究概览
简要总结
The goal of this proposed project is to optimize the adaptive psychological intervention and assess the feasibility and acceptability. The long-term objective of this line of research is to evaluate whether an adaptive psychological intervention delivered after a musculoskeletal injury is effective in preventing the development of chronic pain and long-term opioid use.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Prevention
- 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
- •Admitted to Henry Ford Hospital
- •Has an acute musculoskeletal injury
- •Prescribed opioids during the admission
排除标准
- •Under age 18
- •Cognitive impairment (i.e., diagnosis of delirium, dementia, or traumatic brain injury/Glasgow Coma Scale less than 13)
- •Chronic pain condition (i.e., pain most of the day, nearly every day for the past 3 months or longer)
- •Taking opioids 30 days or more prior to this hospitalization
研究组 & 干预措施
Subgroup 4
Participants who were randomized to the computerized brief intervention and were still on opioids 10 days post-baseline and were then randomized to receive the recommendations for the opioid taper.
干预措施: Computerized brief intervention (Behavioral)
Subgroup 4
Participants who were randomized to the computerized brief intervention and were still on opioids 10 days post-baseline and were then randomized to receive the recommendations for the opioid taper.
干预措施: Opioid taper recommendations (Behavioral)
Subgroup 1
Participants who were not randomized to the computerized brief intervention and were no longer on opioids 10 days post-baseline and did not receive any further treatment.
Subgroup 2
Participants who were not randomized to the computerized brief intervention but were on opioids 10 days post-baseline and received recommendations for an opioid taper.
干预措施: Opioid taper recommendations (Behavioral)
Subgroup 3
Participants who were randomized to the computerized brief intervention but were no longer on opioids 10 days post-baseline and did not receive any further treatment.
干预措施: Computerized brief intervention (Behavioral)
Subgroup 5
Participants who were randomized to the computerized brief intervention and were still on opioids 10 days post-baseline and were then randomized to receive the recommendations for the opioid taper plus additional psychological treatment sessions.
干预措施: Computerized brief intervention (Behavioral)
Subgroup 5
Participants who were randomized to the computerized brief intervention and were still on opioids 10 days post-baseline and were then randomized to receive the recommendations for the opioid taper plus additional psychological treatment sessions.
干预措施: Psychological sessions (Behavioral)
Subgroup 5
Participants who were randomized to the computerized brief intervention and were still on opioids 10 days post-baseline and were then randomized to receive the recommendations for the opioid taper plus additional psychological treatment sessions.
干预措施: Opioid taper recommendations (Behavioral)
结局指标
主要结局
Opioid use
时间窗: 90-day follow-up
Whether patient was using opioids
次要结局
- Morphine Dose Equivalent (MDE)(90-day follow-up)
- Presence of chronic pain(90-day follow-up)
- Pain severity(90-day follow-up)
- Pain interference(90-day follow-up)
- Mindfulness(90-day follow-up)
- Pain acceptance(90-day follow-up)
- Depression(90-day follow-up)
- Anxiety(90-day follow-up)
- Sleep(90-day follow-up)
- Impact of Events Scale Revised(90-day follow-up)
- Opioid misuse(90-day follow-up)
研究者
Lisa Matero
Associate Scientist
Henry Ford Health System