A non-randomized pilot study to test the feasibility of treating chronic pain and opioid prescription use in rural areas with acceptance and commitment therapy (T-PACT)

Robert L. Rhyne; Heidi Rishel Brakey; Jacquie R. Halladay; Kathleen Mottus; K. Allen Greiner; Elizabeth Salt; Orrin Myers; Kent Sutton; Jesus Fuentes; Kevin E. Vowles

doi:10.1017/cts.2020.26

A non-randomized pilot study to test the feasibility of treating chronic pain and opioid prescription use in rural areas with acceptance and commitment therapy (T-PACT)

Robert L. Rhyne, Heidi Rishel Brakey, Jacquie R. Halladay, Kathleen Mottus, K. Allen Greiner, Elizabeth Salt, Orrin Myers, Kent Sutton, Jesus Fuentes, Kevin E. Vowles

College of Nursing

Research output: Contribution to journal › Article › peer-review

Abstract

Chronic non-cancer pain (CNCP) involves one-third of the US population, and prescription opioids contribute to the opioid epidemic. The Centers for Disease Control and Prevention emphasizes maximizing non-opioid treatment, but many rural populations cannot access alternative therapies. Clinical and Translational Science Award hubs across four rural states performed a multi-site, single-arm intervention feasibility study testing methods and procedures of implementing a behavioral intervention, acceptance and commitment therapy, in primary care CNCP patients on chronic opioids. Using the CONSORT extension for feasibility studies, we describe lessons learned in recruiting/retaining participants, intervention implementation, data measurement, and multi-site procedures. Results inform a future definitive trial and potentially others conducting rural trials.

Original language	English
Pages (from-to)	472-476
Number of pages	5
Journal	Journal of Clinical and Translational Science
Volume	4
Issue number	5
DOIs	https://doi.org/10.1017/cts.2020.26
State	Published - Oct 2020

Bibliographical note

Funding Information:
This work was supported by the University of New Mexico Clinical and Translational Science Center: UL1TR001449 (RR: site PI), University of Kansas Clinical and Translational Science Institute: UL1TR002366 (AG: site PI), University of North Carolina at Chapel Hill, NC Translational and Clinical Sciences Institute: UL1TR002489 (JH: site PI), and University of Kentucky Center for Clinical and Translational Science: UL1TR001998 (ES: site PI).

Publisher Copyright:
© The Association for Clinical and Translational Science 2020.

Keywords

acceptance and commitment therapy
chronic non-cancer pain
Feasibility study
opioid
pilot study

ASJC Scopus subject areas

General Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1017/cts.2020.26

Cite this

Rhyne, R. L., Rishel Brakey, H., Halladay, J. R., Mottus, K., Greiner, K. A., Salt, E., Myers, O., Sutton, K., Fuentes, J., & Vowles, K. E. (2020). A non-randomized pilot study to test the feasibility of treating chronic pain and opioid prescription use in rural areas with acceptance and commitment therapy (T-PACT). Journal of Clinical and Translational Science, 4(5), 472-476. https://doi.org/10.1017/cts.2020.26

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title = "A non-randomized pilot study to test the feasibility of treating chronic pain and opioid prescription use in rural areas with acceptance and commitment therapy (T-PACT)",

abstract = "Chronic non-cancer pain (CNCP) involves one-third of the US population, and prescription opioids contribute to the opioid epidemic. The Centers for Disease Control and Prevention emphasizes maximizing non-opioid treatment, but many rural populations cannot access alternative therapies. Clinical and Translational Science Award hubs across four rural states performed a multi-site, single-arm intervention feasibility study testing methods and procedures of implementing a behavioral intervention, acceptance and commitment therapy, in primary care CNCP patients on chronic opioids. Using the CONSORT extension for feasibility studies, we describe lessons learned in recruiting/retaining participants, intervention implementation, data measurement, and multi-site procedures. Results inform a future definitive trial and potentially others conducting rural trials. ",

keywords = "acceptance and commitment therapy, chronic non-cancer pain, Feasibility study, opioid, pilot study",

author = "Rhyne, {Robert L.} and {Rishel Brakey}, Heidi and Halladay, {Jacquie R.} and Kathleen Mottus and Greiner, {K. Allen} and Elizabeth Salt and Orrin Myers and Kent Sutton and Jesus Fuentes and Vowles, {Kevin E.}",

note = "Funding Information: This work was supported by the University of New Mexico Clinical and Translational Science Center: UL1TR001449 (RR: site PI), University of Kansas Clinical and Translational Science Institute: UL1TR002366 (AG: site PI), University of North Carolina at Chapel Hill, NC Translational and Clinical Sciences Institute: UL1TR002489 (JH: site PI), and University of Kentucky Center for Clinical and Translational Science: UL1TR001998 (ES: site PI). Publisher Copyright: {\textcopyright} The Association for Clinical and Translational Science 2020.",

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doi = "10.1017/cts.2020.26",

language = "English",

volume = "4",

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Rhyne, RL, Rishel Brakey, H, Halladay, JR, Mottus, K, Greiner, KA, Salt, E, Myers, O, Sutton, K, Fuentes, J & Vowles, KE 2020, 'A non-randomized pilot study to test the feasibility of treating chronic pain and opioid prescription use in rural areas with acceptance and commitment therapy (T-PACT)', Journal of Clinical and Translational Science, vol. 4, no. 5, pp. 472-476. https://doi.org/10.1017/cts.2020.26

A non-randomized pilot study to test the feasibility of treating chronic pain and opioid prescription use in rural areas with acceptance and commitment therapy (T-PACT). / Rhyne, Robert L.; Rishel Brakey, Heidi; Halladay, Jacquie R. et al.
In: Journal of Clinical and Translational Science, Vol. 4, No. 5, 10.2020, p. 472-476.

Research output: Contribution to journal › Article › peer-review

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AU - Halladay, Jacquie R.

AU - Mottus, Kathleen

AU - Greiner, K. Allen

AU - Salt, Elizabeth

AU - Myers, Orrin

AU - Sutton, Kent

AU - Fuentes, Jesus

AU - Vowles, Kevin E.

N1 - Funding Information: This work was supported by the University of New Mexico Clinical and Translational Science Center: UL1TR001449 (RR: site PI), University of Kansas Clinical and Translational Science Institute: UL1TR002366 (AG: site PI), University of North Carolina at Chapel Hill, NC Translational and Clinical Sciences Institute: UL1TR002489 (JH: site PI), and University of Kentucky Center for Clinical and Translational Science: UL1TR001998 (ES: site PI). Publisher Copyright: © The Association for Clinical and Translational Science 2020.

PY - 2020/10

Y1 - 2020/10

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A non-randomized pilot study to test the feasibility of treating chronic pain and opioid prescription use in rural areas with acceptance and commitment therapy (T-PACT)

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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