Improving chronic pain care with mindfulness and management visits

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This trial aims to evaluate the effectiveness of Mindfulness-Oriented Recovery Enhancement (MORE) and patient-centered chronic pain management visits in primary care settings. The focus is on reducing chronic pain, enhancing quality of life, and minimizing opioid-related harms for patients on long-term opioid therapy. Participants will engage in mindfulness practices and receive tailored management visits to address their pain and opioid use. The study will assess the impact of these interventions on patient outcomes over time.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Age 18 +
* Current chronic pain diagnosis (pain for ≥3 months) determined by physician assessment
* Prescribed long-term opioid therapy (≥3 months)
* Score \>=3 on the Pain Enjoyment General Activity scale
* Score \>=9 on the Current Opioid Misuse Measure OR lifetime psychiatric or substance use disorder diagnosis OR benzodiazepine use OR history of overdose OR patient or physician determination that risks of opioid use may outweigh the benefits of opioid use

Exclusion Criteria:

* Chronic pain due to a cancer diagnosis
* Active suicidal intent, schizophrenia, psychotic disorder
* Prior experience with Mindfulness-Based Stress Reduction, Mindfulness-Based Cognitive Therapy, Mindfulness-Based Relapse Prevention, or Mindfulness-Oriented Recovery Enhancement

Where it's running

• UCSD Health
  La Jolla, California, United States Recruiting
• Rutgers University Primary Care Clinics
  New Brunswick, New Jersey, United States Recruiting
• University of Utah Primary Care Clinics
  Salt Lake City, Utah, United States Recruiting

Study contacts

• Study coordinator: Hannah Pfeffer, MSW
• Email: hapfeffer@health.ucsd.edu
• Phone: 619-500-4668

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.