POINT - Preventing an Opioid Epidemic in Norway: Focusing on Treatment of Chronic Pain

Study Overview
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Brief Summary
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The investigators do research on chronic pain treatment to minimize the risks associated with opioids.

Detailed Description
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The investigators know that patients suffering from chronic pain need good treatment. The use of opioids for chronic, non-cancer related pain may seem appropriate in the short term, but can often have negative consequences for both the individual and society in the long term. Several factors-the escalating use of opioids to chronic pain patients, the increasing use of strong opioids in particular, and the increasing number of overdoses caused by prescription opioids-point to the start of an opioid epidemic in Norway. Objectives The overall goal of the POINT project is to provide knowledge to optimize treatment of patients with chronic pain in order to avoid unnecessary escalation of opioid treatment, improve their quality of life and reduce the burden of disease. In the long run our objective is to prevent the unwanted consequences of opioid treatment and improve patients' quality of life. Ultimately, through this project the investigators hope to prevent an opioid epidemic in Norway. To achieve the main goal, the investigators will focus on pain patients and their doctors, as increasing opioid use may occur through the patient-doctor interaction. Methods The project will develop and test a non-drug interventions that consist of an interdisciplinary group treatment . Financing The Research Council of Norway Cooperation St. Olavs Hospital Stavanger Hospital Trust City of Stavanger National Institute of Public Health (FHI) Alcohol and Drug Research Western Norway (KoRFor) Foreningen for kroniske smertepasienter (FKS) Norwegian Forum of Disabled Peoples' Organizations (SAFO) Cooperation with other projects Injury Prevention and Outcomes following Trauma

Official Title
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Preventing an Opioid Epidemic in Norway: Focusing on Treatment of Chronic Pain

Conditions
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Chronic Pain, Opioid Use

Intervention / Treatment
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* Behavioral: POINT1


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: non-malignant, chronic pain Registered in Stavanger municipality Consent to participation. Age 18 - 67 years Pain duration <10 years Exclusion Criteria: malignant pain condition

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 67 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Intervention Model: Sequential Assignment
Interventional Model Description: MRC framework for a complex intervention
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Point1<br>Receiving treatment | Behavioral: POINT1<br>* Receiving treatment<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change From Baseline in Audit C at 12 Weeks | Audit C | 12 weeks | 
| Change from baseline in Pain Scores on the Visual Analog Scale at 12 Weeks | Visual Analog Scale | 12 weeks | 
| Change from baseline in Bergen Insomnia scale at 12 Weeks | BIS | 12 weeks | 
| Change from baseline in Health-related quality of life at 12 Weeks | HQ5D5L | 12 weeks |