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 Disorder, Nontraumatic Injury, Substance Use, Upper Extremity Problem

Talk to us

Study Overview

On this page

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