NCT06554431

Brief Summary

The primary purpose of this study is to assess the acceptability of self-directed art making for people with chronic pain and OUD/opioid misuse, or to state it another way, whether people with chronic pain and OUD/opioid misuse will realistically do this artistic practice on their own. A secondary question of this study is to explore whether doing this art practice can help minimize pain during the artistic process, lessen depression and anxiety, and improve feelings of social connection.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
31

participants targeted

Target at P25-P50 for not_applicable chronic-pain

Timeline
Completed

Started Jul 2024

Shorter than P25 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

Study Start

First participant enrolled

July 2, 2024

Completed
23 days until next milestone

First Submitted

Initial submission to the registry

July 25, 2024

Completed
21 days until next milestone

First Posted

Study publicly available on registry

August 15, 2024

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 5, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 5, 2025

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

March 3, 2026

Completed
Last Updated

March 3, 2026

Status Verified

February 1, 2026

Enrollment Period

6 months

First QC Date

July 25, 2024

Results QC Date

December 30, 2025

Last Update Submit

February 11, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • Feasibility of the Intervention

    Feasibility of the intervention will be measured quantitatively by the number of patients who complete the pre- and post-survey up to four (4) times. Results are summarized.

    4 months

  • Acceptability of the Intervention

    Acceptability of the intervention was assessed as a composite measure. Specifically, acceptability was assessed based on the number of participants who both responded affirmatively during training sessions as to whether they used the art kits at home AND also similarly reported to the Study Coordinator (SC) during monthly check-ins they engaged with the art kits on their own time. The number of participants who both responded 'Yes' on the survey and reported home use during monthly check-ins is summarized.

    4 months

Secondary Outcomes (9)

  • Mood Outcomes - Anxiety

    Before and after a microintervention within a 24 hour period, up to 4 months

  • Mood Outcomes - Depression

    Before and after a microintervention within a 24 hour period, up to 4 months

  • Current Level of Pain

    Before and after a microintervention within a 24 hour period, up to 4 months

  • Previous Week Pain - at Its Worst

    Before the workshop and before each microintervention within a 24 hour period, up to 4 months

  • Previous Week Pain - at Its Least

    Before the workshop and before each microintervention within a 24 hour period, up to 4 months

  • +4 more secondary outcomes

Study Arms (1)

Art Making

EXPERIMENTAL

Each patient will receive artmaking kits

Behavioral: Self-Driven Repetitive Artmaking

Interventions

Three (3) art kits which all use repetitive artmaking processes (e.g., materials for mandalas, stamp making kit, weaving kit)

Art Making

Eligibility Criteria

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

You may qualify if:

  • Experience chronic pain
  • Have received medication for OUD in the past 30 days or meet criteria for opioid misuse
  • Are aged 18 or older
  • Are fluent in English and/or Spanish

You may not qualify if:

  • Are not fluent in either English or Spanish

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Montefiore Wellness Center at Waters Place

The Bronx, New York, 10461, United States

Location

Related Publications (35)

  • Yong RJ, Mullins PM, Bhattacharyya N. Prevalence of chronic pain among adults in the United States. Pain. 2022 Feb 1;163(2):e328-e332. doi: 10.1097/j.pain.0000000000002291.

    PMID: 33990113BACKGROUND
  • Rikard SM, Strahan AE, Schmit KM, Guy GP Jr. Chronic Pain Among Adults - United States, 2019-2021. MMWR Morb Mortal Wkly Rep. 2023 Apr 14;72(15):379-385. doi: 10.15585/mmwr.mm7215a1.

    PMID: 37053114BACKGROUND
  • Lerman SF, Rudich Z, Brill S, Shalev H, Shahar G. Longitudinal associations between depression, anxiety, pain, and pain-related disability in chronic pain patients. Psychosom Med. 2015 Apr;77(3):333-41. doi: 10.1097/PSY.0000000000000158.

    PMID: 25849129BACKGROUND
  • Fishbain DA, Cutler R, Rosomoff HL, Rosomoff RS. Chronic pain-associated depression: antecedent or consequence of chronic pain? A review. Clin J Pain. 1997 Jun;13(2):116-37. doi: 10.1097/00002508-199706000-00006.

    PMID: 9186019BACKGROUND
  • Allen SF, Gilbody S, Atkin K, van der Feltz-Cornelis C. The associations between loneliness, social exclusion and pain in the general population: A N=502,528 cross-sectional UK Biobank study. J Psychiatr Res. 2020 Nov;130:68-74. doi: 10.1016/j.jpsychires.2020.06.028. Epub 2020 Aug 1.

    PMID: 32791383BACKGROUND
  • McCaffrey R, Frock TL, Garguilo H. Understanding chronic pain and the mind-body connection. Holist Nurs Pract. 2003 Nov-Dec;17(6):281-7; quiz 288-9. doi: 10.1097/00004650-200311000-00002.

    PMID: 14650569BACKGROUND
  • Angheluta A-M., & Lee, B. L. (2011). Art therapy for chronic pain: Applications and future directions. Canadian Journal of Counselling and Psychotherapy, 45(2), 112-131.

    BACKGROUND
  • Dahlhamer JM, Connor EM, Bose J, Lucas JL, Zelaya CE. Prescription Opioid Use Among Adults With Chronic Pain: United States, 2019. Natl Health Stat Report. 2021 Aug;(162):1-9.

    PMID: 34524076BACKGROUND
  • Keyes KM, Rutherford C, Hamilton A, Barocas JA, Gelberg KH, Mueller PP, Feaster DJ, El-Bassel N, Cerda M. What is the prevalence of and trend in opioid use disorder in the United States from 2010 to 2019? Using multiplier approaches to estimate prevalence for an unknown population size. Drug Alcohol Depend Rep. 2022 Jun;3:100052. doi: 10.1016/j.dadr.2022.100052. Epub 2022 Apr 8.

    PMID: 35783994BACKGROUND
  • Substance Abuse and Mental Health Services Administration (SAMHSA). (2021). Highlights for the 2021 National Survey on Drug Use and Health. Retrieved May 22, 2023 from https://www.samhsa.gov/datasites/default/files/2022- 12/2021NSDUHFFRHighlights092722.pdf

    BACKGROUND
  • Premier, Inc. (2019, January 30). Opioid overdoses costing U.S. hospitals an estimated $11 billion annually. Retrieved May 22, 2023 from https://www.premierinc.com/newsroom/press-reoleases/opioid-overdoses/costing-u-shospitals-an-estimated-11-billion-annually

    BACKGROUND
  • Florence C, Luo F, Rice K. The economic burden of opioid use disorder and fatal opioid overdose in the United States, 2017. Drug Alcohol Depend. 2021 Jan 1;218:108350. doi: 10.1016/j.drugalcdep.2020.108350. Epub 2020 Oct 27.

    PMID: 33121867BACKGROUND
  • Shella, T. A. (2018). Art therapy improves mood, and reduces pain and anxiety when offered at bedside during acute hospital treatment. The Arts in Psychotherapy, 57, 59-64.

    BACKGROUND
  • Hass-Cohen N., Bokoch, R., Goodman, K., & Conover, K. J. (2021). Art therapy drawing protocols for chronic pain: Quantitative results from a mixed method pilot study. The Arts in Psychotherapy, 73, 101479.

    BACKGROUND
  • Angheluta A-M., & Lee, B. L. (2011). Art therapy for chronic pain: Applications and future directions. Canadian Journal of Counselling and Psychotherapy, 45(2), 112-131

    BACKGROUND
  • American Art Therapy Association. (2008). About art therapy. Retrieved May 22, 2023 from https://arttherapy.org/about-art-therapy/

    BACKGROUND
  • Bullington, J., Nordemar, K., Nordemar, R., & Sjöström-Flanagan, C. (2005). From pain through chaos to new meaning: Two case studies. The Arts in Psychotherapy, 32, 261-274.

    BACKGROUND
  • Pavlek, M. (2008). Paining out: An integrative pain therapy model. Clinical Social Work Journal, 36 385-393.

    BACKGROUND
  • Sivik T, Schoenfeld R. Psychosomatic integrative treatment and rehabilitation. Adv Mind Body Med. 2005 Fall-Winter;21(3-4):55-8. No abstract available.

    PMID: 20671349BACKGROUND
  • Long, J. L. (2004). Medical art therapy: Using imagery and visual expression in healing. In P. Camic & S. Knight (Eds.). Clinical handbook of health psychology: A practical guide to effective interventions (2nd ed., pp. 315-341). Toronto ON: Hogrefe & Huber.

    BACKGROUND
  • Shapiro B. (1985). All I have is pain: Art therapy in an inpatient chronic pain relief unit. American Journal of Art Therapy, 24(2), 44-48.

    BACKGROUND
  • Burns P, Van Der Meer R. Happy Hookers: findings from an international study exploring the effects of crochet on wellbeing. Perspect Public Health. 2021 May;141(3):149-157. doi: 10.1177/1757913920911961. Epub 2020 Apr 3.

    PMID: 32245337BACKGROUND
  • Collen M. Life of pain, life of pleasure: pain from the patients' perspective--the evolution of the PAIN exhibit. J Pain Palliat Care Pharmacother. 2005;19(4):45-52.

    PMID: 16431832BACKGROUND
  • Reynolds F, Prior S. 'A lifestyle coat-hanger': a phenomenological study of the meanings of artwork for women coping with chronic illness and disability. Disabil Rehabil. 2003 Jul 22;25(14):785-94. doi: 10.1080/0963828031000093486.

    PMID: 12959359BACKGROUND
  • Langarten H. B. (19871). Clinical art therapy: A comprehensive guide. New York, NY: Brunner/Mazel.

    BACKGROUND
  • Dannecker, K. (1991). Body and expression: Art therapy with rheumatoid patients. American Journal of Art Therapy, 29(4), 110-118.

    BACKGROUND
  • Feen-Calligan, H., Washington, O. G. M., & Moxley, D. P. (2008). Use of artwork as a visual processing modality in group treatment of chemically dependent minority women. The Arts in Psychotherapy, 35, 287-295.

    BACKGROUND
  • Holt, E., & Kaiser, D. H. (2009). The first step series: Art therapy for early substance abuse treatment. The Arts in Psychotherapy, 36, 245-250.

    BACKGROUND
  • Schmanke, L. (2017). Art therapy and substance abuse: Enabling recovery from alcohol and other drug addiction. London, UK: Jessica Kingsley Publishers.

    BACKGROUND
  • Skeffington, P. M., & Browne, M. (2014). Art therapy, trauma and substance misuse: Using imagery to explore difficult past with a complex client. International Journal of Art Therapy, 19(3), 114-121.

    BACKGROUND
  • Leis JA, Morrison CI. An Integrative Review of Arts-Based Strategies for Addressing Pain and Substance Use Disorder During the Opioid Crisis. Health Promot Pract. 2021 May;22(1_suppl):44S-52S. doi: 10.1177/1524839921996065.

    PMID: 33942641BACKGROUND
  • Stasny, A. (2022). The opioid epidemic and the need for arts in community based treatment options: A literature review. [Thesis, Lesley University].

    BACKGROUND
  • Butler, D. & Moseley, L. (2008). Explain pain. Adelaide, Australia: NOI Group.

    BACKGROUND
  • Cudill, M. A. (2002). Managing pain before it manages you. New York, NY: Guilford.

    BACKGROUND
  • Stinley, N. E., Norris, N. O., & Hinds, P. S. (2015). Creating mandalas for the management of acute pain symptoms in pediatric patients. Art Therapy, 32(2), 46-53.

    BACKGROUND

MeSH Terms

Conditions

Chronic PainOpioid-Related Disorders

Condition Hierarchy (Ancestors)

PainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsNarcotic-Related DisordersSubstance-Related DisordersChemically-Induced DisordersMental Disorders

Limitations and Caveats

Because the small sample size restricts the statistical power and generalizability of the findings, the results of this pilot study should be interpreted with caution.

Results Point of Contact

Title
Jenny Seham
Organization
Montefiore Medical Center

Study Officials

  • Jenny Seham, PhD

    Montefiore Medical Center

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
SINGLE GROUP
Model Details: Repetitive Artmaking
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 25, 2024

First Posted

August 15, 2024

Study Start

July 2, 2024

Primary Completion

January 5, 2025

Study Completion

January 5, 2025

Last Updated

March 3, 2026

Results First Posted

March 3, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will not share

Locations