Treating Chronic Pain in Buprenorphine Patients in Primary Care Settings

NCT ID: NCT01752998

Last Updated: 2017-09-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-09-30

Study Completion Date

2017-08-31

Brief Summary

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Individuals will be recruited by posted advertisements in the waiting rooms of the PCP offices and by physician referral. After an initial phone screen, research staff will meet with interested individuals in their PCP offices for informed consent, baseline interview and randomization. Participants will be randomized into a Health Education study arm, and receive 7 individual sessions on general health education, or an Intervention study arm, and receive 7 individual sessions of the Treating Opioid Patients' Pain and Sadness (TOPPS) intervention.

Detailed Description

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Conditions

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Pain Depression Substance Use

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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TOPPS Intervention

Individuals randomized into this arm will receive 7 individual sessions of the Treating Opioid Patients' Pain and Sadness (TOPPS) intervention, designed to reduce symptoms of pain and depression.

Group Type ACTIVE_COMPARATOR

Treating Opioid Patients' Pain and Sadness (TOPPS)

Intervention Type BEHAVIORAL

Health Education

Individuals randomized into this arm will receive 7 individual sessions on general health education.

Group Type PLACEBO_COMPARATOR

Health Education

Intervention Type BEHAVIORAL

Interventions

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Treating Opioid Patients' Pain and Sadness (TOPPS)

Intervention Type BEHAVIORAL

Health Education

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Chronic Pain, defined as pain duration for at least six months with a mean score of 5 or higher on the BPI Pain Interference Scale;
* Pain severity of 40 or higher on a Visual Analog Scale (0-100) indicating "worst pain in the last week";
* Previous attempt at initial steps of PCP guideline pain care: must have had at least one trial of recommended medication (i.e. acetaminophen, NSAIDS, skeletal muscle relaxants) judged through interviews with patients and PCPs;
* QIDS score of ≥ 10 (depression severity)
* If using an antidepressant, the dose must be stable for the previous 2 months;
* Age 18 or older
* Has received buprenorphine/naloxone (Suboxone)for at least the last 3 months;
* Plan to continue buprenorphine/naloxone (Suboxone)for at least 3 months.

Exclusion Criteria

* Lifetime DSM-IV diagnosis of bipolar disorder, schizophrenia, or other chronic psychotic condition;
* Current DSM-IV diagnosis of substance dependence for sedative/hypnotic drugs, alcohol, stimulants, or cocaine;
* Suicidal ideation or behavior requiring immediate attention;
* In psychotherapy or in a multidisciplinary pain management program at baseline;
* Anticipate having surgery in the next 6 months;
* Pain thought to be due to cancer, infection, inflammatory arthritis, or associated with severe or progressive neurological deficits;
* SSDI or SSI claim pending;
* Pregnancy.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Butler Hospital

OTHER

Sponsor Role lead

Responsible Party

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Michael Stein, MD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Michael Stein, MD

Role: PRINCIPAL_INVESTIGATOR

Butler Hospital

Locations

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Butler Hospital

Providence, Rhode Island, United States

Site Status

Countries

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United States

Other Identifiers

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1205-002

Identifier Type: OTHER

Identifier Source: secondary_id

DA032800

Identifier Type: -

Identifier Source: org_study_id