A non-randomized pilot study to test the feasibility of treating chronic pain and opioid prescription use in rural areas with acceptance and commitment therapy (T-PACT). Issue 5 (24th October 2020)

• Record Type: Journal Article
• Authors: Rhyne, Robert L; Rishel Brakey, Heidi; Halladay, Jacquie R.; Mottus, Kathleen; Greiner, K. Allen; Salt, Elizabeth; Myers, Orrin; Sutton, Kent; Fuentes, Jesus; Vowles, Kevin E.
• Is Part Of: Journal of clinical and translational science. Volume 4:Issue 5(2020)
• Page Start: 472
• Page End: 476
• Publication Date: 2020-10-24
• Subjects: Feasibility study, -- pilot study, -- opioid, -- chronic non-cancer pain, -- acceptance and commitment therapy; Clinical medicine -- Research -- Periodicals; Medicine, Experimental -- Periodicals; Human experimentation in medicine -- Periodicals; 616.027
• DOI: 10.1017/cts.2020.26
• Languages: English
• ISSNs: 2059-8661

Abstract

Abstract: Chronic non-cancer pain (CNCP) involves one-third of the US population, and prescription opioids contribute to the opioid epidemic. The Centers for Disease Control and Prevention emphasizes maximizing non-opioid treatment, but many rural populations cannot access alternative therapies. Clinical and Translational Science Award hubs across four rural states performed a multi-site, single-arm intervention feasibility study testing methods and procedures of implementing a behavioral intervention, acceptance and commitment therapy, in primary care CNCP patients on chronic opioids. Using the CONSORT extension for feasibility studies, we describe lessons learned in recruiting/retaining participants, intervention implementation, data measurement, and multi-site procedures. Results inform a future definitive trial and potentially others conducting rural trials.