Talking therapy may help spine surgery patients cut opioids before going under the knife
NCT ID NCT07221786
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether adding cognitive behavioral therapy (CBT) to standard education helps people who take opioids for chronic pain taper off them before spine surgery. About 45 adults scheduled for major spine surgery at least four weeks ahead will be split into two groups: one gets education alone, the other gets education plus CBT. The main goal is to see how many in each group successfully reduce their opioid dose by the day of surgery.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 45 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion: * at least 18 years old * scheduled for major spine surgery (i.e. at least 1 level of fusion) with hospital admission of at least one night * scheduled for spine surgery at least 4 weeks ahead of time * takes between 40 and 200 oral morphine equivalents daily Exclusion: * inability to use a computer or tablet for telemedicine encounters * non-English-speaking * inability to complete assessments * positive screen on the Columbia Suicide Screening Assessment
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Thomas Jefferson University Hospital
RECRUITINGPhiladephia, Pennsylvania, 19107, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- A Non-Opioid painkiller may cut opioid use after knee surgery
- Virtual reality yoga may calm patients before a painful heart surgery step
- Can one spinal injection cut opioid use after chest surgery?
- Spinal block showdown: can one injection method beat another for Post-Surgery pain?
- New Non-Addictive pain drug could curb opioid dependence after surgery