Improved Treatment for Patients With Long-term Opioid Therapy for Non-cancer Pain in Primary Care

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-70
SponsorUppsala County Council, Sweden

About this trial

The goal of this clinical trial is to reduce inappropriate long term opioid treatment (LTOT) and to optimize pain management in patients with LTOT for chronic non-cancer pain in primary care through a new person-centred and team-based approach. The main question it aims to answer is:

What are the effects of a new person-centred and team-based approach on pain interference in patients with LTOT for chronic non-cancer pain in primary care?

Researchers will compare a new person-centred and team-based approach to usual care to see if pain interference is lower.

Participants will receive a person-centred team-based treatment consisting of:

* Phase 1 (investigation and assessment, week 1-3): A medication review, pain analysis and other assessments through separate visits to a pharmacist, general practitioner, physiotherapist, psychologist and care manager * Phase 2 (treatment plan, week 3-4): A team consultations with all healthcare personnel involved in Phase 1 including the patient where an individualized rehabilitation plan is made based. * Phase 3 (treatment and follow-up, week 4-24): Implementation of the individualized rehabilitation plan with frequent follow-up contacts (1 per 1-3 weeks) by phone with the care manager.

Eligibility criteria

Qualifiers

Having received the equivalent of 90 days or more prescription of opioids for chronic pain made by the general practitioner during the recent 12 months

Able to speak Swedish or English

Disqualifiers

Having been referred to a pain clinic (either at hospital or multimodal rehabilitation in primary care) within the last 6 months

No current opioid use, severe cognitive dysfunction, e.g., suicidal ideation, psychotic symptoms, or dementia, that prevents informed consent.

Using their opioids for cancer pain

Trial design

Treatments tested in this trial

  • Person-centred team-based approach

Treatment groups

110 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Uppsala County Council, Sweden

Lead sponsor

Uppsala University

Collaborator

Örebro University, Sweden

Collaborator

Sormland County Council, Sweden

Collaborator

Örebro County Council

Collaborator