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Program for Pain & Prescription Opioid Use in Pregnancy

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT02804152
Recruitment Status : Active, not recruiting
First Posted : June 17, 2016
Last Update Posted : December 30, 2019
Information provided by (Responsible Party):
Medical University of South Carolina

Brief Summary:
Pregnant women using prescription opioid medication (pain medications) are invited to take part in a program for the reduction of pain and prescription opioid misuse.

Condition or disease Intervention/treatment Phase
Pain Opioid Abuse Pregnancy Behavioral: CBT for Chronic Pain in Pregnancy Not Applicable

Detailed Description:

Subjects: Participants will be 200 adult, pregnant women receiving prenatal care and using POs for chronic pain. Women must be willing to consider a PO dose reduction, and cannot meet criteria for a Substance Use Disorder. Specific inclusion and exclusion criteria can be found in the Protections of Human Subjects section below.

Procedures: Pregnant women using POs will be identified by the obstetric care team, or self-referred via study advertisements, and referred to study personnel. The obstetric care team will serve as a referral source and will not be taking part in any research related activities. Women will be scheduled to meet with study personnel either in-person, via telemedicine or by phone and will undergo a brief eligibility screening. If women are eligible they will be given a full description of the study procedures and asked to read and sign an IRB-approved consent form in-person or consent online before any study procedures or assessments are conducted using doxyme software. Ineligible women, or those not wanting to take part will be referred for clinical treatment in-person or via telemedicine.

Baseline Visit: Eligible participants will complete online assessments (see primary outcome assessments below) via a Redcap survey. They will have their cell phones registered into the daily diary system described below and will be given instruction on how to respond to daily queries regarding pain, functioning, craving, mood etc. Participants without a cell phone will be provided a cell phone for use during the study. Eligible participants will complete daily ratings for no more than 21 days.

Treatment Phase: Immediately following the 21 day data collection phase, subjects will take part in 8, 75-minute sessions of the modified, individual CBT for Chronic Pain program. This treatment will be delivered once weekly over 8 weeks by the study therapist. Participants will continue their daily diary ratings and these will be reviewed by the study therapist and participant each week during the therapy session. Subjects will not receive any other CBT services during the study. All services received (e.g., pain management, self-help groups, case management) will be carefully monitored and tracked at weekly visits.

Each week, following the CBT for Chronic Pain session, the participant will meet with the study physician or APRN, for 15 minutes. PO use will be reviewed, symptoms of maternal or fetal withdrawal will be assessed (see Safety Measures and Appendix for medication management session) and based on the participant's preference, the provider will continue the same prescribed regime of the PO medication(s) or decrease the overall dose by 20%- a safe and recommended reduction of opioid medication during pregnancy14. Participant rational for their individual decision will be recorded and the appropriate amount of PO medication will be prescribed by the in-person provider or if via telemedicine, in collaboration with in-person obstetric provider. Use of POs from other providers will be carefully monitored and tracked at each weekly visit using the Prescription Drug Monitoring Program (PDMP) database and review of the EMR (see Safety Measures). Following each weekly treatment session, the participants will complete online assessments (see primary outcome assessments below) via a Redcap survey.

Follow-up: Women will be asked to continue their daily ratings for one month after completing the 8 week treatment. They will also be asked to complete an online assessment (see primary outcome assessments below) via a Redcap survey at one month post-treatment. At 6 weeks postpartum, women will be asked to complete their final online assessment (see primary outcome assessments below) via a Redcap survey.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 200 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Novel Approach to Reduce Pain, Prescription Opioid Use & Misuse in Pregnancy
Actual Study Start Date : July 2016
Actual Primary Completion Date : January 2019
Estimated Study Completion Date : November 2020

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Chronic Pain

Arm Intervention/treatment
CBT for Chronic Pain
single arm open-label design
Behavioral: CBT for Chronic Pain in Pregnancy
The content will be included in 8 weekly sessions, i.e., sessions 1-3 ("Education on chronic pain", "Theories of pain and diaphragmatic breathing" and "Progressive muscle relaxation and visual imagery"), sessions 4 and 5 ("Automatic thoughts and pain" and "Cognitive restructuring"), sessions 7, 8 and 10 ("Pleasant activity scheduling", "Time-based pacing" and "Sleep hygiene"), sessions 6 and 9 ("Stress management" and "Anger management"). Following this content, 1-2 sessions will be dedicated to review and reinforcement of key concepts or addressing any "stuck points" as well as cover content in session 11 ("Relapse Prevention"). The last session of therapy would include a review of achievements and commitment to continued application of CBT for chronic pain in participants daily lives.

Primary Outcome Measures :
  1. Brief Pain Inventory (BPI) [ Time Frame: change from baseline in BPI at 8 weeks, 1 month post treatment, and 6 weeks postpartum ]
    Pain Severity and Functioning

  2. Current Opioid Misuse Measure (COMM) [ Time Frame: change from baseline in COMM at 8 weeks, 1 month post treatment, and 6 weeks postpartum ]
    opioid misuse behaviors

  3. Current Opioid Dose [ Time Frame: change from baseline in current opioid dose at 8 weeks, 1 month post treatment, and 6 weeks postpartum ]
    Use of opioid medications in pregnancy

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years to 45 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Adult females, any race or ethnicity, age 18-45 years.
  • Pregnant and receiving prenatal care
  • Willing to consider a decrease in their dose of their prescription opioid medication.
  • Does not meet DSM-V criteria for a Substance Use Disorder.
  • Able to comprehend English.
  • Able to provide informed consent.

Exclusion Criteria:

  • Unable to provide informed consent.
  • Not currently pregnant, or receiving prenatal care
  • Not currently taking a prescription opioid medication during pregnancy.
  • Unwilling to consider a reduction in their prescription opioid medication dose.
  • Meets DSM-V criteria for a Substance Use Disorder.
  • Participation is not recommended by the participant's primary obstetrician

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT02804152

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United States, South Carolina
The Medical University of South Carolina
Charleston, South Carolina, United States, 29405
Sponsors and Collaborators
Medical University of South Carolina
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Responsible Party: Medical University of South Carolina Identifier: NCT02804152    
Other Study ID Numbers: 1K23DA039318-01 ( U.S. NIH Grant/Contract )
First Posted: June 17, 2016    Key Record Dates
Last Update Posted: December 30, 2019
Last Verified: December 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Medical University of South Carolina:
prescription opioid
Additional relevant MeSH terms:
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Opioid-Related Disorders
Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders