A Novel Intervention for Avoidance-Related Opioid Misuse in Patients With Cancer
Dana-Farber Cancer Institute
Summary
This research study is being done to develop an intervention for psychological symptoms that patients diagnosed with cancer may experience. Psychological symptoms may include thoughts, feelings, emotions, and memories The names of the study intervention and research activities involved in this study are/is: * Acceptance \& Commitment Therapy (ACT) for Cancer (involving 6 sessions with a licensed clinical psychologist) * Questionnaires * Post-study interview Consistent with the NIH Stage Model for Behavioral Intervention Development, the investigators have adapted an existing, empirically-validated intervention, Acceptance and Commitment Therapy (ACT), to address substance use disorder risk during cancer care. The core components of ACT are particularly well-suited to address the psychological processes underlying opioid misuse in individuals treated for cancer pain. The overarching aim is to assess the feasibility and acceptability of the intervention by conducting a randomized pilot trial of the revised intervention ("ACTION") for cancer patients on opioid therapy, and at risk for SUD.
Description
This research study is a Feasibility Study, which is the first-time investigators are examining this psychological intervention in patients with cancer who are prescribed opioids and are receiving palliative care. This study is being conducted to develop a psychological intervention designed specifically for individuals with cancer. The purpose of this study is to determine how practical this intervention is, to determine patient satisfaction, and test the study procedures. The aims are to: 1. determine whether this intervention will be appropriate for further testing; 2. identify which parts…
Eligibility
- Age range
- 18–99 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * at least 18 years old * have an estimated survival time of at least 6 months (as estimated by palliative care provider) * score at least 4 on the Opioid Risk Tool (ORT) * have been diagnosed with any cancer, including hematologic malignancies * performance status criterion of 0, 1, or 2 \[ with 0 indicating that the patient is asymptomatic, 1 that the patient is symptomatic but fully ambulatory, and 2 that the patient is symptomatic and in bed \<50% of the day\] Exclusion Criteria: * Patients with a score at least 3 to ensure that all enrolled patients are able to part…
Interventions
- BehavioralAcceptance and Commitment Therapy
Six-session, skills-based behavioral intervention targeting risk factors for opioid use disorder in the context of cancer
Location
- Dana Farber Cancer InstituteBoston, Massachusetts