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NCT06387290PHASE3Recruiting

Optimizing Chronic Pain Care With Mindfulness and Chronic Pain Management Visits

University of Utah

Start Date

2/25/2025

Completion Date

5/1/2028

Summary

The primary aim of this implementation-effectiveness trial is to examine the effectiveness of Mindfulness-Oriented Recovery Enhancement (MORE) and patient-centered chronic pain management visits in primary care as interventions to reduce chronic pain, improve quality of life, and reduce opioid-related harms among chronic pain patients on long-term opioid therapy.

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: * Age 18 + * Current chronic pain diagnosis (pain for ≥3 months) determined by physician assessment * Prescribed long-term opioid therapy (≥3 months) * Score \>=3 on the Pain Enjoyment General Activity scale * Score \>=9 on the Current Opioid Misuse Measure OR lifetime psychiatric or substance use disorder diagnosis OR benzodiazepine use OR history of overdose OR patient or physician determination that risks of opioid use may outweigh the benefits of opioid use Exclusion Criteria: * Chronic pain due to a cancer diagnosis * Active suicidal intent, schizophrenia, psychotic disorder * Prior experience with Mindfulness-Based Stress Reduction, Mindfulness-Based Cognitive Therapy, Mindfulness-Based Relapse Prevention, or Mindfulness-Oriented Recovery Enhancement

Interventions

BEHAVIORAL

Mindfulness Oriented Recovery Enhancement

BEHAVIORAL

Patient-Centered Chronic Pain Management Visits

Interested in This Trial?

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Conditions

Chronic PainPrescription Opioid MisuseSubstance-Related DisordersPainNarcotic-Related DisordersChemically-Induced DisordersMental DisordersOpioid-Related DisordersNeurologic Manifestations

Locations

UCSD Health

La Jolla, California 92037

United States

Rutgers University Primary Care Clinics

New Brunswick, New Jersey 08901

United States

University of Utah Primary Care Clinics

Salt Lake City, Utah 84112

United States