The goal of this clinical trial is to evaluate whether a smartphone app-based ecological momentary intervention called Mindful Journey, which teaches mindfulness skills, can support adults in recovery from both opioid use disorder and chronic pain. The primary objective of this pilot study is to assess the feasibility and acceptability of Mindful Journey in this population.
There is a paucity of interventions for co-occurring opioid use disorder and chronic pain. Difficulty with emotion regulation is a key shared vulnerability factor underlying both conditions. Mindfulness-Based Interventions (MBIs) are a promising intervention approach, as they target core skills that can improve emotion regulation. However, research on MBIs for co-morbid opioid use disorder and chronic pain is limited. Existing MBIs are also limited by not providing adequate support "in the moment" when individuals are in high-risk situations. A responsive, momentary MBI for co-occurring opioid use disorder and chronic pain may be highly promising, but has yet to be established. In the present study, we will be evaluating a smartphone app-based ecological momentary intervention, called Mindful Journey, for individuals with opioid use disorder and chronic pain. The core feature of the app is training in mindful acceptance and savoring skills via momentary "just-in-time" delivery of brief video-based exercises based upon ecological momentary assessments.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
10
The Mindful Journey intervention includes (1) 14 foundational modules/lessons, (2) brief check-in surveys (3 times/day) via the app, (3) app-guided momentary mindfulness coaching (max 3 times/day), and (4) brief phone-based check-in from a trained staff member, on a weekly basis. Occurring for approximately 8 weeks following enrollment visit
Arizona State University
Phoenix, Arizona, United States
Arizona State University Downtown Phoenix Campus
Phoenix, Arizona, United States
Dimensions of acceptability of the Mindful Journey lessons
Single-items measuring ratings of acceptability dimensions for the lessons, including usability, understandability, engage-ability, visual appeal, helpfulness, skill acquisition, and confidence implementing skills. Scores for each item range from 1 to 5, with higher scores indicating better acceptability.
Time frame: Assessed at the end of the 8-week treatment period
Dimensions of acceptability of the ecological momentary intervention (momentary coaching)
Single-items measuring ratings of acceptability dimensions for ecological momentary intervention (momentary coaching), including usability, understandability, engage-ability, visual appeal, helpfulness, skill acquisition, and confidence implementing skills. Scores for each item range from 1 to 5, with higher scores indicating better acceptability.
Time frame: Assessed at the end of the 8-week treatment period
Momentary ratings of acceptability of the ecological momentary intervention (momentary coaching)
Single item of perceived helpfulness
Time frame: Administered immediately after participants receive each ecological momentary intervention (momentary coaching)
Completion rates for the lessons on the Mindful Journey
Percent of lessons completed
Time frame: 8-week treatment period
Completion rates for ecological momentary intervention (momentary coaching)
Percent of ecological momentary interventions (momentary coaching) completed
Time frame: 8-week treatment period
Completion rates for momentary check-in surveys
Percent of momentary check-in surveys completed
Time frame: 8-week treatment period
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