Pilot of Mindfulness Oriented Recovery Enhancement in MethadoneTreatment
Opioid Use, Chronic Pain
About this trial
This is an interventional treatment trial for Opioid Use focused on measuring opioid, chronic pain, methadone, mindfulness
Eligibility Criteria
Inclusion Criteria:
- Age 18 or older
- English-speaking
- Been in methadone treatment for at least 3 months
- Experience a non-malignant pain (with an intensity level of 8 or higher on the Gracely Box Scale) for a duration of 2 months or longer.
Exclusion Criteria:
- Exhibit cognitive impairment (score <24 on the Mini Mental Status Exam)
- Exhibit psychosis (positive SCID Psychotic Screen),
- Are at suicidal risk (positive score on ASQ Suicide Risk Screening Tool)
- Unable to attend group sessions due to distance, work, commitments or other logistical problems,
- Are currently pregnant or breastfeeding
- Are planning to be pregnant or breastfeeding the next 16 weeks.
Sites / Locations
- Rutgers Robert Wood Johnson Medical School
Arms of the Study
Arm 1
Arm 2
Experimental
Other
Mindfulness Oriented Recovery Enhancement
Methadone program behavioral treatment as usual
The Mindfulness Oriented Recovery Enhancement arm will participate in eight, weekly, two-hour group sessions.MORE sessions involve mindfulness training to prevent opioid relapse and reduce pain, cognitive reappraisal to decrease negative affect and regulate opioid craving, and savoring to augment natural reward processing and evoke positive emotion. Each session begins with a mindful breathing meditation, followed by a debriefing session. The therapist then debriefs participants' homework practice of using mindfulness, reappraisal, and savoring skills to cope with pain and enhance well-being in everyday life. During this debrief of the homework. Next, new psychoeducational material is introduced. Sessions culminate with an experiential exercise, and close with a brief mindful breathing meditation. Participants are asked to practice 15 minutes of mindfulness/reappraisal/savoring skills each day.
In the methadone programs, clients typically come to the clinic regularly to get their methadone dose. Clients see their clinic substance abuse counselor for individual counseling, usually weekly at the beginning of treatment, with decreasing frequency if they remain abstinent and progress through treatment. Depending on clients' stage of MMT and success with remaining abstinent from drugs, they may be required to attend clinic treatment groups. Also, some clients may choose to go to voluntary counseling, educational, or support groups.