Perioperative Recovery of Moods, Opioids, and Pain Trial (PROMPT)

Stanford University

Status: Completed

Conditions: Opioid Cessation

Treatments: Behavioral: Motivational Interviewing and Physician Guided Opioid Weaning

Study type: Interventional

Funder types: Other

Identifiers

NCT02070003

26234

Details and patient eligibility

About

The investigators aim to characterize the relationship between changes in emotional distress, opioid use, and pain throughout surgery and recovery. Additionally, the investigators aim to compare the effectiveness of post-surgical motivational interviewing and physician-guided opioid weaning vs. usual care on reducing persistent opioid use. Overall, the proposed research will advance knowledge regarding the role of psychological factors contributing to persistent opioid use after surgery.

Enrollment: 104 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 18+
• Undergoing a scheduled surgery
• English speaking
• Ability and willingness to complete questionnaires and assessments.

Exclusion criteria

• Any conditions causing inability to complete baseline, telephone and internet assessments (e.g. education, cognitive ability, mental status, medical status)at the discretion of the investigator.
• Known Pregnancy
• Elevated Suicidality as assessed by an answer of 2 or greater on question 9 of the Beck Depression Inventory assessing suicidal thoughts.
• Coexisting Chronic Pain Disorder of moderate severity in area other than surgical target

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

104 participants in 2 patient groups

Motivational Interviewing and Physician Guided Opioid Weaning

Experimental group

Description:

Patients will go through motivational interviewing with the study physician via phone once a week for 7 weeks, and once a month up to a year as applicable, until patient completes the protocol.

Treatment:

Behavioral: Motivational Interviewing and Physician Guided Opioid Weaning

Usual Care

No Intervention group