Trial Outcomes & Findings for Computer Based Treatment for Cognitive Behavioral Therapy and Cooperative Pain Education and Self-Management (NCT NCT05204576)

NCT ID: NCT05204576

Last Updated: 2026-05-01

Results Overview

Participants active in MOUD treatment will be verified by TimeLine Follow-back and clinic medical records of dates of medication taken, prescriptions filled and pick up.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

160 participants

Primary outcome timeframe

At 3, 6 and 9 months post treatment

Results posted on

2026-05-01

Participant Flow

Participant milestones

Participant milestones
Measure
Standard Care Treatment as Usual (TAU)
Individuals will receive buprenorphine or methadone in addition to regular individual or group sessions as offered by the clinic
IMPACT + TAU
Individuals will receive standard agonist treatment plus access to the CBT4CBT-COPES website plus daily texts with a link to a survey. CBT4CBT COPES: Individuals will receive standard agonist treatment plus access to the CBT4CBT-COPES website plus daily IVR assessment calls
Overall Study
STARTED
80
80
Overall Study
Completed 3 Month Follow up
71
67
Overall Study
Completed 6 Month Follow up
72
64
Overall Study
Completed 9 Month Follow up
74
70
Overall Study
Included in ITT Analysis
80
80
Overall Study
COMPLETED
73
69
Overall Study
NOT COMPLETED
7
11

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Computer Based Treatment for Cognitive Behavioral Therapy and Cooperative Pain Education and Self-Management

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard Care Treatment as Usual (TAU)
n=80 Participants
Individuals will receive buprenorphine or methadone in addition to regular individual or group sessions as offered by the clinic
IMPACT + TAU
n=80 Participants
Individuals will receive standard agonist treatment plus access to the CBT4CBT-COPES website plus daily texts with a link to a survey. CBT4CBT COPES: Individuals will receive standard agonist treatment plus access to the CBT4CBT-COPES website plus daily IVR assessment calls
Total
n=160 Participants
Total of all reporting groups
Age, Continuous
50.79 years
STANDARD_DEVIATION 10.06 • n=14 Participants
50.89 years
STANDARD_DEVIATION 9.7 • n=34 Participants
50.84 years
STANDARD_DEVIATION 9.85 • n=69 Participants
Sex: Female, Male
Female
39 Participants
n=14 Participants
46 Participants
n=34 Participants
85 Participants
n=69 Participants
Sex: Female, Male
Male
41 Participants
n=14 Participants
34 Participants
n=34 Participants
75 Participants
n=69 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=14 Participants
0 Participants
n=34 Participants
0 Participants
n=69 Participants
Race (NIH/OMB)
Asian
0 Participants
n=14 Participants
0 Participants
n=34 Participants
0 Participants
n=69 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=14 Participants
0 Participants
n=34 Participants
0 Participants
n=69 Participants
Race (NIH/OMB)
Black or African American
15 Participants
n=14 Participants
13 Participants
n=34 Participants
28 Participants
n=69 Participants
Race (NIH/OMB)
White
40 Participants
n=14 Participants
45 Participants
n=34 Participants
85 Participants
n=69 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=14 Participants
0 Participants
n=34 Participants
0 Participants
n=69 Participants
Race (NIH/OMB)
Unknown or Not Reported
25 Participants
n=14 Participants
22 Participants
n=34 Participants
47 Participants
n=69 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
22 Participants
n=14 Participants
20 Participants
n=34 Participants
42 Participants
n=69 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
57 Participants
n=14 Participants
59 Participants
n=34 Participants
116 Participants
n=69 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=14 Participants
1 Participants
n=34 Participants
2 Participants
n=69 Participants
Region of Enrollment
United States
80 participants
n=14 Participants
80 participants
n=34 Participants
160 participants
n=69 Participants
Education- High School GED or College
57 Participants
n=14 Participants
63 Participants
n=34 Participants
120 Participants
n=69 Participants
Employment
Unemployed
60 Participants
n=14 Participants
60 Participants
n=34 Participants
120 Participants
n=69 Participants
Employment
Employed
20 Participants
n=14 Participants
20 Participants
n=34 Participants
40 Participants
n=69 Participants
Married/Living with Partner
8 Participants
n=14 Participants
14 Participants
n=34 Participants
22 Participants
n=69 Participants
Has access to a computer/laptop or tablet
53 Participants
n=14 Participants
55 Participants
n=34 Participants
108 Participants
n=69 Participants
Has a smartphone
77 Participants
n=14 Participants
77 Participants
n=34 Participants
154 Participants
n=69 Participants
Accesses the internet from smartphone
75 Participants
n=14 Participants
75 Participants
n=34 Participants
150 Participants
n=69 Participants
How comfortable using a computer or smartphone for treatment purposes
Not at all
1 Participants
n=14 Participants
3 Participants
n=34 Participants
4 Participants
n=69 Participants
How comfortable using a computer or smartphone for treatment purposes
A little
7 Participants
n=14 Participants
5 Participants
n=34 Participants
12 Participants
n=69 Participants
How comfortable using a computer or smartphone for treatment purposes
Somewhat
16 Participants
n=14 Participants
15 Participants
n=34 Participants
31 Participants
n=69 Participants
How comfortable using a computer or smartphone for treatment purposes
Very
32 Participants
n=14 Participants
29 Participants
n=34 Participants
61 Participants
n=69 Participants
How comfortable using a computer or smartphone for treatment purposes
Extremely
24 Participants
n=14 Participants
28 Participants
n=34 Participants
52 Participants
n=69 Participants
Current Opioid Use Disorder Severity*
Mild/Moderate
31 Participants
n=14 Participants
33 Participants
n=34 Participants
64 Participants
n=69 Participants
Current Opioid Use Disorder Severity*
Severe
49 Participants
n=14 Participants
47 Participants
n=34 Participants
96 Participants
n=69 Participants
Time in Opioid Use Disorder Treatment
Less than 6 months
21 Participants
n=14 Participants
16 Participants
n=34 Participants
37 Participants
n=69 Participants
Time in Opioid Use Disorder Treatment
6 to 12 months
8 Participants
n=14 Participants
16 Participants
n=34 Participants
24 Participants
n=69 Participants
Time in Opioid Use Disorder Treatment
More than 12 monts
51 Participants
n=14 Participants
48 Participants
n=34 Participants
99 Participants
n=69 Participants
On Methadone
78 Participants
n=14 Participants
80 Participants
n=34 Participants
158 Participants
n=69 Participants
Chronic Pain Scale Score
22.85 score on a scale
STANDARD_DEVIATION 3.84 • n=14 Participants
21.62 score on a scale
STANDARD_DEVIATION 4.74 • n=34 Participants
22.4 score on a scale
STANDARD_DEVIATION 4.34 • n=69 Participants
Has Overdosed
34 Participants
n=14 Participants
42 Participants
n=34 Participants
76 Participants
n=69 Participants
Route of Administration
Intranasal
42 Participants
n=14 Participants
38 Participants
n=34 Participants
80 Participants
n=69 Participants
Route of Administration
Intravenous
21 Participants
n=14 Participants
22 Participants
n=34 Participants
43 Participants
n=69 Participants
Route of Administration
SB
2 Participants
n=14 Participants
0 Participants
n=34 Participants
2 Participants
n=69 Participants
Route of Administration
Oral
15 Participants
n=14 Participants
20 Participants
n=34 Participants
35 Participants
n=69 Participants
Type of Opioid Generally Used
Heroin
48 Participants
n=14 Participants
50 Participants
n=34 Participants
98 Participants
n=69 Participants
Type of Opioid Generally Used
Precription Opioids
15 Participants
n=14 Participants
23 Participants
n=34 Participants
38 Participants
n=69 Participants
Type of Opioid Generally Used
Fentanyl
19 Participants
n=14 Participants
7 Participants
n=34 Participants
26 Participants
n=69 Participants
Type of Opioid Generally Used
Other Opioids
1 Participants
n=14 Participants
0 Participants
n=34 Participants
1 Participants
n=69 Participants
Type Opioid First Used
Heroin
21 Participants
n=14 Participants
23 Participants
n=34 Participants
44 Participants
n=69 Participants
Type Opioid First Used
Other
46 Participants
n=14 Participants
52 Participants
n=34 Participants
98 Participants
n=69 Participants
Type Opioid First Used
Both Heroin and Other
13 Participants
n=14 Participants
5 Participants
n=34 Participants
18 Participants
n=69 Participants

PRIMARY outcome

Timeframe: At 3, 6 and 9 months post treatment

Participants active in MOUD treatment will be verified by TimeLine Follow-back and clinic medical records of dates of medication taken, prescriptions filled and pick up.

Outcome measures

Outcome measures
Measure
Standard Care Treatment as Usual (TAU)
n=80 Participants
Individuals will receive buprenorphine or methadone in addition to regular individual or group sessions as offered by the clinic
IMPACT + TAU
n=80 Participants
Individuals will receive standard agonist treatment plus access to the CBT4CBT-COPES website plus daily texts with a link to a survey. CBT4CBT COPES: Individuals will receive standard agonist treatment plus access to the CBT4CBT-COPES website plus daily IVR assessment calls
Percent Participants Active in Medications for Opioid Use Disorder (MOUD) Treatment
3 months
91.30 Percent participants
86.30 Percent participants
Percent Participants Active in Medications for Opioid Use Disorder (MOUD) Treatment
6 months
89.90 Percent participants
83.20 Percent participants
Percent Participants Active in Medications for Opioid Use Disorder (MOUD) Treatment
9 months
87.30 Percent participants
78.50 Percent participants

PRIMARY outcome

Timeframe: Baseline and 12, 24, 36 weeks

Pain interference is measured using the PROMIS 6-item Pain Interference Short Form. The score range on the PROMIS Pain Form is 6-30, where the highest score is the highest measure of pain interference. Summed raw responses (1-5 scale per item) are converted into a standardized T-score (mean 50, SD 10), where higher scores indicate greater pain interference (worse functioning).

Outcome measures

Outcome measures
Measure
Standard Care Treatment as Usual (TAU)
n=80 Participants
Individuals will receive buprenorphine or methadone in addition to regular individual or group sessions as offered by the clinic
IMPACT + TAU
n=80 Participants
Individuals will receive standard agonist treatment plus access to the CBT4CBT-COPES website plus daily texts with a link to a survey. CBT4CBT COPES: Individuals will receive standard agonist treatment plus access to the CBT4CBT-COPES website plus daily IVR assessment calls
Change in PROMIS 6-item Pain Interference Short Form
24 weeks
62.36 Tscore
Standard Deviation 5.11
60.31 Tscore
Standard Deviation 4.38
Change in PROMIS 6-item Pain Interference Short Form
Baseline
63.06 Tscore
Standard Deviation 5.11
63.54 Tscore
Standard Deviation 4.38
Change in PROMIS 6-item Pain Interference Short Form
12 weeks
62.71 Tscore
Standard Deviation 5.11
61.92 Tscore
Standard Deviation 4.38
Change in PROMIS 6-item Pain Interference Short Form
36 weeks
62.00 Tscore
Standard Deviation 5.11
58.70 Tscore
Standard Deviation 4.38

SECONDARY outcome

Timeframe: Baseline to Week 12

Opioid and other drug use will be assessed in participants weekly using Urine toxicology screens and Timeline Follow-Back. Baseline to Week 12 during treatment period.

Outcome measures

Outcome measures
Measure
Standard Care Treatment as Usual (TAU)
n=80 Participants
Individuals will receive buprenorphine or methadone in addition to regular individual or group sessions as offered by the clinic
IMPACT + TAU
n=80 Participants
Individuals will receive standard agonist treatment plus access to the CBT4CBT-COPES website plus daily texts with a link to a survey. CBT4CBT COPES: Individuals will receive standard agonist treatment plus access to the CBT4CBT-COPES website plus daily IVR assessment calls
Mean Days of Any Drug Use
Baseline
2.03 days
Standard Deviation 2.31
1.51 days
Standard Deviation 1.89
Mean Days of Any Drug Use
Week 1
2.03 days
Standard Deviation 2.31
1.48 days
Standard Deviation 1.89
Mean Days of Any Drug Use
Week 2
2.02 days
Standard Deviation 2.31
1.44 days
Standard Deviation 1.89
Mean Days of Any Drug Use
Week 3
2.02 days
Standard Deviation 2.31
1.40 days
Standard Deviation 1.89
Mean Days of Any Drug Use
Week 4
2.01 days
Standard Deviation 2.31
1.37 days
Standard Deviation 1.89
Mean Days of Any Drug Use
Week 5
2.01 days
Standard Deviation 2.31
1.33 days
Standard Deviation 1.89
Mean Days of Any Drug Use
Week 6
2.00 days
Standard Deviation 2.31
1.29 days
Standard Deviation 1.89
Mean Days of Any Drug Use
Week 7
2.00 days
Standard Deviation 2.31
1.26 days
Standard Deviation 1.89
Mean Days of Any Drug Use
Week 8
1.99 days
Standard Deviation 2.31
1.22 days
Standard Deviation 1.89
Mean Days of Any Drug Use
Week 9
1.99 days
Standard Deviation 2.31
1.18 days
Standard Deviation 1.89
Mean Days of Any Drug Use
Week 10
1.99 days
Standard Deviation 2.31
1.15 days
Standard Deviation 1.89
Mean Days of Any Drug Use
Week 11
1.98 days
Standard Deviation 2.31
1.11 days
Standard Deviation 1.89
Mean Days of Any Drug Use
Week 12
1.98 days
Standard Deviation 2.31
1.07 days
Standard Deviation 1.89

SECONDARY outcome

Timeframe: Week 12 up to Week 36

Opioid and other drug use will be assessed in participants weekly using Urine toxicology screens and Timeline Follow-Back. Weeks 12 to 36 during followup period.

Outcome measures

Outcome measures
Measure
Standard Care Treatment as Usual (TAU)
n=78 Participants
Individuals will receive buprenorphine or methadone in addition to regular individual or group sessions as offered by the clinic
IMPACT + TAU
n=74 Participants
Individuals will receive standard agonist treatment plus access to the CBT4CBT-COPES website plus daily texts with a link to a survey. CBT4CBT COPES: Individuals will receive standard agonist treatment plus access to the CBT4CBT-COPES website plus daily IVR assessment calls
Mean Days of Any Drug Use
Week 12
1.74 days
Standard Deviation 2.25
1.07 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 13
1.76 days
Standard Deviation 2.25
1.07 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 14
1.78 days
Standard Deviation 2.25
1.07 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 15
1.79 days
Standard Deviation 2.25
1.08 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 16
1.81 days
Standard Deviation 2.25
1.08 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 17
1.83 days
Standard Deviation 2.25
1.08 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 18
1.85 days
Standard Deviation 2.25
1.09 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 19
1.86 days
Standard Deviation 2.25
1.09 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 20
1.88 days
Standard Deviation 2.25
1.09 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 21
1.90 days
Standard Deviation 2.25
1.10 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 22
1.92 days
Standard Deviation 2.25
1.10 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 23
1.93 days
Standard Deviation 2.25
1.10 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 24
1.95 days
Standard Deviation 2.25
1.11 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 25
1.97 days
Standard Deviation 2.25
1.11 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 26
1.99 days
Standard Deviation 2.25
1.11 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 27
2.00 days
Standard Deviation 2.25
1.12 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 28
2.02 days
Standard Deviation 2.25
1.12 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 29
2.04 days
Standard Deviation 2.25
1.12 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 30
2.06 days
Standard Deviation 2.25
1.13 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 31
2.07 days
Standard Deviation 2.25
1.13 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 32
2.09 days
Standard Deviation 2.25
1.14 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 33
2.11 days
Standard Deviation 2.25
1.14 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 34
2.13 days
Standard Deviation 2.25
1.14 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 35
2.14 days
Standard Deviation 2.25
1.15 days
Standard Deviation 1.88
Mean Days of Any Drug Use
Week 36
2.16 days
Standard Deviation 2.25
1.15 days
Standard Deviation 1.88

Adverse Events

Standard Care Treatment as Usual (TAU)

Serious events: 18 serious events
Other events: 5 other events
Deaths: 1 deaths

IMPACT + TAU

Serious events: 23 serious events
Other events: 6 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Standard Care Treatment as Usual (TAU)
n=80 participants at risk
Individuals will receive buprenorphine or methadone in addition to regular individual or group sessions as offered by the clinic
IMPACT + TAU
n=80 participants at risk
Individuals will receive standard agonist treatment plus access to the CBT4CBT-COPES website plus daily texts with a link to a survey. CBT4CBT COPES: Individuals will receive standard agonist treatment plus access to the CBT4CBT-COPES website plus daily IVR assessment calls
Psychiatric disorders
Hospitalization for overdose
1.2%
1/80 • 36 weeks
1.2%
1/80 • 36 weeks
Psychiatric disorders
Inpatient detox adminsion
12.5%
10/80 • 36 weeks
11.2%
9/80 • 36 weeks
Psychiatric disorders
Inpatient admission for mental health
2.5%
2/80 • 36 weeks
1.2%
1/80 • 36 weeks
General disorders
Hospitalization for allergic reaction
0.00%
0/80 • 36 weeks
1.2%
1/80 • 36 weeks
Blood and lymphatic system disorders
Hospitalization for anemia
0.00%
0/80 • 36 weeks
1.2%
1/80 • 36 weeks
Musculoskeletal and connective tissue disorders
Hospitalization for back pain
1.2%
1/80 • 36 weeks
0.00%
0/80 • 36 weeks
Gastrointestinal disorders
Hospitalization for bleeding in small intestines
0.00%
0/80 • 36 weeks
1.2%
1/80 • 36 weeks
Cardiac disorders
Hospitalization for blood clot
0.00%
0/80 • 36 weeks
1.2%
1/80 • 36 weeks
Metabolism and nutrition disorders
Hopsitalization for diabetes complications
1.2%
1/80 • 36 weeks
0.00%
0/80 • 36 weeks
Injury, poisoning and procedural complications
Hospitalization for chest injury
1.2%
1/80 • 36 weeks
0.00%
0/80 • 36 weeks
Gastrointestinal disorders
Hospitalization for colon rupture
0.00%
0/80 • 36 weeks
1.2%
1/80 • 36 weeks
Infections and infestations
Hospitalization for COPD
0.00%
0/80 • 36 weeks
1.2%
1/80 • 36 weeks
Infections and infestations
Hospitalization for Covid 19
1.2%
1/80 • 36 weeks
0.00%
0/80 • 36 weeks
General disorders
Hospitalization for fatigue
1.2%
1/80 • 36 weeks
0.00%
0/80 • 36 weeks
Gastrointestinal disorders
Hospitalization for feeding tube
1.2%
1/80 • 36 weeks
0.00%
0/80 • 36 weeks
Injury, poisoning and procedural complications
Hospitalization for food poisoning
0.00%
0/80 • 36 weeks
1.2%
1/80 • 36 weeks
Infections and infestations
Hospitalization for kidney infection
1.2%
1/80 • 36 weeks
0.00%
0/80 • 36 weeks
Infections and infestations
Hospitalization for leg infection
0.00%
0/80 • 36 weeks
1.2%
1/80 • 36 weeks
Hepatobiliary disorders
Hospitalization for liver failure
0.00%
0/80 • 36 weeks
1.2%
1/80 • 36 weeks
Nervous system disorders
Hospitalization for menignioma
0.00%
0/80 • 36 weeks
1.2%
1/80 • 36 weeks
Surgical and medical procedures
Hospitalization for neck surgery
0.00%
0/80 • 36 weeks
1.2%
1/80 • 36 weeks
Surgical and medical procedures
Hospitalization for oral surgery
1.2%
1/80 • 36 weeks
0.00%
0/80 • 36 weeks
Nervous system disorders
Hospitalization for seizures
1.2%
1/80 • 36 weeks
0.00%
0/80 • 36 weeks
Infections and infestations
Hospitallization for spinal infection
0.00%
0/80 • 36 weeks
1.2%
1/80 • 36 weeks
Gastrointestinal disorders
Hospitalization for stomach pain
1.2%
1/80 • 36 weeks
0.00%
0/80 • 36 weeks
Surgical and medical procedures
Hospitalization for stomach surgery
1.2%
1/80 • 36 weeks
0.00%
0/80 • 36 weeks
Gastrointestinal disorders
Hospitalization for stomach ulcers
1.2%
1/80 • 36 weeks
0.00%
0/80 • 36 weeks
General disorders
Hospitalization for sweling of legs/feet
1.2%
1/80 • 36 weeks
0.00%
0/80 • 36 weeks

Other adverse events

Other adverse events
Measure
Standard Care Treatment as Usual (TAU)
n=80 participants at risk
Individuals will receive buprenorphine or methadone in addition to regular individual or group sessions as offered by the clinic
IMPACT + TAU
n=80 participants at risk
Individuals will receive standard agonist treatment plus access to the CBT4CBT-COPES website plus daily texts with a link to a survey. CBT4CBT COPES: Individuals will receive standard agonist treatment plus access to the CBT4CBT-COPES website plus daily IVR assessment calls
Injury, poisoning and procedural complications
Back pain
6.2%
5/80 • 36 weeks
7.5%
6/80 • 36 weeks

Additional Information

Alicia Heapy, PHD

Yale University

Phone: 2039325711

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place