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Substance Abuse Treatment for High Risk Chronic Pain Patients on Opioid Therapy

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Mass General Brigham

Status

Completed

Conditions

Substance Abuse

Treatments

Behavioral: cognitive behavioral training

Study type

Interventional

Funder types

Other
NIH

Identifiers

NCT00988962
2007p001732

Details and patient eligibility

About

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.

Full description

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.

Enrollment

84 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • 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

Exclusion criteria

  • 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

Trial design

Primary purpose

Treatment

Allocation

Non-Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

84 participants in 3 patient groups

High-Risk No Treatment
No Intervention group
High-Risk Treatment
Experimental group
Treatment:
Behavioral: cognitive behavioral training
Low-Risk
No Intervention group

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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