Community-Engaged Options to Facilitate Opioid Reduction

Community-Engaged Options to Maximize and Facilitate Opioid Reduction Through Treatment

This study investigates how adults prescribed opioids for chronic noncancer pain respond to invitations to try non-opioid options of massage therapy, yoga therapy, chiropractic and physical therapies. Options will be available via telehealth consultation visits using a computer or smartphone with internet connection. The investigators will measure effects on pain, pain-related symptoms, and opioid use over time using a single-group design.

Participants will be recruited from local primary care practices and asked to complete a baseline survey. They will then meet with a registered nurse via teleconference for a complete pain assessment. At the end of the session, participants will be asked to choose two of four available modalities for telehealth consultation. Participants will be scheduled for six telehealth sessions, once per week x six weeks with three consultations per each chosen therapy. Measurements of pain, mood, sleep, medicine use will be captured at baseline, three weeks and six weeks and examined for changes over time.

Inclusion Criteria:

• enrollment in treatment at the CHAS Perry St or partnering clinic;
• age greater than 18 years;
• ability to read, speak, and write English;
• diagnosed with a chronic, non-cancer-based painful medical condition;
• ability to provide informed consent.

Exclusion Criteria:

• pregnancy;
• diagnosis of a cancer-based painful medical condition;
• any other medical or psychiatric condition that the PI or Co-PI physician of record determine might compromise safe study participation (including but not limited to active psychosis, history of frequent psychiatric hospitalizations, severe anxiety with claustrophobia, aggression)