Harnessing Online Peer Education Opioid Study

Study Overview
=================
Brief Summary
-----------------
The investigators have created an online peer support platform for chronic pain patients on opioid medications. This platform provides peer support and online mental health counselor run support groups to help participants manage pain and not abuse opioid medications.

Detailed Description
-----------------
This study determined the feasibility, acceptability, and preliminary efficacy of an online support and risk reduction platform to prevent opioid misuse and abuse. This is an urgent area of research; opioid misuse/abuse has reached epidemic proportions in recent years. It is linked to causing the largest drug epidemic in the history of the United States and has become the top priority of the US Surgeon General. Because the opioid crisis (including heroin use) is believed to have largely originated from chronic pain patients' opioid prescriptions, this application will initially focus on the needs of chronic pain patients on opioids who are high risk for addiction and overdose. Later versions of the technology will expand to the broader population of people affected by the opioid crisis, including heroin users. Although low cost, novel interventions are needed to reduce opioid misuse and abuse, before they lead to addiction and fatal overdose, only 6 behavioral (non-pharmacological) randomized controlled trials have been successfully conducted in this area to date (with our group having conducted one of them), creating a tremendous need for solutions to the opioid crisis. Building off extensive preliminary research that our team conducted, including piloting technology-based behavior change interventions among chronic pain patients, and developing artificial intelligence (AI)-based prediction models of opioid outcomes, we propose to design and test the feasibility, acceptability, and preliminary efficacy of an online peer social support and clinical counseling community to reduce opioid misuse/abuse among chronic pain sufferers.

Official Title
-----------------
Opioid Support and Risk Reduction Online Platform

Conditions
-----------------
Medication Compliance, Pain

Intervention / Treatment
-----------------
* Behavioral: HOPE Intervention


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: adults over 18, COMM scores at risk of misuse, prescribed opioids by doctor - Exclusion Criteria: cancer patients, elicit drug users, under 18 years -

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: HOPE Intervention<br>These participants will have peer support and online support groups. | Behavioral: HOPE Intervention<br>* Participants used the Health Checkins Platform for 12 weeks for emotional support and to obtain pain management tools<br>|
| No Intervention: Control<br>The control will not have any support provided. | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Generalized Anxiety Disorder scale 7 scores | Anxiety levels | 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Beck Depression Inventory scores | Depression levels | 12 weeks | 
| Current Opioid Misuse Measure scores | common opioid misuse measure | 12 weeks |