Medication Adherence Therapy for Opioid Abusing Pain Patients



Status:Completed
Conditions:Chronic Pain
Therapuetic Areas:Musculoskeletal
Healthy:No
Age Range:18 - Any
Updated:1/11/2017
Start Date:September 2000
End Date:September 2005

Use our guide to learn which trials are right for you!

The purpose of this study is to develop and pilot test a combined behavioral and
pharmacological intervention designed to decrease pain, functional interference, and drug
abuse while increasing medication adherence.

Project Pain is a Stage I behavioral therapies development project aimed at developing and
pilot testing a novel intervention for patients with chronic non-malignant pain who have
experienced difficulty managing prescribed opioids. The goals of the study are to: (1)
develop the intervention and training materials; (2) develop therapist adherence and
competence scales; (3) train therapists to deliver the intervention per the treatment
protocol; and (4) pilot the intervention to assess its feasibility, acceptability and
promise. The goals of the intervention are to: (1) improve adherence to prescribed opioids;
(2) decrease the severity of patients' pain; and (3) improve patients' functioning and
quality of life .

Inclusion Criteria:

- Uninterrupted pain of at least 6 months duration

- Pain is continuous, rather than intermittent

- Pain in the severe range (VAS = 7-10) while medicated

- Poor response to non-pharmacological interventions for pain (if appropriate)

- One or more of the following pain diagnoses: (a) back/neck pain; (b) myofacial pain;
(c) neuropathic pain (e.g., diabetic or AIDS neuropathy, Complex regional pain
syndrome); (d) arthritic pain; (e) MS; or (f) sickle cell (must meet chronicity
criteria)

- Evidence of tolerance/physiological dependence on opioid analgesics

- Current opioid use disorder (DSM-IV criteria)

- Continuous use of opioid analgesics for a minimum of 6 months prior to referral.
[Note: This is consistent with minimum 6-month requirement for diagnosis of chronic
pain].

- Minimum of 2 signs/symptoms of medication mismanagement identified by the Referring
MD (PROBLEMS WITH PAIN MEDS checklist)

Exclusion Criteria:

- Please contact site regarding exclusion criteria for this study.
We found this trial at
1
site
New York, New York 10025
?
mi
from
New York, NY
Click here to add this to my saved trials