Connected Health to Decrease Opioid Use in Patients With Chronic Pain
NCT ID: NCT04013529
Last Updated: 2021-10-27
Study Results
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View full resultsBasic Information
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COMPLETED
NA
40 participants
INTERVENTIONAL
2018-08-31
2020-09-15
Brief Summary
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Detailed Description
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Opioids are not more effective in the treatment of chronic pain compared with non-opioid approaches. Current guidelines have adapted to the evidence, recommending opioid-sparing approaches for treating patients with chronic pain, and tapering for those on higher doses to safer levels of use. Tapering opioids, however, requires replacing them with effective non-opioid strategies. Improving mobility has been shown to improve pain and decrease medication use among patients chronically prescribed opiates. Concurrently, financial incentives and the use of behavioral incentives have been shown to promote mobility.
Appreciating the gains in health outcomes that can be made with "connected health" approaches, we propose a novel pilot study designed to evaluate if technology enabled care (TEC) strategies and financial incentives can improve patient mobility in our chronic pain population, reduce pain and decrease opioid use . Our primary aim is to determine if chronic pain patients who receive TEC-enhanced treatment with financial incentives demonstrate increased participation in activities that promote mobility (physical therapy, yoga, tai chi) in comparison to patients receiving usual care. Secondary outcomes will include whether increased activity participation also reduces pain severity and opioid use, and improves function and increases the number of daily steps taken. The results of this pilot will enable us to determine what strategies are effective at increasing mobility and if these gains translate into reduced pain and decreased opioid use.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Control
Participate in technology-enabled care without regret lottery
Way to Health technology enhanced care
Subjects receive text reminders to reach activity goals.
Experimental
Participate in technology-enabled care with regret lottery
Regret lottery
Subjects who achieve step goals are entered into a lottery in which they can win a financial incentive of $30 or $100.
Way to Health technology enhanced care
Subjects receive text reminders to reach activity goals.
Interventions
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Regret lottery
Subjects who achieve step goals are entered into a lottery in which they can win a financial incentive of $30 or $100.
Way to Health technology enhanced care
Subjects receive text reminders to reach activity goals.
Eligibility Criteria
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Inclusion Criteria
* High dose opioid therapy
* Possession of activated cell phone with text messaging capabilities
* Willingness to comply with study requirements
Exclusion Criteria
* Sensory impairments precluding use of text messaging and activity tracker
* Physical disability precluding improvements in physical activity
18 Years
70 Years
ALL
No
Sponsors
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University of Pennsylvania
OTHER
Responsible Party
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Locations
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Corporal Michael Cresenz VA Medical Center
Philadelphia, Pennsylvania, United States
Countries
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References
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Compton P, Chaiyachati KH, Dicks T, Medvedeva E, Chhabra M. A randomized controlled trial to evaluate a behavioral economic strategy for improving mobility in veterans with chronic pain. PLoS One. 2021 Oct 11;16(10):e0257320. doi: 10.1371/journal.pone.0257320. eCollection 2021.
Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan
Other Identifiers
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01758
Identifier Type: -
Identifier Source: org_study_id