Digital and Behavioral Tele-Health Tapering Program for Lowering Dependence on Opioids in Patients Undergoing Surgery

Inclusion Criteria: * Greater than or equal to 18 years of age * Patients undergoing head and neck cancer surgery, open abdominal surgery, thoracic surgery * Life-expectancy of 270 days or more * Patients who will receive opioids as part of their treatment post-operatively * Perioperative opioid use: * Naive Arm: No opioids 30 days prior to surgery * Tolerant Arm: Use of opioids on 2 or more days/week, for 1 or more months prior to surgery * Patient is willing to use Lucid Lane program to provide behavioral health support perioperative period up to 9 months post-op for tolerant opioid users and 1 month for opioid naive users * Patient is willing to discuss Lucid Lane progress with MD Anderson perioperative team and prescribing clinicians * Patient is willing to sign a Lucid Lane Participant Agreement * Patient is willing to sign an informed consent Exclusion Criteria: * Serious mental illnesses including schizophrenia-spectrum disorders, severe bipolar disorder, and severe major depression * Active suicidal ideations * Patients on methadone, naltrexone, or buprenorphine for treatment of opioid use disorder (i.e. for treatment of addiction, and not for treatment of pain) * Patient unwilling to use or not possessing access to a device that allows for video visits (e.g. a smartphone, tablet, or computer) * Patients who are on end-of-life care * Insufficient ability to use English to participate in the consent process, the intervention or study assessments. The Lucid Lane…