Chronic Pain and Opioid Dependence Assessment and Treatment (CPODAT)
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Purpose
This study involves the development of an integrated psychotherapy that addresses both chronic pain and opioid dependence(POD).
| Condition | Intervention |
|---|---|
|
Chronic Pain Opioid Dependency |
Behavioral: Integrated Cognitive Behavioral Therapy |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Chronic Pain and Opioid Dependence Assessment and Treatment |
- Reduced illicit opioid use and pain [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 20 |
| Study Start Date: | August 2008 |
| Estimated Study Completion Date: | July 2015 |
| Estimated Primary Completion Date: | July 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
1
Integrated Cognitive Behavioral Therapy for pain reduction and opioid dependence.
|
Behavioral: Integrated Cognitive Behavioral Therapy
CBT is provided by skilled psychologists in weekly sessions for 12 weeks and focuses on reducing illicit drug use and increasing pain management.
|
Detailed Description:
To conduct a pre-pilot study with 20 POD patients to a) evaluate the acceptability and potential efficacy of specific sessions (i.e., reduced illicit opioid use as assessed by urine toxicology and self-report findings, and decreased pain as evidenced by attenuated pain intensity and pain interference on self-report measures from baseline throughout treatment) for inclusion in integrated Cognitive Behavioral Therapy (CBT) for POD and the sequence of sessions, b) assess patients' satisfaction with integrated CBT as evidenced by qualitative feedback from individual exit interviews, and c) develop and modify initial therapist training and process rating measures. Products will include a) a manual for integrated CBT for POD to be used in opioid treatment programs and primary care settings with POD patients, b) therapist training materials, and c) process rating instruments.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- at least 18 years of age
- currently in Methadone Maintenance Treatment (MMT) at the APT Foundation in New Haven, CT
- opioid dependence
- experience moderate to severe chronic pain
Exclusion Criteria:
- current suicide or homicide risk
- are unable to complete the informed consent or surveys because of psychiatric impairment
- have cognitive impairment
- are unable to read or understand English
Contacts and Locations| Contact: Declan T. Barry, Ph.D. | 203-285-2708 | declan.barry@yale.edu |
| Contact: Christopher Cutter, Ph.D. | 203-285-2717 | christopher.cutter@yale.edu |
| United States, Connecticut | |
| Yale University School of Medicine | Recruiting |
| New Haven, Connecticut, United States, 06520 | |
| Contact: Christopher Cutter, Ph.D. 203-781-4650 ext 277 christopher.cutter@yale.edu | |
| Contact: Declan Barry, Ph.D. 203-781-4650 ext 268 declan.barry@yale.edu | |
| Principal Investigator: Declan T. Barry, Ph.D. | |
| Principal Investigator: | Declan T. Barry, Ph.D. | Yale University |
More Information
No publications provided
| Responsible Party: | Yale University |
| ClinicalTrials.gov Identifier: | NCT00727675 History of Changes |
| Other Study ID Numbers: | 1K23DA024050-01A1 |
| Study First Received: | July 31, 2008 |
| Last Updated: | May 13, 2013 |
| Health Authority: | United States: Federal Government United States: Institutional Review Board |
Keywords provided by Yale University:
|
chronic pain opioid dependence Cognitive Behavioral Therapy (CBT) |
Additional relevant MeSH terms:
|
Opioid-Related Disorders Substance-Related Disorders Mental Disorders Analgesics, Opioid Analgesics Sensory System Agents |
Peripheral Nervous System Agents Physiological Effects of Drugs Pharmacologic Actions Central Nervous System Agents Therapeutic Uses Central Nervous System Depressants |
ClinicalTrials.gov processed this record on May 22, 2013