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Web-based Mind-body Program for Comorbid Nontraumatic Upper-extremity Condition and Risky Substance Use

Description

The investigator aims to conduct an open pilot study (N=12; 10 completers) to test the feasibility, acceptability, and credibility of an asynchronous web-based mind-body intervention (Toolkit for Resilient Life beyond Pain and Substance Use; Web-TIRELESS) for adult patients with a comorbidity of non-traumatic painful upper-extremity condition(s) (NPUC) and risky substance use. Deliverables: 1) Adapt and refine open pilot protocol, patient recruitment, and other study materials. 2) Assess the feasibility, acceptability, and credibility of Web- TIRELESS in preparation for a future feasibility RCT. Participants will complete 4 on-demand video sessions at their own pace (approximate pace of 1 session per week) and complete baseline and post-test assessments. participants may also partake in an exit interview to provide feedback on Web-TIRELESS to further refine the program and study protocol for future iterations.

Conditions

Orthopedic DisorderNontraumatic InjurySubstance UseUpper Extremity Problem
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Related Conditions:

Orthopedic DisorderNontraumatic InjurySubstance UseUpper Extremity Problem

Study Overview

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Study Details

Study overview

The investigator aims to conduct an open pilot study (N=12; 10 completers) to test the feasibility, acceptability, and credibility of an asynchronous web-based mind-body intervention (Toolkit for Resilient Life beyond Pain and Substance Use; Web-TIRELESS) for adult patients with a comorbidity of non-traumatic painful upper-extremity condition(s) (NPUC) and risky substance use. Deliverables: 1) Adapt and refine open pilot protocol, patient recruitment, and other study materials. 2) Assess the feasibility, acceptability, and credibility of Web- TIRELESS in preparation for a future feasibility RCT. Participants will complete 4 on-demand video sessions at their own pace (approximate pace of 1 session per week) and complete baseline and post-test assessments. participants may also partake in an exit interview to provide feedback on Web-TIRELESS to further refine the program and study protocol for future iterations.

Feasibility Open Pilot of Web-based Mind-body Treatment to Enhance Resilience Among Patients with Nontraumatic Painful Upper Extremity Conditions and Comorbid Risky Substance Use

Web-based Mind-body Program for Comorbid Nontraumatic Upper-extremity Condition and Risky Substance Use

Condition
Orthopedic Disorder
Intervention / Treatment

-

Contacts and Locations

Boston

Massachusetts General Hospital (MGH), Boston, Massachusetts, United States, 02129

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • 1. Outpatient adults seeking care in the Hand and Arm Center
  • 2. Diagnosed with a non-traumatic painful upper-extremity condition (NPUC)
  • 3. Pain score \> 4 on the Numerical Rating Scale (NRS)
  • 4. Risky substance use (scores \>10 and \<27 for alcohol, and \>3 and \<27 for cannabis, cocaine, amphetamine-type stimulants, inhalants, sedatives, hallucinogens, opioids, tobacco products, and e-cigarette on The World Health Organization's - Alcohol, Smoking and Substance Involvement Screening Test \[WHO-ASSIST\])
  • 5. Owns a smartphone, laptop, or computer with internet access
  • 6. Age ≥18yr
  • 7. English fluency
  • 8. Ability and willingness to participate in a live video focus group and the following asynchronous Web-based intervention
  • 1. Participation in mind-body or specialized substance abuse treatment in the past 3 months
  • 2. Practice of mindfulness \>45 minutes/week in the past 3 months
  • 3. Psychotropic medications (e.g. antidepressants) changed in the past 3 months
  • 4. Serious untreated mental illness (e.g., Schizophrenia)
  • 5. Suicidal ideation with intent or plan
  • 6. Pregnancy
  • 7. Secondary gains that may bias motivation (e.g., pending disability claim),
  • 8. Moderate to severe cognitive impairment (score ≥4 on the Short Portable Mental Status Questionnaire (SPMSQ))
  • 9. History of surgery for the presented NPUC within the past 6 months

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Jafar Bakhshaie,

Jafar Bakhshaie, MD, PhD, PRINCIPAL_INVESTIGATOR, Massachusetts General Hospital

Study Record Dates

2025-07-31