Implementation and Effectiveness of Mindfulness Oriented Recovery Enhancement as an Adjunct to Methadone Treatment

NCT ID: NCT06032559

Last Updated: 2025-07-30

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

450 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-04

Study Completion Date

2027-07-31

Brief Summary

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This hybrid implementation-effectiveness trial will evaluate Mindfulness-Oriented Recovery Enhancement (MORE) for patients with opioid use disorder receiving methadone treatment (MT). The investigators will also assess barriers and facilitators to integrating MORE into methadone treatment, and evaluate the impact of a sustainable train-the-trainer model on provider burden, intervention fidelity, intervention engagement, and outcomes. Participants will be assigned to a higher intensity MORE implementation strategy, a minimal intensity implementation strategy consisting of a simple, scripted mindfulness practice (SMP) extracted from the MORE treatment manual with minimal training and feedback and no supervision, or methadone treatment as usual (TAU). We aim to:

* Examine barriers and facilitators to the implementation of MORE and SMP in MT and evaluate strategies for optimizing training, fidelity, and engagement.
* Evaluate the effectiveness and treatment fidelity of a higher intensity MORE implementation strategy versus a lower intensity, scripted mindfulness practice (SMP) implementation strategy as an adjunct to methadone TAU or methadone TAU, only. Outcomes include opioid and other drug use, craving, MT discontinuation, depression, anxiety, and physical pain (secondary outcomes) than patients randomized to TAU.

Detailed Description

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Conditions

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Opioid Use Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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MORE

Eight group sessions of Mindfulness-Oriented Recovery Enhancement plus methadone treatment as usual (TAU)

Group Type EXPERIMENTAL

MORE

Intervention Type BEHAVIORAL

MORE plus TAU

Scripted Mindfulness Practice (SMP)

Eight group sessions of scripted mindfulness practice plus TAU.

Group Type ACTIVE_COMPARATOR

SMP

Intervention Type BEHAVIORAL

SMP plus TAU

Treatment-as-Usual

Methadone treatment as usual.

Group Type ACTIVE_COMPARATOR

TAU

Intervention Type OTHER

TAU only

Interventions

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MORE

MORE plus TAU

Intervention Type BEHAVIORAL

SMP

SMP plus TAU

Intervention Type BEHAVIORAL

TAU

TAU only

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* English-speaking
* age ≥18
* currently on methadone
* persistent or recurring pain that has lasted for a duration of 3 months of longer.

Exclusion Criteria

* severe cognitive impairment (score \>23 on Mini Mental Status Exam) or psychosis (positive SCID Psychotic Screen)
* suicidal risk (score ≥7 on Suicidal Behaviors Questionnaire)
* inability to attend or fully participate in intervention sessions or assessments
* previous formal mindfulness training (e.g., MBSR, MBRP) or MORE (from the R21 or R33 studies).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

University of Utah

OTHER

Sponsor Role collaborator

Rutgers, The State University of New Jersey

OTHER

Sponsor Role lead

Responsible Party

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Nina A. Cooperman, Psy. D.

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Eric Garland, Ph

Role: PRINCIPAL_INVESTIGATOR

Rutgers Robert Wood Johnson Medical School

Locations

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Rutgers Robert Wood Johnson Medical School

New Brunswick, New Jersey, United States

Site Status RECRUITING

University of Utah

Salt Lake City, Utah, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Nina Cooperman, PsyD

Role: CONTACT

732-235-8569

Eric Garland, PhD

Role: CONTACT

801-581-3826

Facility Contacts

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Nina Cooperman

Role: primary

7322358569

Ericc Garland, PhD

Role: primary

(801) 581-3826

Other Identifiers

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R01DA056537

Identifier Type: NIH

Identifier Source: secondary_id

View Link

Pro2022001626

Identifier Type: -

Identifier Source: org_study_id

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