About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Admitted to Henry Ford Hospital
Has an acute musculoskeletal injury
Prescribed opioids during the admission
Disqualifiers
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
Trial design
Sequential
Treatments tested in this trial
Computerized brief intervention
BehavioralEducation about long-term opioid use and a mindfulness strategy
Psychological sessions
BehavioralFour sessions composed of education, mindfulness, and acceptance-based strategies.
Opioid taper recommendations
BehavioralRecommendations will be provided to taper opioid use.
Treatment groups
Trial outcomes
Primary outcomes
Opioid use
Whether patient was using opioids
Secondary outcomes
Morphine Dose Equivalent (MDE)
Dose of opioid use in MDEs
Presence of chronic pain
Whether a patient reports experiencing pain from the injury
Pain severity
On a 0 (no pain) to 10 (worst pain) scale, patients rate their current pain and average, least, and worst pain over the previous week.
Pain interference
Participants report on a 0 (does not interfere) to 10 (completely interferes) scale how much the pain interferes across a variety of daily activities.
Locations
Sponsors and contacts
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Henry Ford Health System
Lead sponsor
National Institute on Drug Abuse (NIDA)
Collaborator
This trial is not recruiting at the moment. You can still explore other options: