[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100609992":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":24,"centralContacts":28,"locations":37,"responsibleParty":55,"collaborators":24,"id":58,"slug":59,"hasResults":60,"nctId":61,"briefTitle":62,"officialTitle":63,"acronym":24,"eligibilityCriteria":64,"healthyVolunteers":60,"sex":65,"minAge":66,"maxAge":24,"enrollmentInfo":67,"targetDuration":24,"studyType":70,"phases":71,"briefSummary":73,"conditions":74,"keywords":78,"overallStatus":40,"whyStopped":24,"lastUpdateSubmitDate":88,"lastUpdatePostDateStruct":89,"startDateStruct":92,"completionDateStruct":94,"leadSponsor":96,"locationsCount":97},{"fullName":5,"class":6},"Thomas Jefferson University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Opioid tapering with Cognitive Behavioral Therapy (CBT) and education","ACTIVE_COMPARATOR","The CBT group will receive two preoperative sessions and at least one postoperative session conducted via telemedicine and performed by a pain psychologist. CBT sessions will focus on training in non-pharmacologic pain-coping skills, reducing the frequency and impact of negative pain-related cognitions and emotions, and on setting realistic behavioral goals.\n\nPatients will participate in the creation of an opioid tapering plan and will receive opioid education as well as education on how to taper opioids, the possibility of increased pain, the possibility of withdrawal symptoms, and the risks related to opioids, as well as the data on worsened perioperative outcomes in patients taking opioids.",[13],"Other: Opioid tapering with CBT and education",{"label":15,"type":10,"description":16,"interventionNames":17},"Opioid tapering with education alone","In this group patients will participate in the creation of an opioid tapering plan and will receive opioid education as well as education on how to taper opioids, the possibility of increased pain, the possibility of withdrawal symptoms, and the risks related to opioids, as well as the data on worsened perioperative outcomes in patients taking opioids.",[18],"Other: Opioid tapering with education alone",[20,25],{"type":6,"name":21,"description":22,"armGroupLabels":23,"otherNames":24},"Opioid tapering with CBT and education","Patients in the opioid tapering plus CBT group will set up an initial meeting with the pain physician within a few days of enrollment to set the tapering schedule. They will also have two CBT appointments set up to complete via telemedicine during the time between enrollment and surgery.",[9],null,{"type":6,"name":15,"description":26,"armGroupLabels":27,"otherNames":24},"Patients in this group will be instructed to continue their opioids at the same doses and frequencies they were taking up through the day of surgery. They will set up an initial meeting within a few days of enrollment with the chronic pain physician to determine the tapering schedule which will occur over 4 weeks or more leading into surgery. The patient and pain physician will collectively agree on a tapering schedule.",[15],[29,34],{"name":30,"role":31,"phone":32,"phoneExt":24,"email":33},"Eric Schwenk, MD","CONTACT","267-239-3319","eric.schwenk@jefferson.edu",{"name":35,"role":31,"phone":24,"phoneExt":24,"email":36},"Jeffrey Mojica, DO","jeffrey.mojica@jefferson.edu",[38],{"facility":39,"status":40,"city":41,"state":42,"zip":43,"country":44,"countryCode":45,"cosmosGeoPoint":24,"geoPoint":24,"contacts":46},"Thomas Jefferson University Hospital","RECRUITING","Philadephia","Pennsylvania","19107","United States","US",[47,49,51,53],{"name":30,"role":31,"phone":48,"phoneExt":24,"email":33},"919-360-0762",{"name":35,"role":31,"phone":50,"phoneExt":24,"email":36},"856-979-1643",{"name":30,"role":52,"phone":24,"phoneExt":24,"email":24},"PRINCIPAL_INVESTIGATOR",{"name":35,"role":54,"phone":24,"phoneExt":24,"email":24},"SUB_INVESTIGATOR",{"type":52,"investigatorFullName":56,"investigatorTitle":57,"investigatorAffiliation":5,"oldNameTitle":24,"oldOrganization":24},"Eric Schwenk","Professor of Anesthesiology and Perioperative Medicine","100609992","preoperative-opioid-tapering-before-spine-surgery-100609992",false,"NCT07221786","Preoperative Opioid Tapering Before Spine Surgery","A Pilot Study of the Feasibility of Preoperative Opioid Tapering Before Spine Surgery Using Cognitive Behavioral Therapy and Measuring Postoperative Outcomes","Inclusion:\n\n* at least 18 years old\n* scheduled for major spine surgery (i.e. at least 1 level of fusion) with hospital admission of at least one night\n* scheduled for spine surgery at least 4 weeks ahead of time\n* takes between 40 and 200 oral morphine equivalents daily\n\nExclusion:\n\n* inability to use a computer or tablet for telemedicine encounters\n* non-English-speaking\n* inability to complete assessments\n* positive screen on the Columbia Suicide Screening Assessment","ALL","18 Years",{"count":68,"type":69},45,"ESTIMATED","INTERVENTIONAL",[72],"NA","This is a pilot study in which patients taking opioids chronically who are scheduled for spine surgery at least 4 weeks in advance will be randomly assigned to one of two groups: opioid tapering with education alone or opioid tapering with education plus cognitive behavioral therapy (CBT). The primary objective is to determine the proportion of each group that is successful in achieving their opioid tapering goals by the time of surgery.",[75,76,77],"Opioid Consumption, Postoperative","Pain After Surgery","Opioid Dependency",[79,80,81,82,83,84,85,86,87],"spine surgery","pain management","opioids","opioid use","depression","anxiety","opioid dependence","opioid tapering","cognitive behavioral therapy","2026-03-23",{"date":90,"type":91},"2026-03-24","ACTUAL",{"date":93,"type":91},"2025-12-01",{"date":95,"type":69},"2026-12",{"name":5,"class":6},1]