Improving Chronic Pain Care Using Mindfulness and Patient-Centered Management Visits with Long-Term Opioid Therapy

What this Trial Is About

Researchers are evaluating the effectiveness of Mindfulness-Oriented Recovery Enhancement MORE combined with patient-centered chronic pain management visits to reduce chronic pain, improve quality of life, and lower opioid-related harms in adults with chronic pain who are on long-term opioid therapy. This Phase 3 trial focuses on managing chronic pain and opioid misuse in a primary care setting. Participants are randomly assigned to one of two groups one group attends weekly MORE behavioral therapy sessions for eight weeks alongside patient-centered chronic pain management visits with their primary care provider, while the other group receives only the patient-centered chronic pain management visits. MORE integrates mindfulness training, cognitive reappraisal, and positive psychology into a group therapy format. Throughout the study, participants will be assessed at 3, 6, 9, and 12 months for changes in opioid misuse, chronic pain levels, quality of life, opioid dosing, opioid craving, PTSD symptoms, depression, and anxiety. The study uses double masking and includes various evaluations to monitor these outcomes over time. Participants can expect regular follow-up visits and questionnaires as part of their involvement.

Optimizing Chronic Pain Care With Mindfulness and Chronic Pain Management Visits