NCT05057988

Brief Summary

The purpose of the current pilot study is to examine a feasibility and the preliminary efficacy of Empowered Relief (ER) class when it is delivered 'virtually' to patients with chronic pain who take methadone or buprenorphine. The ER class is a single-session pain management class, which has demonstrated to be effective in improving pain and pain-related distress in patients with chronic low back pain, but its efficacy has not been examined in patients with chronic pain who take methadone or buprenorphine. Class participants will learn self-regulatory skills and develop a personalized plan to use the skills every day. The current study will examine a feasibility and participant's perception and satisfaction of this class at post-class. The study will also follow participants 3 months by administering 5 surveys (baseline, 2 weeks and 1 month, 2 months, and 3 months post-treatment) to determine whether the class confers the short-term and medium-term benefits across various aspects of health.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
73

participants targeted

Target at P50-P75 for not_applicable chronic-pain

Timeline
Completed

Started Sep 2021

Typical duration for not_applicable chronic-pain

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 8, 2021

Completed
Same day until next milestone

Study Start

First participant enrolled

September 8, 2021

Completed
19 days until next milestone

First Posted

Study publicly available on registry

September 27, 2021

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 23, 2023

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 2, 2024

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

April 16, 2025

Completed
Last Updated

April 16, 2025

Status Verified

March 1, 2025

Enrollment Period

2.1 years

First QC Date

September 8, 2021

Results QC Date

January 29, 2025

Last Update Submit

March 27, 2025

Conditions

Outcome Measures

Primary Outcomes (3)

  • Perceived Usefulness

    How useful was the information presented in the class? (a single item, 0-10 scale, higher scores correspond to greater perceived usefulness).

    once immediately after class

  • Participant Satisfaction

    Please rate your overall satisfaction with the class (a Single Item, 0-10 Scale, higher scores correspond to greater satisfaction).

    once immediately after class

  • Likelihood of Using the Skills

    How likely are you to use the skills and information you learned? (a Single Item, 0-10 Scale, higher scores correspond to greater likelihood)

    once immediately after class

Secondary Outcomes (4)

  • Pain Bothersomeness

    At 1 month post-tx

  • PCS Total Scores

    At 1 month post-tx

  • Pain Intensity

    At 1 month post-tx

  • PROMIS-Sleep Disturbance

    At 1 month post-tx

Other Outcomes (6)

  • PROMIS-Pain Interference

    At 1 month post-tx

  • PROMIS-Depression

    At 1 month post-tx

  • PROMIS-Anxiety

    At 1 month post-tx

  • +3 more other outcomes

Study Arms (1)

Empowered Relief

EXPERIMENTAL
Behavioral: Empowered Relief class

Interventions

The participants will attend the Empowered Relief class online via Zoom. The class includes pain neuroscience education, as well as cognition, emotion, and physiologic self-regulation for people with chronic pain. Class participants will learn self-management skills and develop a personalized plan to use the skills every day. Participants will receive an audio file (Relaxation Response) post-class. The class provides patients rapid access to actionable skills for symptom management and pain relief.

Empowered Relief

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age at least 18 years old
  • Chronic Pain (\> 3 months)
  • Taking Methadone or Buprenorphine
  • English Fluency

You may not qualify if:

  • Pregnant,
  • Gross Cognitive Impairment,
  • Acute Suicidality,
  • Severe Depression

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Stanford Pain Relief Innovations Lab

Palo Alto, California, 27604, United States

Location

Related Publications (4)

  • Darnall BD, Roy A, Chen AL, Ziadni MS, Keane RT, You DS, Slater K, Poupore-King H, Mackey I, Kao MC, Cook KF, Lorig K, Zhang D, Hong J, Tian L, Mackey SC. Comparison of a Single-Session Pain Management Skills Intervention With a Single-Session Health Education Intervention and 8 Sessions of Cognitive Behavioral Therapy in Adults With Chronic Low Back Pain: A Randomized Clinical Trial. JAMA Netw Open. 2021 Aug 2;4(8):e2113401. doi: 10.1001/jamanetworkopen.2021.13401. Erratum In: JAMA Netw Open. 2022 Apr 1;5(4):e229739. doi: 10.1001/jamanetworkopen.2022.9739.

    PMID: 34398206BACKGROUND
  • Darnall BD, Sturgeon JA, Kao MC, Hah JM, Mackey SC. From Catastrophizing to Recovery: a pilot study of a single-session treatment for pain catastrophizing. J Pain Res. 2014 Apr 25;7:219-26. doi: 10.2147/JPR.S62329. eCollection 2014.

    PMID: 24851056BACKGROUND
  • Ziadni MS, Anderson SR, Gonzalez-Castro L, Darnall BD. Comparative efficacy of a single-session "Empowered Relief" videoconference-delivered group intervention for chronic pain: study protocol for a randomized controlled trial. Trials. 2021 May 22;22(1):358. doi: 10.1186/s13063-021-05303-8.

    PMID: 34022930BACKGROUND
  • Klein MR, Darnall BD, You DS. Feasibility of Web-Based Single-Session Empowered Relief in Patients With Chronic Pain Taking Methadone or Buprenorphine: Protocol for a Single-Arm Trial. JMIR Res Protoc. 2024 Jun 6;13:e53784. doi: 10.2196/53784.

    PMID: 38843513BACKGROUND

MeSH Terms

Conditions

Chronic PainPain

Condition Hierarchy (Ancestors)

Neurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Dr. Dokyoung Sophia You
Organization
Stanford University

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: Single intervention
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

September 8, 2021

First Posted

September 27, 2021

Study Start

September 8, 2021

Primary Completion

October 23, 2023

Study Completion

February 2, 2024

Last Updated

April 16, 2025

Results First Posted

April 16, 2025

Record last verified: 2025-03

Locations