About this trial
The proposed IMPOWR Research Center at Montefiore-Einstein (IMPOWR-ME) will create a multidisciplinary and synergistic program of research to test multimodal treatments that address both chronic pain and opioid use disorder. IMPOWR-ME will generate critical knowledge about the effectiveness, implementation, and cost effectiveness of providing Acceptance and Commitment Therapy and/or a care management smartphone app for individuals in primary care-based buprenorphine treatment. Patients with lived experience with chronic pain and/or opioid use disorder, patient and policy advocates, payors, and health system partners will be engaged in all stages of the research. IMPOWR-ME is well-positioned to become a long-lasting hub for stakeholder-engaged research with multidisciplinary senior and early stage investigators focused on reducing overdose through better treatments for OUD and CP.
Eligibility criteria
Qualifiers
18 years old or older;
English or Spanish proficiency;
receiving BUP treatment for OUD for at least 14 days (thus a stabilized BUP dose); and
CP with at least moderate pain severity (score greater than or equal to 4 on Pain, Enjoyment of Life and General Activity (PEG) scale). Comorbid psychiatric conditions and use of psychotropic medications will be allowed
Disqualifiers
Acute exacerbation of psychiatric conditions precluding the ability to participate in the study (e.g., acute mania, active suicidality/homicidality, psychosis);
psychotropic medication changes within the past three months prior to enrollment;
CP related to malignancy;
received ACT or similar therapeutic intervention in the past;
Trial design
Treatments tested in this trial
- Acceptance and commitment therapy
- Valera Smartphone Application
- Treatment as Usual
Treatment groups
Sponsors and collaborators
Albert Einstein College of Medicine
Lead sponsor
National Institute on Drug Abuse (NIDA)
Collaborator
Weill Medical College of Cornell University
Collaborator
Wake Forest University Health Sciences
Collaborator
University of Miami
Collaborator
Valera Health
Collaborator
Tulane University
Collaborator