Evidence map›Paper›PMID 35525964›Full record

Trial reportSubstance abuse treatment, prevention, and policy2022

Developing a novel treatment for patients with chronic pain and Opioid User Disorder.

Amy Wachholtz, Dallas Robinson, Elizabeth Epstein

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Substance abuse treatment, prevention, and policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03363243 (Advancing STOP), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03363243 nacompletednot on this map

Advancing STOP: Self-regulation Therapy for Opioid Addiction and Pain

TypeinterventionalSponsorUniversity of Colorado, DenverRan2018 to 2024Enrolled52ConditionsOpioid-use Disorder, Chronic PainArmsSTOP Therapy Treatment group, Treatment as usual (TAU) group
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Article
  3. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Article
  4. Review
  5. Integrating chronic pain management into care for patients with opioid use disorder.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Amy WachholtzDepartment of Psychology, University of Colorado Denver, Denver, USA. amy.wachholtz@ucdenver.edu.ORCID 0000-0003-2833-0039
Dallas RobinsonDepartment of Psychology, University of Colorado Denver, Denver, USA.
Elizabeth EpsteinDepartment of Psychiatry, University of Massachusetts Medical School, Worcester, USA.
University of Colorado Denver · USUniversity of Denver · USUniversity of Massachusetts Chan Medical School · US

Funding

Advancing STOP: Self-regulation/CBT Therapy for Opioid addiction and PainR34DA041549 · NIDA · UNIVERSITY OF COLORADO DENVER · PI WACHHOLTZ, AMY B · 2017 to 2019
$722k
Co-Morbid Opioid Addiction and Chronic PainK23DA030397 · NIDA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI WACHHOLTZ, AMY B · 2011 to 2015
$685k
NIDA NIH HHS K23 DA030397NIDA NIH HHS K23DA030397NIDA NIH HHS R34 DA041549NIDA NIH HHS R34DA041549
6 · The paper itself

Abstract

backgroundIt is critical to develop empirically based, community-treatment friendly, psychotherapy interventions to improve treatment for patients with comorbid chronic pain and Opioid Use Disorder. Understanding factors that increase patient adherence and attendance is important, along with strategies targeted to address those issues.

methodsBased on initial psychophysiology research on adults with OUD and chronic pain, we created an integrated cognitive-behavioral, 12-week outpatient group therapy called STOP (Self-regulation Therapy for Opioid addiction and Pain). In this study, we pilot tested STOP in a Stage 1a feasibility and acceptability study to identify unique treatment needs and factors that increased session attendance, adherence to treatment, and improved outcomes. Fourteen individuals on medication for OUD with co-occurring chronic pain participated.

resultsSTOP had high attendance rates (80%; and active patient engagement). Urine toxicology showed no illicit drug use after week 8. Data analysis from pre-intervention to a 3-month follow-up showed significant functional improvement (F(1,12) = 45.82;p < 0.001) and decreased pain severity levels (F(1,12) = 37.62;p < 0.01). Participants reported appreciation of the unique tools to counteract physiological activation during a pain flare or craving. Participants also reported benefit from in-session visual aids, applicable pain psychology information, take-home worksheets, tools for relaxation practice, learning to apply the therapy tools. DISCUSSION: STOP is a 90-min 12-week rolling-entry group therapy based on previous research identifying psychophysiological needs of pain and OUD patients that can be seamlessly incorporated into community addiction treatment clinics.

conclusionPreliminary results of STOP are promising with high patient engagement and adherence and significant reductions in drug use and pain.

trial registrationClinicalTrials.Gov NCT03363243 , Registered Dec 6, 2017.

Indexed as

Chronic PainCognitive Behavioral TherapyOpioid-Related DisordersAdultAnalgesics, OpioidHumansPsychotherapyAnalgesics, OpioidChronic painComorbidityOpioid use disorderTreatment development

Identifiers

PMID35525964
PMCPMC9077914
OpenAlexW4229022223

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.