- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05388045
Piloting a Patient-Reported Outcome Measure for Opioid Use Disorder Recovery in a Clinical Setting (RecoveryPROM)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The pilot clinical trial will test the newly developed Recovery Patient-Reported Outcome Measure ("Recovery PROM") and approach with patients and clinicians in an office-based opioid medication treatment program (known as office-based opioid treatment (OBOT), medication-assisted treatment (MAT) or medications for OUD (MOUD)), in the specific context of buprenorphine treatment.
Aims
This is a pilot study to assess the feasibility of implementing the Recovery PROM into the workflow of a clinical setting, assess its initial effectiveness, and evaluate its value to patients and clinicians. The aims are as follows:
- Work with a clinical partner to assess and refine the draft Recovery PROM, and examine feasibility and implementation (e.g., workflow, data transfer issues) related to its use in a clinical setting.
- Determine initial effectiveness of the Recovery PROM for improving patient outcomes (self-efficacy, health-related quality of life, patient-provider relationship, social determinants of health, substance use) and facilitating self-directed care and patient-centered shared decision-making.
- Evaluate and update (if needed) the Recovery PROM in terms of recovery while on OUD medication treatment, patient characteristics, and clinical workflow.
Hypotheses Although this pilot study is primarily for information gathering, and ultimately refinement of the Recovery PROM and approach, the study has two broad hypotheses.
H1. Patients and clinicians will find the Recovery PROM to be a useful tool for patient recovery.
H2. Patient self-efficacy, shared decision-making, patient-provider relationship, and health-related quality of life will improve and substance use will decrease with the use of the Recovery PROM.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
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Massachusetts
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Fall River, Massachusetts, United States, 02720
- Stanley Street Resources and Treatment
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Patients:
- Taking buprenorphine for OUD treatment, in current episode of care at clinical partner site, for at least 6 weeks but less than 3 years.
- Able and willing to provide informed consent.
- Able to read English, to provide informed consent and complete study instruments.
- Able to use a smart phone to complete study instruments [phones with data plan will be provided for those without].
Exclusion Criteria:
• Patients who do not meet inclusion criteria.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Recovery PROM
All study participants will complete the Recovery PROM instrument.
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A Recovery Patient-Reported Outcome Measure (PROM, 19 items and 2 questions for each item, collected via online survey) will be completed by eligible patients at baseline and again at months 3 and 6.
The initial Recovery PROM will be shared with the clinician, at the visit most closely scheduled following the baseline visit, for review and discussion with the patient.
At the 3- and 6-month visits, the clinician will be asked to re-review and compare the earlier Recovery PROM(s) as well as the current Recovery PROM.
The clinician is encouraged to use the PROM results during interim clinical visits with the patient.
Efforts will be made to contemporaneously track how often the PROM is discussed in clinical sessions conducted during the 6 months.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in reported health related quality of life (4-point scale), assessed via CDC HRQOL questionnaire
Time Frame: 3 months after baseline, 6 months after baseline
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Centers for Disease Control & Prevention (CDC) Health Related Quality of Life (HRQOL) questionnaire, single item ranging from excellent (score=1) to poor (score=5).
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3 months after baseline, 6 months after baseline
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Change in number of days mental/physical health were not good (in past 30 days), assessed via CDC HRQOL questionnaire.
Time Frame: 3 months after baseline, 6 months after baseline
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CDC Health Related Quality of Life (HRQOL) questionnaire, separate items for mental and physical health, single item measuring the number of days out of 30, where 0 is no days (better) and 30 is daily (worse).
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3 months after baseline, 6 months after baseline
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Change in reported self-efficacy for managing chronic conditions, assessed via PROMIS Self-Efficacy measure
Time Frame: 3 months after baseline, 6 months after baseline
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Patient-Reported Outcomes Measurement Information System (PROMIS) Self-Efficacy scale, a series of 10 questions each on a 5-point scale, ranging from not at all confident (score=1) to very confident (score=5).
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3 months after baseline, 6 months after baseline
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Change in patient-clinician alliance, assessed via WAI-SR
Time Frame: 3 months after baseline, 6 months after baseline
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Working Alliance Inventory-Short Revised (WAI-SR): Patient-clinician alliance for tasks and goals of treatment, and effective relationship.
This scale is a series of 12 items, with responses ranging from seldom (score=1) to always (score=5).
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3 months after baseline, 6 months after baseline
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Social determinants of health, assessed via PRAPARE
Time Frame: 3 months after baseline, 6 months after baseline
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Protocol for Responding to and Assessing Patient Assets, Risks, and Experiences (PRAPARE).
The prepare is a series of independent questions related to social determinants of health; it is not scored.
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3 months after baseline, 6 months after baseline
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Substance use past 30 days, assessed via modified ASI Alcohol and Drug module
Time Frame: 3 months after baseline, 6 months after baseline
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Modified Alcohol and Drug module of the Addiction Severity Index (ASI).
The ASI asks how many days in the past 30 each substance was used, where 0 is no use (better) and 30 days is daily use (worse).
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3 months after baseline, 6 months after baseline
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Satisfaction with Recovery PROM
Time Frame: 6 months after baseline
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Self-developed questions.
These are independent questions.
Each is scored on a scale of 1 to 5, where 1 is the best outcome (e.g., extremely satisfied) and 5 is the worst outcome (e.g., extremely unsatisfied).
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6 months after baseline
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Sharon Reif, PhD, Brandeis University
- Principal Investigator: Constance M Horgan, ScD, Brandeis University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 19123R
- R61DA049263 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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