Perioperative Recovery of Moods, Opioids, and Pain Trial (PROMPT)

The investigators aim to characterize the relationship between changes in emotional distress, opioid use, and pain throughout surgery and recovery. Additionally, the investigators aim to compare the effectiveness of post-surgical motivational interviewing and physician-guided opioid weaning vs. usual care on reducing persistent opioid use. Overall, the proposed research will advance knowledge regarding the role of psychological factors contributing to persistent opioid use after surgery.

Inclusion Criteria:

• Age 18+
• Undergoing a scheduled surgery
• English speaking
• Ability and willingness to complete questionnaires and assessments.

Exclusion Criteria:

• Any conditions causing inability to complete baseline, telephone and internet assessments (e.g. education, cognitive ability, mental status, medical status)at the discretion of the investigator.
• Known Pregnancy
• Elevated Suicidality as assessed by an answer of 2 or greater on question 9 of the Beck Depression Inventory assessing suicidal thoughts.
• Coexisting Chronic Pain Disorder of moderate severity in area other than surgical target