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Improving Jail Response to the Overdose Crisis: A Hybrid Trial of Jail ECHO to Improve MOUD Implementation and Public Health Outcomes (J-ECHO OPS)

4 augusti 2026 uppdaterad av: Rosemarie Martin, University of Massachusetts, Worcester
This project tests a training strategy to help rural jails start or increase their use of medications to treat opioid use disorder (MOUD - methadone, buprenorphine, naltrexone). Staff from participating jails will attend a series of training sessions, called Project ECHO, that include online learning sessions with skilled experts, case-based discussions (real-world examples), and peer-to-peer learning opportunities. Project ECHO is well-studied in healthcare settings but has rarely been used in correctional systems. Staff from 40 rural jails and local treatment programs will participate in 6 months of core sessions (all participants attend the same sessions), followed by 12 months of continuing sessions (where content is tailored to participants' needs). Staff will complete surveys about their knowledge and experience, and jails will provide data about their services. Researchers will measure changes in MOUD services offered by the jails over time, as well as the impact these changes have on staff's work environment. If Project ECHO helps expand MOUD services, it will offer a blueprint for expanding these life-saving services in other jails nationwide.

Studieöversikt

Status

Har inte rekryterat ännu

Betingelser

Intervention / Behandling

Studietyp

Interventionell

Inskrivning (Beräknad)

100

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studieorter

  • Förenta staterna
    • Massachusetts
      • Worcester, Massachusetts, Förenta staterna, 01655
        • UMass Chan Medical School
        • Huvudutredare:
          • Rosemarie Martin, PhD
        • Kontakt:

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen
  • Äldre vuxen

Tar emot friska volontärer

Ja

Beskrivning

Inclusion Criteria:

  • Administrative, security, or healthcare staff in participating jails
  • Employed at the facility a minimum of 3 months

Exclusion Criteria:

  • Ongoing or recent participation in similar organizational improvement project
  • Inability to read or understand English or Spanish

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Hälsovårdsforskning
  • Tilldelning: N/A
  • Interventionsmodell: Enskild gruppuppgift
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: ECHO
Subjects participate in a series of facilitated ECHO learning sessions
Beteende: Project ECHO
Virtual learning sessions, case-based discussions, and peer-to-peer learning

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Increase in MOUD prescriptions (administrative data)
Tidsram: From baseline through the end of sustainment phase (18 months)
Administrative data tracking the number of MOUD prescriptions will be used to assess whether the jail has increased its use of MOUD to treat opioid use disorder relative to baseline.
From baseline through the end of sustainment phase (18 months)

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Organizational climate - Burnout (BAT-4)
Tidsram: From baseline to end of sustainment period (18 months)
Staff surveys measure Burnout via the 4-item Burnout Assessment Tool (BAT-4). Items are scored from 1 (never) to 5 (always), and the mean is calculated (higher scores = greater burnout). Change relative to baseline indicates impact of the intervention on this feature of organizational climate.
From baseline to end of sustainment period (18 months)
Organizational climate - Stress (TCU SOF subscale)
Tidsram: From baseline through end of sustainment period (18 months)
Staff surveys measure Stress via a validated 4-item subscale of the TCU Survey of Organizational Functioning. Items are scored from 1 (disagree) to 5 (agree), and the mean is calculated (higher scores = greater perceived stress). Change relative to baseline indicates impact of the intervention on this feature of organizational climate.
From baseline through end of sustainment period (18 months)
Organizational climate - Job Satisfaction (TCU SOF subscale)
Tidsram: From baseline through end of sustainment period (18 months)
Staff surveys measure job satisfaction using a 6-item validated subscale from the TCU Survey of Organizational Functioning. Items are scored from 1 (strongly disagree) to 5 (strongly agree), and the mean is calculated (higher scores = greater job satisfaction). Change relative to baseline indicates impact of the intervention on this feature of organizational climate.
From baseline through end of sustainment period (18 months)
Impact on Staff Knowledge: Opinions About MAT Questionnaire
Tidsram: From baseline through end of sustainment period (18 months)
Staff surveys include this 12-item scale, measuring familiarity, receipt of training, and perceived effectiveness of 4 formulations of medications for opioid use disorder. Each item is rated on a 1-5 scale, with higher scores reflecting stronger endorsement. Overall improvements in any of the 3 domains relative to baseline will indicate the intervention had a positive impact on staff knowledge about MOUD.
From baseline through end of sustainment period (18 months)
Disciplinary infractions (administrative data)
Tidsram: From baseline through end of sustainment phase (18 months)
Administrative data on the number and type of disciplinary infractions in past 6 months will assess the impact of MOUD service expansion on jail operations. Infractions are recorded as violent infractions; non-violent infractions; and instances of MOUD diversion.
From baseline through end of sustainment phase (18 months)
Improvement on Opioid Services Cascade (BJS survey module)
Tidsram: From baseline through end of sustainment period (18 months)
The BJS survey of opioid use disorder screening and treatment (supplement to the 2019 Annual Survey of Jails) measures service delivery (yes/no) using 12 items across 6 domains. An overall score is calculated by summing these responses, with higher scores relative to baseline indicating greater improvements in opioid treatment service delivery.
From baseline through end of sustainment period (18 months)

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

University of Massachusetts, Worcester

Samarbetspartners

National Institute on Drug Abuse (NIDA)

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Beräknad)

1 september 2026

Primärt slutförande (Beräknad)

28 februari 2030

Avslutad studie (Beräknad)

31 maj 2030

Studieregistreringsdatum

Först inskickad

16 maj 2026

Först inskickad som uppfyllde QC-kriterierna

5 juni 2026

Första postat (Faktisk)

10 juni 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

7 augusti 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

4 augusti 2026

Senast verifierad

1 augusti 2026

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • STUDY00002674
  • RM1DA064507 (U.S.S. NIH-anslag/kontrakt)

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

JA

IPD-planbeskrivning

Deidentified data from responses to staff surveys

Tidsram för IPD-delning

Analytic files upon publication or no later than end of study (May 2030), indefinitely via public archives

Kriterier för IPD Sharing Access

Data will be shared via NIH-approved public data repository (likely ICPSR). Registered users who consent to terms of data use agreement will be able to access deidentified data from staff surveys via download or within secure data enclave.

IPD-delning som stöder informationstyp

  • STUDY_PROTOCOL
  • ICF
  • ANALYTIC_CODE

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

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