Improving Jail Response to the Overdose Crisis: A Hybrid Trial of Jail ECHO to Improve MOUD Implementation and Public Health Outcomes (J-ECHO OPS)
2026年8月4日 更新者：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.
研究概览
研究类型
介入性
注册 (估计的)
100
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习联系方式
- 姓名：JCOIN ECHO Coordinator
- 电话号码：508-856-3515
- 邮箱：jcoinecho@umassmed.edu
学习地点
-
-
Massachusetts
-
Worcester、Massachusetts、美国、01655
- UMass Chan Medical School
-
首席研究员：
- Rosemarie Martin, PhD
-
接触：
- JCOIN ECHO Coordinator
- 电话号码：508-856-3515
- 邮箱：jcoinecho@umassmed.edu
-
-
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
是的
描述
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
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：卫生服务研究
- 分配：不适用
- 介入模型：单组作业
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：ECHO
Subjects participate in a series of facilitated ECHO learning sessions
|
Virtual learning sessions, case-based discussions, and peer-to-peer learning
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Increase in MOUD prescriptions (administrative data)
大体时间：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)
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Organizational climate - Burnout (BAT-4)
大体时间：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)
大体时间：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)
大体时间：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
大体时间：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)
大体时间：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)
大体时间：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)
|
合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (估计的)
2026年9月1日
初级完成 (估计的)
2030年2月28日
研究完成 (估计的)
2030年5月31日
研究注册日期
首次提交
2026年5月16日
首先提交符合 QC 标准的
2026年6月5日
首次发布 (实际的)
2026年6月10日
研究记录更新
最后更新发布 (实际的)
2026年8月7日
上次提交的符合 QC 标准的更新
2026年8月4日
最后验证
2026年8月1日
更多信息
与本研究相关的术语
其他研究编号
- STUDY00002674
- RM1DA064507 (美国 NIH 拨款/合同)
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)？
是的
IPD 计划说明
Deidentified data from responses to staff surveys
IPD 共享时间框架
Analytic files upon publication or no later than end of study (May 2030), indefinitely via public archives
IPD 共享访问标准
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 共享支持信息类型
- 研究方案
- 国际碳纤维联合会
- 分析代码
药物和器械信息、研究文件
研究美国 FDA 监管的药品
不
研究美国 FDA 监管的设备产品
不
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.