Chronic Pain, Opiate Dependence
Conditions
Brief summary
This study involves the comparison of two treatment approaches for patients with chronic pain who are entering methadone maintenance treatment (MMT) for opioid addiction: (a) an integrated counseling that addresses both chronic pain and opioid dependence(POD)and (b) a counseling intervention that addresses opioid dependence only.
Interventions
BEHAVIORALCognitive-Behavioral Therapy for Pain and Opioid Dependence
CBT is provided by skilled psychologists in weekly sessions for 12 weeks and focuses on reducing illicit drug use and increasing pain management.
BEHAVIORALMethadone Drug Counseling
Methadone Drug Counseling (MDC)is provided by skilled drug counselors over a 12-week period. The primary goal of MDC is cessation of illicit drugs.
Sponsors
National Institute on Drug Abuse (NIDA)
Yale University
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 18 years of age or older * prescription opioid or heroin addiction * moderate to severe chronic pain * enrolled in methadone maintenance at the APT Foundation for opioid addiction * understand English
Exclusion criteria
* current suicide or homicide risk * life-threatening or unstable medical problem
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain reduction | 16 weeks |
| Reduce illicit opioid use | 16 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Finalization of treatment manuals | 16 weeks |
| Development and modification of therapy training and process rating measures | 16 weeks |
Countries
United States
Outcome results
None listed