Zoom-Based Mindfulness-Oriented Recovery Enhancement Plus Just-in-Time Mindfulness Practice Triggered by Wearable Sensors for Opioid Craving and Chronic Pain
Mindfulness May 24, 2023 E. Garland, Bhanuteja Gullapalli, Kort C. Prince et al.
A randomized controlled pilot trial compared Zoom-based Mindfulness-Oriented Recovery Enhancement plus Just-in-Time Adaptive Intervention prompts triggered by wearable sensors (MORE+JITAI) to a Zoom-based supportive group psychotherapy control among 63 opioid-treated chronic pain patients. Ecological momentary assessments over 90 days showed that MORE+JITAI produced significantly greater reductions in craving, pain, and stress, and greater increases in positive affect over time than the control. JITAI-initiated mindfulness practice was associated with improvements in these outcomes and increases in heart rate variability. Machine learning predicted the effectiveness of JITAI-initiated mindfulness practice with reasonable accuracy. The intervention shows preliminary efficacy for reducing factors implicated in opioid misuse.