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)

Robert L Rhyne, Heidi Rishel Brakey, Jacquie R Halladay, Kathleen Mottus, K Allen Greiner, Elizabeth Salt, Orrin Myers, Kent Sutton, Jesus Fuentes, Kevin E Vowles

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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.

Original languageEnglish
Pages (from-to)472-476
JournalClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico
Volume4
Issue number5
Early online date24 Mar 2020
DOIs
Publication statusPublished - 01 Oct 2020

Bibliographical note

© The Association for Clinical and Translational Science 2020.

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