About this trial
The investigator aims to conduct a feasibility randomized controlled trial (RCT) (N=50) to test the feasibility, acceptability, and credibility of an asynchronous web-based mind-body intervention (Toolkit for Resilient Life beyond Pain and Substance Use; Web-TIRELESS) versus web-based minimally enhanced usual care (Web-MEUC) among adult patients with a painful non-traumatic upper-extremity condition(s) (PNUC) and commorbid risky substance use.
Deliverables: \[1\] Adapt and refine open pilot protocol, patient recruitment, and other study materials. \[2\] Assess the feasibility, acceptability, and credibility of Web-TIRELESS and Web-MEUC in preparation for future research.
Eligibility criteria
Qualifiers
Outpatient adults seeking care in the Hand and Arm Center
Diagnosed with a non-traumatic painful upper-extremity condition (NPUC)
Pain score > 4 on the Numerical Rating Scale (NRS)
Risky substance use (scores >10 and <27 for alcohol, and >3 and <27 for cannabis, cocaine, amphetamine-type stimulants, inhalants, sedatives, hallucinogens, opioids, tobacco products, and e-cigarette on The World Health Organization's - Alcohol, Smoking and Substance Involvement Screening Test [WHO-ASSIST])
Disqualifiers
Participation in mind-body or specialized substance abuse treatment in the past 3 months
Practice of mindfulness >45 minutes/week in the past 3 months
Psychotropic medications (e.g. antidepressants) changed in the past 3 months
Serious untreated mental illness (e.g., Schizophrenia)
Trial design
Treatments tested in this trial
- Web-TIRELESS
- Web-MEUC
Treatment groups
Locations
1Sponsors and collaborators
Jafar Bakhshaie
Lead sponsor
Massachusetts General Hospital
Sponsor institution
National Center for Complementary and Integrative Health (NCCIH)
Collaborator