Mobile & Online-Based Interventions to Lessen Pain (MOBILE Relief) in People With Prescription Opioid Misuse
The investigators will implement an international 2-arm online pragmatic feasibility randomized controlled trial (RCT) of a digital pain relief skills intervention Empowered Relief: On-Demand to reduce pain metrics, opioid craving, and opioid misuse. They will compare Empowered Relief to a no-skills digital health education (Living Better) intervention in community-based individuals with comorbid chronic pain and prescription opioid misuse (N=220). Completion of the brief post-treatment survey is a binary measure of treatment engagement; treatment feasibility and appraisal are assessed with three items (satisfaction, perceived utility, and likelihood to use skills learned). Electronic surveys will measure opioid misuse behaviors, craving, and use; and pain intensity and psychological status at: baseline, immediately post-treatment; at post-treatment weeks 1 and 2; and months 1, 2, and 3.
• Male and females 18 years of age or older
• Chronic non-cancer pain (at least 6 months in duration)
• Average pain intensity of at least 3 on the PROMIS SFV1.0 Pain Intensity 1a
• Daily prescription opioid use (at least 10 morphine milliequivalent daily dose; MEDD) for at least 3 months
• Opioid misuse (at least 6 on the Current Opioid Misuse Measure; COMM)
• English fluency
• Internet access