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Cognitive Behavioral Therapy

Cognitive Behavioral Therapy for Chronic Pain

N/A
Waitlist Available
Led By Lisham Ashrafioun, PhD
Research Sponsored by VA Office of Research and Development
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Participants must report pain that occurs on at least half the days for six months
English-speaking Veterans on long-term opioid therapy prescribed opioid analgesics (>20mg morphine equivalent daily [MEDD] and at least a 90 days supply)
Must not have
Veterans currently undergoing oncology treatment or hospice patients
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline to 6-months post-treatment
Awards & highlights
No Placebo-Only Group

Summary

This trial will test the effects of CBT-TS to increase initiation of psychosocial interventions for pain among Veterans receiving opioid analgesics for chronic pain, with the goal of improving pain and substance use outcomes.

Who is the study for?
This trial is for English-speaking Veterans who have been on long-term opioid therapy (over 20mg morphine equivalent daily) for chronic pain, experiencing pain most days over the last six months. They must not be undergoing cancer treatment or hospice care, have no recent/upcoming surgeries, and not currently in non-drug pain treatments.
What is being tested?
The study tests Cognitive-Behavioral Therapy for Treatment Seeking (CBT-TS) against an education control to see if it helps Veterans start and stick with psychological interventions for managing chronic pain, potentially reducing reliance on opioids.
What are the potential side effects?
Since this trial involves educational and cognitive-behavioral therapies rather than medications, traditional side effects are minimal. However, participants may experience emotional discomfort discussing personal issues during therapy sessions.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I have experienced pain on most days for the last six months.
Select...
I am a veteran prescribed opioids equivalent to more than 20mg of morphine daily for over 90 days.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
Select...
I am a veteran receiving cancer treatment or in hospice care.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline to 6-months post-treatment
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline to 6-months post-treatment for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Medical Record Review and Treatment Utilization Form
Secondary study objectives
Beck Hopelessness Scale (BHS)
Medication Beliefs Questionnaire
Pain Catastrophizing Scale
+3 more
Other study objectives
Opioid use
PROMIS Profile-29

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: CBT for Treatment SeekingExperimental Treatment1 Intervention
CBT delivered over the course of 1, \~45 minute session delivered via telehealth.
Group II: Pain Treatment EducationActive Control1 Intervention
Pain treatment education is delivered over the course of 1, \~45 minute session delivered via telehealth

Find a Location

Who is running the clinical trial?

VA Office of Research and DevelopmentLead Sponsor
1,658 Previous Clinical Trials
3,361,313 Total Patients Enrolled
42 Trials studying Chronic Pain
4,855 Patients Enrolled for Chronic Pain
Lisham Ashrafioun, PhDPrincipal InvestigatorVA Finger Lakes Healthcare System, Canandaigua, NY
2 Previous Clinical Trials
84 Total Patients Enrolled
1 Trials studying Chronic Pain
48 Patients Enrolled for Chronic Pain

Media Library

Cognitive-Behavioral Therapy for Treatment Seeking (Cognitive Behavioral Therapy) Clinical Trial Eligibility Overview. Trial Name: NCT05363176 — N/A
Chronic Pain Research Study Groups: CBT for Treatment Seeking, Pain Treatment Education
Chronic Pain Clinical Trial 2023: Cognitive-Behavioral Therapy for Treatment Seeking Highlights & Side Effects. Trial Name: NCT05363176 — N/A
Cognitive-Behavioral Therapy for Treatment Seeking (Cognitive Behavioral Therapy) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05363176 — N/A
~111 spots leftby Apr 2026