- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06087991
Buprenorphine Induction and Naloxone Distribution Program-Combined With Warm Hand-Off Referral to Continued Treatment (BINDeR-TX)
This study is a collaboration between the University of Utah and Castleview Hospital in Price, Utah.
Buprenorphine is a medication approved by the FDA to treat Opioid Use Disorder (OUD). Castleview Hospital currently does not prescribe buprenorphine in the emergency department (ED) instead it refers patients to outside addiction treatment facilities. This is a service focused project which the University of Utah will provide mentoring and education to Castleview in implementing an in ED buprenorphine/naloxone distribution program along with referral to continued services. After the program has been implemented, the investigators will evaluate it using quantitative surveys of program participants and qualitative interviews of hospital staff and stakeholders.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Among health care environments, ED often are the front lines of care for those with OUD or who experience opioid overdose.
The University of Utah Hospital ED has the Bridge Program which provides buprenorphine and naloxone with warm-hand off referral for continued treatment to people presenting with OUD. In order to extend the services offered by the Bridge Program to rural hospitals, the investigators will be providing mentoring and education to Castleview Hospital in establishing a similar program. Castleview Hospital is the only acute care hospital that serves Carbon and Emery counties, which outside of the Salt Lake City metro area have the highest opioid overdose rates in the State of Utah.
This project will utilize both quantitative and qualitative measures to evaluate the impact of this program on patients, hospital staff, and community members.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Jerry Cochran
- Phone Number: 801-213-0654
- Email: jerry.cochran@hsc.utah.edu
Study Contact Backup
- Name: Grace Humiston
- Phone Number: 801-885-2221
- Email: grace.humiston@hsc.utah.edu
Study Locations
-
-
Utah
-
Salt Lake City, Utah, United States, 84108
- Recruiting
- University Of Utah
-
Contact:
- Jerry Cochran
- Phone Number: 801-213-0654
- Email: jerry.cochran@hsc.utah.edu
-
Contact:
- Grace Humiston
- Phone Number: 801-885-2221
- Email: grace.humiston@hsc.utah.edu
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
For qualitative interviews with providers, administrators, stakeholders:
- Must be affiliated with Castleview Hospital as a provider, administrator or stakeholder.
For the quantitative surveys:
- Must be a Castleview Hospital patient who receives the BINDeR-Tx model.
Exclusion Criteria:
For qualitative interviews with providers, administrators, stakeholders:
- Not familiar with the BINDeR-Tx model
- No interaction with the BINDeR-Tx model
For the quantitative surveys:
- Unable to speak and read English
- Subject is unable to provide contact information
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Quantitative Interviews
Any Castleview patient who participates in this model will be emailed both the Patient Satisfaction Questionnaire Short Form (PSQ 18) and the Government Performance and Results Act surveys after hospital discharge, six months, and at discharge for buprenorphine.
|
ED-initiated buprenorphine, discharge with naloxone, and warm-hand off referral for continued treatment for individuals with OUD.
This is considered standard treatment at the University of Utah ED.
In order to extend these services to rural hospitals this study will be assisting Castleview Hospital to establish a similar program.
|
Qualitative Interviews
Qualitative interviews among providers, stakeholders and community members associated with Castleview Hospital will be conducted after the model has been deployed.
The qualitative interviews will come from The Consolidated Framework for Implementation Research (CFIR) which is a validated tool that was developed that was developed to evaluate implementation studies.
|
ED-initiated buprenorphine, discharge with naloxone, and warm-hand off referral for continued treatment for individuals with OUD.
This is considered standard treatment at the University of Utah ED.
In order to extend these services to rural hospitals this study will be assisting Castleview Hospital to establish a similar program.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient Focused: Number of patients receiving services.
Time Frame: 24 months
|
Will be the aggregate number of individuals who received ED-initiated buprenorphine.
|
24 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Implementation and service quality: Satisfaction with projected service
Time Frame: 24 months.
|
Qualitative interviews including clinicians, hospital staff, and community members associated with Castleview Hospital will be the investigators using the Consolidated Framework for Implementation Research (CFIR).
|
24 months.
|
Implementation and service quality: Patient satisfaction
Time Frame: enrollment and 6 months post enrollment
|
Patient satisfaction will be assessed using the Patient Satisfaction Questionnaire Short Form (PSQ-18)
|
enrollment and 6 months post enrollment
|
Substance use diagnosis and treatment
Time Frame: enrollment and 6 months post enrollment
|
Using the Government Performance and Results Act (GPRA) Outcome questions on substance use within the past 30 days, other substance use disorder diagnoses and treatment in the past 30 days, and mental health diagnoses.
|
enrollment and 6 months post enrollment
|
Social Connectedness
Time Frame: enrollment and 6 months post enrollment
|
Social connectedness will be measured using the GPRA questions on mutual support group attendance in the last 30 days and relationship satisfaction and support.
|
enrollment and 6 months post enrollment
|
Living Conditions
Time Frame: enrollment and 6 months post enrollment
|
Living conditions will be measured using the GPRA questions on residence within the past 30 days.
|
enrollment and 6 months post enrollment
|
Mental and Physical Health Problems and Treatment/Recovery
Time Frame: enrollment and 6 months post enrollment
|
Mental and physical health problems and treatment/recovery will be measured using the GPRA questions on mental health symptoms and medical care received in the past 30 days and insurance status.
|
enrollment and 6 months post enrollment
|
Legal Status
Time Frame: enrollment and 6 months post enrollment
|
Legal status will be measured using the GPRA questions on incarceration in the past 30 days, charges, trial, sentencing, parole, probation, and drug court status.
|
enrollment and 6 months post enrollment
|
Discharge status
Time Frame: enrollment and 6 months post enrollment
|
Discharge status will be measured using the GRPA questions on substance use diagnosis and treatment in the past 30 days.
|
enrollment and 6 months post enrollment
|
Follow-up Status
Time Frame: enrollment and 6 months post enrollment
|
Follow-up status will be measured using the GPRA questions on contact and follow-up status.
|
enrollment and 6 months post enrollment
|
Education, Employment, and Income
Time Frame: enrollment and 6 months post enrollment
|
Education, employment, and income will be measured using the GPRA questions on education level, employment status, living expenses and income status.
|
enrollment and 6 months post enrollment
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Jerry Cochran, University Of Utah
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
- 158724
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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