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Opioid Use, Unspecified clinical trials

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NCT ID: NCT03959969 Completed - Clinical trials for Opioid Use, Unspecified

Educational Video on Pain Management and Subsequent Opioid Use After Cesarean Delivery

Start date: July 17, 2019
Phase: N/A
Study type: Interventional

This is a randomized controlled trial assessing the utility of an educational video on pain management after a cesarean section to reduce opioid use. The educational video will be shown during the patient's postpartum stay and the amount of opioid and adjunct medications will be assessed in those who watched the video compared to those who received the standard of care discharge instructions without the video. Participants will be contacted 7 and 14 days after cesarean birth (post operative day number 7 and number 14) to complete a telephone survey on their overall pain management and to determine how many opioid tablets have been used.

NCT ID: NCT03773484 Completed - Clinical trials for Opioid Use, Unspecified

Application of Economics & Social Psychology to Improve Opioid Prescribing Safety (AESOPS): R21 Pilot Phase

AESOPS
Start date: March 25, 2019
Phase: N/A
Study type: Interventional

There is a lack of evidence that long-term opioid use offers benefit for noncancer pain and an abundance of evidence of harm. The objective of the R21 pilot phase of the Application of Economics & Social psychology to improve Opioid Prescribing Safety (AESOPS) is to develop and test novel behavioral nudges to encourage adherence to pain and CDC guidelines for opioid prescribing for persons with noncancer pain. Interventions will leverage the electronic health record (EHR) to discourage unnecessary opioid prescribing through the application of "behavioral insights"-empirically-tested social and psychological interventions that affect choice.

NCT ID: NCT02901275 Completed - Pain Clinical Trials

Enhancing Medication-based Analgesia in Humans

Start date: December 2016
Phase: Phase 2
Study type: Interventional

This is a single-group, within-subject, double-blind, double-dummy, placebo and active-controlled study evaluated whether the FDA-approved cannabinoid dronabinol (Marinol) would enhance analgesia, subjective reports, and cognitive performance when compared to the FDA-approved opioid hydromorphone (Dilaudid).

NCT ID: NCT02653144 Completed - Clinical trials for Opioid Use, Unspecified

the Analgesic Duration of Dexmedetomidine Compared to Dexamethasone as Adjuncts to Single Shot Interscalene Block

Start date: March 2016
Phase: Phase 4
Study type: Interventional

The purpose of the study is to determine if perineural dexmedetomidine can provide increased prolongation of analgesia when compared to perineural dexamethasone in patients receiving regional block for shoulder surgery. If so, dexmedetomidine may serve as a superior adjunct to peripheral nerve blocks in a rapidly evolving, ambulatory-centered surgical setting.

NCT ID: NCT02483468 Completed - Clinical trials for Chronic Low Back Pain

The Effects of Cognitive Behavioral Therapy and Transcranial Current Stimulation (tDCS) on Chronic Lower Back Pain

Start date: August 2015
Phase: Phase 2/Phase 3
Study type: Interventional

The primary objective of this study is to evaluate the effects of cognitive-behavioral therapy in combination with transcranial direct current stimulation in (1) improving pain and functionality, (2) reducing severity of opioid use disorders, and (3) reducing impairment in associated mental health areas (e.g., depression, anxiety, PTSD, sleep). The investigators will also determine the effects of treatment on neural activity in cognitive and limbic brain regions involved in pain regulation using functional magnetic resonance imaging (fMRI), and examine its relationship to opioid use severity.

NCT ID: NCT02431793 Completed - Clinical trials for Opioid Use, Unspecified

EHR‐Based Medication Complete Communication Strategy to Promote Safe Opioid Use

EMC2
Start date: July 2015
Phase: N/A
Study type: Interventional

The purpose of this study is to test the effectiveness of an electronic health record based strategy in promoting safe use of opioid medications after an Emergency Department (ED) visit. The electronic health record (EHR)-based strategy was designed to enhance provider counseling about opioids and to standardize and simplify the information that patients receive.

NCT ID: NCT02299024 Completed - Clinical trials for Opioid Use, Unspecified

Prescribing Opioid Pain Relievers in the Emergency Department: Understanding and Optimizing the Encounter

Start date: October 2012
Phase: N/A
Study type: Interventional

The investigators overall study objective is to improve patients knowledge and safe use of opioid pain relievers upon discharge from the Emergency Department.

NCT ID: NCT02282306 Completed - Clinical trials for Opioid-related Disorders

Phone Interview to Prevent Recurring Opioid Overdoses

TTIP-PRO
Start date: September 2014
Phase: N/A
Study type: Interventional

There has been a dramatic rise in opioid overdose (OOD) deaths in recent years. Attempts to ameliorate the problem have largely focused on increasing the accessibility of naloxone, an opioid antagonist that is effective in OOD reversal. Individuals who have experienced a non-fatal OOD are at risk for additional overdoses and yet there are no interventions that specifically target this high-risk population. To address this gap, the investigators have developed the "Tailored Telephone Intervention delivered by Peers to Prevent Recurring Opioid Overdoses" (TTIP-PRO). The overall goal of the present study is to conduct a pilot evaluation of the TTIP-PRO. The research literature suggests the need for an intervention targeting patients experiencing a non-fatal OOD.

NCT ID: NCT02244099 Completed - Anxiety Clinical Trials

Controlled Substance Treatment Agreements in an Internal Medicine Residents' Clinic

Start date: September 2014
Phase: N/A
Study type: Interventional

The purpose of this study is to characterize and improve controlled substance, carisoprodol and tramadol use in an internal medicine residents' clinic. Specific objectives of this study include: - To measure the adherence to a controlled substance treatment agreement (CSTA) before and after implementation of a population management intervention - To determine the number of patients on a CSTA with a discrepancy identified on a urine drug screen or an Ohio Automated Rx Reporting System (OARRS) report - To track the number of patients on a morphine equivalent dose (MED) of ≥ 80 mg/day before and after implementation of a review intervention - To characterize the healthcare utilization of patients taking controlled substances, carisoprodol, or tramadol by tracking the mean number of ED visits, hospital admissions, telephone calls, and clinic office visits during a 6 month period