Narcotic Addiction
Conditions
Keywords
Opioid addiction, Opioid weaning
Brief summary
This study is to compare two groups undergoing opioid weaning as ordered by their referring physicians. One group will undergo the standard opioid weaning process and the other group will have the addition of the NADA Protocol to the weaning process.
Detailed description
The NADA (National Acupuncture Detoxification Association) Protocol is a standardized acupuncture technique in which five designated points in the ear are needled (+/-beads/seeds at points for home acupressure therapy in between treatments). The NADA Protocol is indicated for treatment of the following conditions: detoxification, withdrawal, emotional trauma, craving, stress syndromes, relapse prevention, rehabilitation & recovery maintenance. It is also commonly used for PTSD and addiction; however it has not been studied as an adjunct to outpatient opioid weaning protocols for pain. It is cited in the literature as yielding improvements in engagement, retention, decreased cravings, anxiety, and physical symptoms. Given these documented results, it seems feasible the outpatient opioid weaning patient would likely benefit from this procedure.
Interventions
PROCEDURENADA Protocol
NADA Protocol is a standardized acupuncture technique in which five designated points in the ear are needled.
Standard of care medication management defined by an opioid weaning protocol with specific, symptomatic medication regimens.
Sponsors
Vanderbilt University Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults aged 18 and older * Referral to the VUMC Interventional Pain Clinic for opioid weaning and discontinuation.
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline in clinical institute narcotic assessment scale (CINA) for withdrawal | time from beginning of opioid withdrawal intervention to opioid cessation(approximately 6 months) |
Secondary
| Measure | Time frame |
|---|---|
| Off-opioids rate | time from beginning of opioid withdrawal intervention to opioid cessation(approximately 6 months) |
| Change from baseline assessment of psychological distress of weaning, assessed using the Hospital Anxiety and Depression Scale (HADS) | 9 months |
| Time to cessation of opioids | time from of beginning of opioid withdrawal intervention to opioid cessation (approximately 6 months) |
Countries
United States
Outcome results
None listed