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
Who can join
As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.
- Age
- 18 Years and older
- Sex
- All sexes
- Healthy volunteers
- Not accepted
- Compensation
- Not stated
Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.
What to expect
No one can promise a trial will help you personally — that is what the research is trying to find out.
What participation involves
Not stated in the study description — ask the study team about visits and procedures.
- Compensation
- Not stated
- Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
- Participants are monitored closely by the research team throughout the study.
- Some participants may receive access to an investigational treatment, which is still being studied.
- Your participation helps researchers learn whether this approach could help future patients.
About this study
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.
Compensation is read from the study's own description and may be missing — always confirm with the study team.
Eligibility
Official eligibility criteria
Inclusion: * at least 18 years old * scheduled for major spine surgery (i.e. at least 1 level of fusion) with hospital admission of at least one night * scheduled for spine surgery at least 4 weeks ahead of time * takes between 40 and 200 oral morphine equivalents daily Exclusion: * inability to use a computer or tablet for telemedicine encounters * non-English-speaking * inability to complete assessments * positive screen on the Columbia Suicide Screening Assessment
Study sites (1)
PA
- Thomas Jefferson University Hospital · Philadephia, PA 19107Eric Schwenk, MD · Study contact · 919-360-0762 · eric.schwenk@jefferson.eduJeffrey Mojica, DO · Study contact · 856-979-1643 · jeffrey.mojica@jefferson.eduEric Schwenk, MD · Principal investigatorJeffrey Mojica, DO · Sub-investigatorMore trials in Philadephia