Decreasing Loneliness to Optimize Pain Care
Loneliness, which is the perceived feeling of insufficient personal relationships, is related to higher risk for inappropriate opioid use and opioid use disorders in patients who are taking opioids long-term. The study seeks to pilot test the evidence-based loneliness interventions of psychological therapy and social navigation in patients on chronic opioids treated in primary care practices to determine if reducing loneliness can lower opioid misuse.
- EligibilityCriteria: Inclusion Criteria:  18 years or older English-speaking On chronic opioids (defined as defined as 3 or more months receiving prescribed opioids [functional definition is 3 or more opioid prescriptions each less than 21 days apart as per our prior studies]) With a score greater or equal to 6 on the UCLA Loneliness 3-item Scale Have a chronic pain diagnosis  Exclusion Criteria:  Have cancer-related pain Are on palliative care or live in a controlled setting (i.e., assisted living, nursing home or inpatient treatment facility) Have an upcoming scheduled surgery Severe cognitive impairment or active psychosis - HealthyVolunteers: Accepts Healthy Volunteers - Gender: All - MinimumAge: 18 Years - StdAgeList: Adult, Older Adult