This pilot RCT will examine the preliminary efficacy of a telehealth version of Mindfulness-Oriented Recovery Enhancement (MORE) enriched with a smartphone-based just-in-time adaptive intervention (JITAI) for patients with chronic pain on long-term opioid therapy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
63
Mindfulness-Oriented Recovery Enhancement (MORE) is a group behavioral intervention that unites mindfulness training, cognitive reappraisal, and positive psychological principles into an integrative intervention strategy targeting mechanisms of pain and opioid misuse. JITAI involves stress-triggered reminders to practice mindfulness skills.
A supportive psychotherapy group will allow participants to express emotions, share experiences, and receive social support under the guidance of a skilled therapist.
Center on Mindfulness and Integrative Health Intervention Development
Salt Lake City, Utah, United States
Change in momentary craving
Craving measured by numeric rating scale via ecological momentary assessments (min 0, max 10, with higher scores meaning more craving)
Time frame: Baseline through 1-month follow-up
Change in momentary pain: numeric rating scale
Pain measured by numeric rating scale via ecological momentary assessments (min 0, max 10, with higher scores meaning more pain)
Time frame: Baseline through 1-month follow-up
Change in momentary positive affect
Positive affect measured by numeric rating scale via ecological momentary assessments (min 0, max 10, with higher scores meaning more positive affect)
Time frame: Baseline through 1-month follow-up
Change in momentary stress
Stress measured by numeric rating scale via ecological momentary assessments (min 0, max 10, with higher scores meaning more stress)
Time frame: Baseline through 1-month follow-up
Change in heart rate variability
Changes in heart rate variability (HRV) measured via ambulatory HRV assessment
Time frame: Baseline through 1-month follow-up
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.