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Cognitive Behavioral Therapy
Cognitive Behavioral Therapy for Chronic Pain
N/A
Waitlist Available
Led By Lisham Ashrafioun, PhD
Research Sponsored by VA Office of Research and Development
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Participants must report pain that occurs on at least half the days for six months
English-speaking Veterans on long-term opioid therapy prescribed opioid analgesics (>20mg morphine equivalent daily [MEDD] and at least a 90 days supply)
Must not have
Veterans currently undergoing oncology treatment or hospice patients
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline to 6-months post-treatment
Awards & highlights
No Placebo-Only Group
Summary
This trial will test the effects of CBT-TS to increase initiation of psychosocial interventions for pain among Veterans receiving opioid analgesics for chronic pain, with the goal of improving pain and substance use outcomes.
Who is the study for?
This trial is for English-speaking Veterans who have been on long-term opioid therapy (over 20mg morphine equivalent daily) for chronic pain, experiencing pain most days over the last six months. They must not be undergoing cancer treatment or hospice care, have no recent/upcoming surgeries, and not currently in non-drug pain treatments.
What is being tested?
The study tests Cognitive-Behavioral Therapy for Treatment Seeking (CBT-TS) against an education control to see if it helps Veterans start and stick with psychological interventions for managing chronic pain, potentially reducing reliance on opioids.
What are the potential side effects?
Since this trial involves educational and cognitive-behavioral therapies rather than medications, traditional side effects are minimal. However, participants may experience emotional discomfort discussing personal issues during therapy sessions.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I have experienced pain on most days for the last six months.
Select...
I am a veteran prescribed opioids equivalent to more than 20mg of morphine daily for over 90 days.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I am a veteran receiving cancer treatment or in hospice care.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ baseline to 6-months post-treatment
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline to 6-months post-treatment
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Medical Record Review and Treatment Utilization Form
Secondary study objectives
Beck Hopelessness Scale (BHS)
Medication Beliefs Questionnaire
Pain Catastrophizing Scale
+3 moreOther study objectives
Opioid use
PROMIS Profile-29
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: CBT for Treatment SeekingExperimental Treatment1 Intervention
CBT delivered over the course of 1, \~45 minute session delivered via telehealth.
Group II: Pain Treatment EducationActive Control1 Intervention
Pain treatment education is delivered over the course of 1, \~45 minute session delivered via telehealth
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Who is running the clinical trial?
VA Office of Research and DevelopmentLead Sponsor
1,664 Previous Clinical Trials
3,765,297 Total Patients Enrolled
42 Trials studying Chronic Pain
4,872 Patients Enrolled for Chronic Pain
Lisham Ashrafioun, PhDPrincipal InvestigatorVA Finger Lakes Healthcare System, Canandaigua, NY
2 Previous Clinical Trials
84 Total Patients Enrolled
1 Trials studying Chronic Pain
48 Patients Enrolled for Chronic Pain
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I am a veteran who has had surgery recently or will soon.I am a veteran and have been in a non-drug pain treatment program recently.I have experienced pain on most days for the last six months.I am a veteran receiving cancer treatment or in hospice care.I am a veteran prescribed opioids equivalent to more than 20mg of morphine daily for over 90 days.You need to have quite a bit of pain and it must really affect your daily life.
Research Study Groups:
This trial has the following groups:- Group 1: CBT for Treatment Seeking
- Group 2: Pain Treatment Education
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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