- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT07348796
[Ensayo de dispositivo que no está aprobado o autorizado por la FDA de EE.UU.]
[Ensayo de un dispositivo que no está aprobado ni autorizado por la FDA de EE. UU.]
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Descripción detallada
Participation in the study will last 12 months. Participants will be asked to complete assessments at 33 timepoints over the 12-month trial. This will include 1 screening assessment, 24 weekly assessments, 6 monthly assessments, and 2 follow-up assessments. All study assessments will be completed remotely.
Staff at each site will identify potential participants being treated with buprenorphine for opioid use disorder at their respective site. Providers will introduce the study and if interested, the participant will complete a screening assessment conducted by trained study staff to determine eligibility for the study.
Participants who are eligible will be enrolled into the study and given access to the KIOS app.
The active phase will include the first 6 months during which time participants will use the app, complete monthly assessments, and complete a weekly craving assessment. The second 6 months in the study will include two follow-up assessments at 9 months and 12 months post study start. At the end of the 12 months, app access will be removed. The follow up assessments will include the monthly assessments that were completed during the active phase, as well as the craving assessment. All assessments will be sent to the participants' email address for them to complete on any device with internet access. At the conclusion of 12 months of study participation, focus groups will be conducted with 25 of the participants to gather information about their perspectives on the app and its usability and features.
Tipo de estudio
Inscripción (Estimado)
Fase
- No aplica
Contactos y Ubicaciones
Estudio Contacto
- Nombre: Elise Marino, PhD
- Número de teléfono: (210) 567-5399
- Correo electrónico: marinoe@uthscsa.edu
Copia de seguridad de contactos de estudio
- Nombre: McKenna Garcia
- Número de teléfono: (210) 450-7371
- Correo electrónico: garciam98@uthscsa.edu
Ubicaciones de estudio
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Texas
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San Antonio, Texas, Estados Unidos, 78229
- University of Texas Health Science Center - Department of Psychiatry
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Descripción
Inclusion Criteria:
- Male or female outpatients 18 years of age or older
- DSM-5 criteria for opioid use disorder
- Ability to access KIOS via smartphone or tablet
- Initiated buprenorphine treatment in the past 6 months
Exclusion Criteria:
- Unwilling or unable to comply with study requirements
- A psychiatric or medical condition interfering with ability to use the app
- Incarceration
- Suicide risk as determined by the treating medical clinician at the site
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Investigación de servicios de salud
- Asignación: N / A
- Modelo Intervencionista: Asignación de un solo grupo
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
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Experimental: Treatment as usual and KIOS app
Participants will be set up onto their preferred device(s) with assistance from a research assistant.
KIOS will be accessible on all mobile devices as well as tablets.
Treatment as usual (TAU) will be administered to all participants.
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A digital health therapeutic intended to help individuals in recovery from opioid use disorder better self-manage their condition.
KIOS offers individualized, evidence-based behavioral intervention strategies responsive to the patients' current clinical status outside the setting of the doctor's office or treatment facility.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Retention in treatment
Periodo de tiempo: Baseline to 1 year
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The number of days from the start of the one-year intervention until the participant either leaves the trial or completes the trial.
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Baseline to 1 year
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Diagnostic Statistical Manual Version 5 (DSM-5)
Periodo de tiempo: Baseline to 12 months
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DSM-5 criteria describe OUD as a pattern of opioid use leading to problems or distress
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Baseline to 12 months
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Opioid Craving Scale
Periodo de tiempo: Baseline to 12 months
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A brief 3-item measure used to measure opioid craving.
The scale consists of 3 items rated on a visual analog scale from 0-10.
Items are as follows: 1) How much do you currently crave opiates?; 2) In the past week, please rate how strong your desire to use opiates has been when something in the environment has reminded you of opiates?; and 3) Please imagine yourself in the environment in which you previously used opiates.
If you were in this environment today and if it were the time of day that you typically used opiates, what is the likelihood that you would use opiates today.
The total scores range from 3-30 with a higher score indicating more opioid craving.
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Baseline to 12 months
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Patient Health Questionnaire-9 (PHQ-9)
Periodo de tiempo: Baseline to 12 months
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A self-administered 9-item depression module that scores each of the 9 DSM-V (Diagnostic and Statistical Manual of Mental Disorders, 5th edition).
Items are score 0 to 3, providing a 0 to 27 severity score.
Scores of 5, 10, 15, and 20 represent cutoff points for mild, moderate, moderately severe, and severe depression, respectively.
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Baseline to 12 months
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Generalized Anxiety Disorder-7 (GAD-7)
Periodo de tiempo: Baseline to 12 months
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The Generalized Anxiety Disorder-7 (GAD-7)13 measures anxiety with 7 items scored from 0 to 3, providing a 0 to 21 severity score.
Scores of 5, 10, and 15 represent cutoff points for mild, moderate, and severe anxiety, espectively.
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Baseline to 12 months
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Treatment Progress and Recovery (TEA)
Periodo de tiempo: 6 to 12 months
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The TEA gauges progress in treatment and recovery within four domains established by prior research: substance use, health (physical or emotional), lifestyle (housing/living situation, family, employment, relationships), and community (obeying laws, responsible member of society).
For each area, the patient is asked to think about how much better things have become on a 10-point scale (1 = not better at all and 10 = very much better).
Scores range between 0-40, with a higher score indicating greater progress in treatment and recovery
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6 to 12 months
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System Usability Scale (SUS)
Periodo de tiempo: 6 months
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The System Usability Scale (SUS)15 is a 10-item measure for assessing a system's usability on a 5-point Likert scale from strongly agree to strongly disagree.
Scores are converted to a 100-point scale.
A score above a 68 would be considered above average usability.
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6 months
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KIOS User Satisfaction Survey
Periodo de tiempo: 6 months
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Participants complete a survey specific to KIOS regarding: (1) the content, appropriateness, and relevance of the advice; (2) enhancement of self-management skills; (3) selfawareness; and (4) overall satisfaction with health.
Survey items will be answered with level of agreement with a given statement recorded on a Likert-type 0 (Disagree) - 7 (Agree) scale.
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6 months
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Colaboradores e Investigadores
Investigadores
- Investigador principal: Elise Marino, PhD, The University of Texas Health Science Center at San Antonio
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Estimado)
Finalización primaria (Estimado)
Finalización del estudio (Estimado)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- STUDY00002308
- 4R44DA059017-02 (Subvención/contrato del NIH de EE. UU.)
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
producto fabricado y exportado desde los EE. UU.
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .
Ensayos clínicos sobre Trastorno por uso de opioides
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Nanfang Hospital of Southern Medical UniversityShenzhen People's Hospital; Second Affiliated Hospital of Guangzhou Medical UniversityAún no reclutandoLesiones Pancreáticas Sólidas | USE-FNB
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Assiut UniversityAún no reclutandoTomografía computarizada | Biopsia guiada por USE | Lesiones Pancreáticas Localizadas en el Cuerpo o la Cola
-
Milton S. Hershey Medical CenterNational Cancer Institute (NCI)TerminadoQuiste pancreático | USE-PAAFEstados Unidos
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Ensayos clínicos sobre KIOS App
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The University of Texas Health Science Center at...National Institute on Drug Abuse (NIDA); Biomedical Development CorporationActivo, no reclutando
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Biomedical Development CorporationNational Institute on Drug Abuse (NIDA); The University of Texas Health Science...Activo, no reclutandoTrastornos relacionados con opioidesEstados Unidos
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Biomedical Development CorporationTerminadoTrastorno por uso de opioidesEstados Unidos
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London School of Hygiene and Tropical MedicineTerminadoNutrición | Sostenibilidad | Tecnología de salud móvil (mHealth)Reino Unido
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University of MinnesotaAmerican Cancer Society, Inc.; Melanoma Research AllianceTerminadoMelanoma (piel)Estados Unidos
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Northwestern UniversityAmerican Cancer Society, Inc.TerminadoCáncer de mamaEstados Unidos
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Haukeland University HospitalWestern Norway University of Applied SciencesAún no reclutandoSalud digital | Búsqueda de ayuda de salud mental | ReadmisionesNoruega
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Brigham and Women's HospitalReclutamientoInfección de heridas y cicatrización de heridasEstados Unidos
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Klein Buendel, Inc.National Institute on Minority Health and Health Disparities (NIMHD); Stanford...TerminadoActividad físicaEstados Unidos
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Ministry of Science and Technology, TaiwanFu Jen Catholic UniversityReclutamientoCondiciones Infantiles | Amamantamiento | Ansiedad pospartoTaiwán