Healing After Injury to Reduce Opioid Use and Pain Through Preventive Engagement
HOPE
An Adaptive Psychological Intervention to Improve Pain and Reduce Opioid Use Following an Injury
2 other identifiers
interventional
80
0 countries
N/A
Brief Summary
The goal of this proposed project is to optimize the adaptive psychological intervention and assess the feasibility and acceptability. The long-term objective of this line of research is to evaluate whether an adaptive psychological intervention delivered after a musculoskeletal injury is effective in preventing the development of chronic pain and long-term opioid use.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable pain
Started Oct 2026
Typical duration for not_applicable pain
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
July 28, 2026
CompletedFirst Posted
Study publicly available on registry
August 3, 2026
CompletedStudy Start
First participant enrolled
October 1, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
May 31, 2028
Study Completion
Last participant's last visit for all outcomes
May 31, 2028
August 3, 2026
July 1, 2026
1.7 years
July 28, 2026
July 28, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Opioid use
Whether patient was using opioids
90-day follow-up
Secondary Outcomes (11)
Morphine Dose Equivalent (MDE)
90-day follow-up
Presence of chronic pain
90-day follow-up
Pain severity
90-day follow-up
Pain interference
90-day follow-up
Mindfulness
90-day follow-up
- +6 more secondary outcomes
Study Arms (5)
Subgroup 1
NO INTERVENTIONParticipants who were not randomized to the computerized brief intervention and were no longer on opioids 10 days post-baseline and did not receive any further treatment.
Subgroup 2
ACTIVE COMPARATORParticipants who were not randomized to the computerized brief intervention but were on opioids 10 days post-baseline and received recommendations for an opioid taper.
Subgroup 3
EXPERIMENTALParticipants who were randomized to the computerized brief intervention but were no longer on opioids 10 days post-baseline and did not receive any further treatment.
Subgroup 4
EXPERIMENTALParticipants who were randomized to the computerized brief intervention and were still on opioids 10 days post-baseline and were then randomized to receive the recommendations for the opioid taper.
Subgroup 5
EXPERIMENTALParticipants who were randomized to the computerized brief intervention and were still on opioids 10 days post-baseline and were then randomized to receive the recommendations for the opioid taper plus additional psychological treatment sessions.
Interventions
Education about long-term opioid use and a mindfulness strategy
Recommendations will be provided to taper opioid use.
Four sessions composed of education, mindfulness, and acceptance-based strategies.
Eligibility Criteria
You may qualify if:
- Admitted to Henry Ford Hospital
- Has an acute musculoskeletal injury
- Prescribed opioids during the admission
You may not qualify if:
- Under age 18
- Cognitive impairment (i.e., diagnosis of delirium, dementia, or traumatic brain injury/Glasgow Coma Scale less than 13)
- Chronic pain condition (i.e., pain most of the day, nearly every day for the past 3 months or longer)
- Taking opioids within the 30 days prior to this hospitalization
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Henry Ford Health Systemlead
- National Institute on Drug Abuse (NIDA)collaborator
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Scientist
Study Record Dates
First Submitted
July 28, 2026
First Posted
August 3, 2026
Study Start (Estimated)
October 1, 2026
Primary Completion (Estimated)
May 31, 2028
Study Completion (Estimated)
May 31, 2028
Last Updated
August 3, 2026
Record last verified: 2026-07