Chronic Pain Clinical Trial
Official title:
Optimizing Patient Engagement in a Novel Pain Management Initiative (OPEN)
The OPEN study has two aims: The first is to identify what helps to keep patients involved with a Medicaid chronic pain management program and to identify features of an ideal text-message-based program for people enrolled in the program. The second aim is to develop the text-message-based program (OPENtext), then find out how useful this intervention is compared to a patient navigator intervention (OPENnav) for increasing patient engagement, improving patient's motivation to manage their chronic pain, and improving patient confidence in self-managing their chronic pain condition.
Chronic pain is a condition that affects the most fundamental aspects of quality of life.
Treatment for chronic pain is challenging and usually takes the form of opioid medication
therapy. But chronic opioid therapy is also associated with high rates of emergency
department use, drug diversion, addiction, and unintentional overdose deaths. The new RI
Medicaid Chronic Pain Initiative (CPI) targets patients who are both high emergency
department users and experiencing chronic pain. In the CPI, patients can be prescribed an
integrated treatment plan of massage, chiropractic, or acupuncture therapies. This is a novel
approach to chronic pain care, but retention and patient engagement are low. It is important
to understand why involvement in the CPI is low, how to improve the patient experience, and
how to support the prescribed CAM therapies.
This study has two aims: The first is to identify what helps to keep patients involved with
the CPI program and to identify features of an ideal text-message-based program for people
enrolled in the CPI. The second aim is to develop the text-message-based program (OPENtext),
then find out how useful this intervention is compared to a patient navigator intervention
(OPENnav) for increasing patient engagement, improving patient's motivation to manage their
chronic pain, and improving patient confidence in self-managing their chronic pain condition.
Investigators will conduct qualitative interviews with patients, providers, and
administrators. Goals of the interviews will be: to understand the patient experience in the
CPI, including experiences with the navigation approach currently in place; to identify
barriers and facilitators to CPI participation; and to learn how technology—especially cell
phone text-messaging—could help support pain care and CPI engagement. These interviews will
help develop a text-message-based intervention and provide feedback to existing patient
navigator programming. Next, investigators will develop and test the text-message patient
support intervention that will contain patient-identified topics and concerns that emerge
from the qualitative interviews and topic areas discussed by a stakeholder Advisory Board.
Theories of behavior change will be used to help with message development, and patients will
take part in helping to test and fine-tune the intervention. Last, investigators will compare
the text-message and patient navigation interventions in a randomized controlled study with
200 patients over a six-month period. Investigators will see which approach helps patients
increase their involvement in the CPI and better manage their chronic pain. If successful,
chronic pain patients across Medicaid programs could benefit from use of the patient
navigation or the text-message intervention.
;
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT01659073 -
Using Perfusion MRI to Measure the Dynamic Changes in Neural Activation Associated With Caloric Vestibular Stimulation
|
N/A | |
Recruiting |
NCT05914311 -
Use of Dermabond in Mitigation of Spinal Cord Stimulation (SCS) Trial Lead Migration
|
N/A | |
Recruiting |
NCT05422456 -
The Turkish Version of Functional Disability Inventory
|
||
Enrolling by invitation |
NCT05422443 -
The Turkish Version of Pain Coping Questionnaire
|
||
Completed |
NCT05057988 -
Virtual Empowered Relief for Chronic Pain
|
N/A | |
Completed |
NCT04385030 -
Neurostimulation and Mirror Therapy in Traumatic Brachial Plexus Injury
|
N/A | |
Recruiting |
NCT06206252 -
Can Medical Cannabis Affect Opioid Use?
|
||
Completed |
NCT05103319 -
Simultaneous Application of Ketamine and Lidocaine During an Ambulatory Infusion Therapy as a Treatment Option in Refractory Chronic Pain Conditions
|
||
Completed |
NCT03687762 -
Back on Track to Healthy Living Study
|
N/A | |
Completed |
NCT04171336 -
Animal-assisted Therapy for Children and Adolescents With Chronic Pain
|
N/A | |
Completed |
NCT03179475 -
Targin® for Chronic Pain Management in Patients With Spinal Cord Injury
|
Phase 4 | |
Completed |
NCT03418129 -
Neuromodulatory Treatments for Pain Management in TBI
|
N/A | |
Completed |
NCT03268551 -
MEMO-Medical Marijuana and Opioids Study
|
||
Recruiting |
NCT06060028 -
The Power of Touch. Non-Invasive C-Tactile Stimulation for Chronic Osteoarthritis Pain
|
N/A | |
Recruiting |
NCT06204627 -
TDCS* and Laterality Trainnning in Patients With Chronic Neck Pain
|
N/A | |
Completed |
NCT00983385 -
Evaluation of Effectiveness and Tolerability of Tapentadol Hydrochloride in Subjects With Severe Chronic Low Back Pain Taking Either WHO Step I or Step II Analgesics or no Regular Analgesics
|
Phase 3 | |
Recruiting |
NCT05118204 -
Randomized Trial of Buprenorphine Microdose Inductions During Hospitalization
|
Phase 4 | |
Terminated |
NCT03538444 -
Repetitive Transcranial Magnetic Stimulation for Opiate Use Disorder
|
N/A | |
Not yet recruiting |
NCT05812703 -
Biometrics and Self-reported Health Changes in Adults Receiving Behavioral Treatments for Chronic Pain
|
||
Completed |
NCT05036499 -
PFI for Pain-Related Anxiety Among Hazardous Drinkers With Chronic Pain
|
N/A |