Full Text View  
  Tabular View  
  Contacts and Locations  
  No Study Results Posted  
  Related Studies  
Medication Adherence Therapy for Opioid Abusing Pain Patients
This study has been completed.
Sponsored by: National Institute on Drug Abuse (NIDA)
Information provided by: National Institute on Drug Abuse (NIDA)
ClinicalTrials.gov Identifier: NCT00249587
  Purpose

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.


Condition Intervention Phase
Pain
Chronic Disease
Prescription Opioid Abuse
Drug: Methadone
Phase I
Phase II

MedlinePlus related topics: Coping with Chronic Illness
Drug Information available for: Methadone Methadone hydrochloride
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: Medication Adherence Therapy for Opioid Abusing Pain Patients

Further study details as provided by National Institute on Drug Abuse (NIDA):

Primary Outcome Measures:
  • Medication compliance and unauthorized drug use [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
  • Changes in pain severity and functioning [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Satisfaction with services [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
  • Therapeutic alliance [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]

Enrollment: 36
Study Start Date: September 2000
Study Completion Date: September 2005
Primary Completion Date: September 2005 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
Methadone plus behavioral counseling consisting of adherence, self-monitoring, and motivational interviewing
Drug: Methadone
dosed to effect, every six hours
2: Active Comparator
Methadone plus behavioral counseling consisting of adherence
Drug: Methadone
dosed to effect, every six hours

Detailed Description:

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 .

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

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.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00249587

Locations
United States, New York
Behavioral Science Research Unit
New York, New York, United States, 10025
Sponsors and Collaborators
Investigators
Principal Investigator: Deborah Haller St. Luke's Roosevelt Hosp Cntr (New York)
  More Information

Related Info  This link exits the ClinicalTrials.gov site

Publications:
Fox, S.A., Haller, D.L., Weaver, M.F.: Proceedings from CPDD 2003 Annual Meeting, Bal Harbour, Florida. #197

Responsible Party: St. Luke's-Roosevelt Hospital Center ( Deborah Haller, Ph.D. )
Study ID Numbers: NIDA-13169-1, R01-13169-1
Study First Received: November 3, 2005
Last Updated: September 19, 2008
ClinicalTrials.gov Identifier: NCT00249587  
Health Authority: United States: Federal Government

Study placed in the following topic categories:
Methadone
Chronic Disease
Pain

Additional relevant MeSH terms:
Disease Attributes
Pathologic Processes

ClinicalTrials.gov processed this record on January 14, 2009