Motivational Interviewing and Guided Opioid Tapering Support to Promote Postoperative Opioid Cessation

Stanford University

Status: Completed

Conditions: Opioid Cessation

Treatments: Behavioral: Motivational Interviewing and Guided Opioid Tapering Support; Behavioral: Enhanced Usual Care

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03659734

1R01DA045027-01A1 (U.S. NIH Grant/Contract)

IRB-43163

Details and patient eligibility

About

The purpose of this study is to evaluate the relative efficacy of enhanced usual care versus motivational interviewing and guided opioid tapering support to promote opioid cessation after total hip or knee replacement surgery.

Enrollment: 179 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Planning to undergo surgery
• English speaking
• Ability and willingness to complete questionnaires and assessments
• Scheduled for total hip, knee, or shoulder replacement
• Preoperative opioid use and opioid use 14 days after surgery to increase the likelihood of delayed opioid cessation.
• Not under the care of a current pain management provider

Exclusion criteria

• Any conditions causing inability to complete assessments
• Known pregnancy
• Elevated suicidality
• Enrollment in conflicting perioperative trial

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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179 participants in 2 patient groups

Motivational Interviewing and Guided Opioid Tapering Support

Experimental group

Treatment:

Behavioral: Motivational Interviewing and Guided Opioid Tapering Support

Enhanced Usual Care

Experimental group

Treatment:

Behavioral: Enhanced Usual Care