Treating Opioid Misuse Via Mindfulness-Based Just-in-Time Adaptive Intervention

Reating Opioid Misuse Via Mindfulness-Based Just-in-Time Adaptive Intervention

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.

Inclusion Criteria:

• Current chronic pain diagnosis determined by physician assessment (including but not limited to ICD-9 diagnoses 338.0, 338.21, 338.22, 338.28, 338.29, 338.4)
• Current use of prescription opioid agonist or mixed agonist-antagonist analgesics for >90 days
• Willingness to participate in study interventions and assessments

Exclusion Criteria:

• Prior experience with Mindfulness-Based Stress Reduction, Mindfulness-Based Cognitive Therapy, or Mindfulness-Based Relapse Prevention
• Active suicidality, schizophrenia, psychotic disorder
• Presence of clinically unstable systemic illness judged to interfere with treatment
• No access to internet (which will prevent telehealth-based treatment)