- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT07780097
TRTME: Improving Outpatient Initiation of Medication for Opioid Use Disorder Following Hospitalization (TRTME)
A Pilot Randomized Controlled Trial to Improve Outpatient Initiation of Medication for Opioid Use Disorder (MOUD) Following Hospitalization: The TRTME (Tailored Overdose Risk Feedback, Testimonials for MOUD Treatment, and Education on MOUD and Opioid Overdose) Trial
Przegląd badań
Status
Warunki
Interwencja / Leczenie
Szczegółowy opis
This is an intent-to-treat, two-arm, open-label, pragmatic randomized controlled trial. Eligible participants will be randomized in a 1:1 ratio to TRTME or Control. Participants will receive the assigned intervention following randomization, will complete a post-assessment following treatment receipt, and will complete a follow-up phone call at approximately one month posthospital discharge.
All participants will complete assessments of their opioid-overdose and MOUD knowledge and their risk for experiencing an opioid-overdose during baseline. TRTME participants will be offered a 15-minute intervention in which a trained research staff member reviews personal feedback reports with the recipient to provide information on: 1) the items missed on the knowledge assessment; and 2) their personal overdose risk factors. TRTME participants will also have the opportunity to view short videos from patients talking about their experiences with methadone or buprenorphine treatment. Control participants will be offered two SAMHSA handouts.
Enrollment is expected to take place over a period of approximately 7.5 months. Duration of study participation will be approximately 5 weeks.
Typ studiów
Zapisy (Szacowany)
Faza
- Nie dotyczy
Kontakty i lokalizacje
Kontakt w sprawie studiów
- Nazwa: Lindsay Bybee, MS
- Numer telefonu: 5135858282
- E-mail: saskowld@uc.edu
Kopia zapasowa kontaktu do badania
- Nazwa: Ben Kropp Kropp, MSLS
- Numer telefonu: 5135858287
- E-mail: kroppbn@ucmail.uc.edu
Lokalizacje studiów
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Ohio
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Cincinnati, Ohio, Stany Zjednoczone, 45229
- Rekrutacyjny
- University of Cincinnati Addiction Sciences Division
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Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
- Dorosły
- Starszy dorosły
Akceptuje zdrowych ochotników
Opis
Inclusion Criteria:
- 18 years of age or older;
- A good candidate for methadone or buprenorphine treatment according to a member of the UCMC Addiction Consult Team
Exclusion Criteria:
- Have a current planned discharge to a nursing facility
- be currently in jail, prison, or any inpatient overnight facility as required by court of law or have pending legal action with high probability of incarceration or court-mandated inpatient treatment
- Unable to demonstrate adequate understanding of study procedures during the consent process
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Badania usług zdrowotnych
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Brak (otwarta etykieta)
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
|---|---|
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Brak interwencji: Control
Control participants will be offered two SAMHSA handouts: 1) "Opioid Overdose Prevention Toolkit: Safety Advice for Patients and Family Members"; and 2) "Medication-Assisted Treatment for Opioid Addiction: Facts for Families and Friends".
These handouts can be offered as physical copies or electronically.
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Eksperymentalny: TRTME
TRTME participants will be offered a 15-minute intervention in which a trained research staff member reviews personal feedback reports with the recipient to provide information on: 1) the items missed on the knowledge assessment; and 2) their personal overdose risk factors.
TRTME participants will also have the opportunity to view short videos from patients talking about their experiences with methadone or buprenorphine treatment.
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The TRTME intervention includes three elements that have all been previously studied by our research team: 1) brief, personally-tailored education to correct inaccurate, common misconceptions about MOUD and to address knowledge gaps about opioid-overdose; 2) with personally-tailored feedback on the individual's risk factors for experiencing an opioid-overdose; and 3) review of MOUD testimonial videos.
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Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Outpatient MOUD initiation
Ramy czasowe: 30 days
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The primary outcome is verified enrollment in outpatient MOUD within 30 days post-discharge. Participants will be asked about their enrollment in MOUD approximately 30 days after their discharge from the hospital. Participants reporting having enrolled in treatment will be asked to provide a release of information for the treatment program to verify date of treatment enrollment. |
30 days
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Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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MOUD knowledge score
Ramy czasowe: Immediately after the intervention
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The key secondary outcome is MOUD knowledge as measured by the Opioid Overdose and Treatment Awareness Survey (OOTAS) knowledge evaluation.
The OOTAS is comprised of 4 sections: 1) opioid-overdose risk factors; 2) signs of an opioid-overdose; 3) how to respond to an opioid-overdose; and 4) misconceptions about MOUD.
The OOTAS has been successfully used to measure MOUD knowledge and knowledge change in three studies.
The OOTAS includes 10 true-false questions to assess MOUD knowledge, yielding a potential score of 0-10.Secondary Outcome Measures
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Immediately after the intervention
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MOUD Stigma
Ramy czasowe: Immediately after the intervention
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There are no existing validated measures for assessing MOUD stigma in patients who are good candidates for MOUD but have not yet entered treatment. The Medication for Opioid Use Disorder Attitudes Scale (MOUD-AS) was created by OpenEvidence based on stigmatizing beliefs about MOUD among patients considering treatment. The MOUD-AS includes 16 items scored from 1 (strongly disagree) to 5 (strongly agree). The total score, which has a potential range of 16-80, is the outcome of interest. |
Immediately after the intervention
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Drug Self-efficacy
Ramy czasowe: Immediately after the intervention
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Self-efficacy in quitting drug use will be assessed with the Thoughts about abstinence (TAA) instrument.
This measure assesses the participant's desire to quit, expected success in quitting and estimated difficulty in avoiding drug use.
Our MOUD education intervention has been found to increase expected success in quitting drug use as measured by the TAA.
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Immediately after the intervention
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Opioid-overdose knowledge score
Ramy czasowe: Immediately after the intervention
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Opioid-overdose knowledge will be measured by the first three sections of the OOTAS.
The OOTAS has been successfully used to measure opioid-overdose knowledge and knowledge change in three prior studies conducted with individuals with OUD.
The OOTAS includes 31 true-false questions to assess opioid-overdose knowledge, yielding a potential score of 0-31.
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Immediately after the intervention
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Współpracownicy i badacze
Sponsor
Śledczy
- Główny śledczy: T. John Winhusen, PhD., University of Cincinnati
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Szacowany)
Zakończenie podstawowe (Szacowany)
Ukończenie studiów (Szacowany)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
- Zaburzenia związane z narkotykami
- Zaburzenia psychiczne
- Nowotwory
- Choroby układu odpornościowego
- Nowotwory według typu histologicznego
- Zaburzenia związane z substancjami
- Zaburzenia wywołane chemicznie
- Choroby limfatyczne
- Zaburzenia limfoproliferacyjne
- Zaburzenia immunoproliferacyjne
- Chłoniak nieziarniczy
- Chłoniak
- Choroby hemowe i limfatyczne
- Zaburzenia związane z opioidami
- Chłoniak, Pęcherzykowy
Inne numery identyfikacyjne badania
- 2026-0331
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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