Implementing Technology-Assisted Drug Treatment and Relapse Prevention in Federally Qualified Health Centers (FQHCs)
- Conditions
- Substance Use DisordersHIV
- Interventions
- Behavioral: Seva
- Registration Number
- NCT01963234
- Lead Sponsor
- University of Wisconsin, Madison
- Brief Summary
Implementing a mobile-phone based system for drug use disorders in primary care settings.
- Detailed Description
The purpose of the research is to study the impact of a recovery support system called Seva on primary care organizations, where issues such as coordination of care, job satisfaction, and the cost of adopting and operating new technologies are critical. The study will also investigate how to best implement this kind of technology into health care delivery systems that care for people diagnosed with substance abuse.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 439
Patient subjects must be 1) age 18 or older 2) meet criteria for Substance Use Disorder (SUD) according to the clinic. Clinician subjects referring patients will ensure that patients: 3) have no current psychotic disorder severe enough to prevent participation, 4) have no acute medical problem requiring immediate inpatient treatment, 5) are willing to use Seva, and 6) can understand and sign a consent form in English.
Clinician subjects include MDs, behavioral health providers, nurses and management staff from the clinics' primary care and behavioral health departments. Clinician must have an interest in the research objectives.
- Failure to meet inclusion criteria above will exclude patients and clinicians from participating.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Seva Seva Up to 100 patients in each of 3 intervention clinics will receive access to the Seva mobile health system for drug use disorders.
- Primary Outcome Measures
Name Time Method Implementation Status up to 3 years The number of implementation milestones completed
Any Drinking Days in Last 30 Days 6 months Risky Drinking Days in the Last 30 Days 6 months Analysis for measure was done for the total of all three sites combined.
Illicit Drug-use Within the Last 30 Days 6 months Analysis for measure was done for the total of all three sites combined.
Overall Quality of Life 6 months Analysis for measure was done for the total of all three sites combined. Higher values represent better quality of life. Value was calculated by adding the mental and physical subscale values. Values could range from 8 to 40.
Physical Subscale Quality of Life 6 months Analysis for measure was done for the total of all three sites combined. Higher values represent better quality of life. This scare consisted of 4 questions that had scales ranging from 1 to 5. The scores were summed and values could range from 4 to 20.
Mental Subscale Quality of Life 6 months Analysis for measure was done for the total of all three sites combined. Higher values represent better quality of life. This consisted of 4 questions that had scaled ranging from 1 to 5. The scores of the scales were summed and values could range from 4 to 20.
Patient Had Any Drink Within the Last 30 Days 6 months Analysis for measure was done for the total of all three sites combined.
Patient Had Any Drink or Drug Use Within the Last 30 Days 6 months Analysis for measure was done for the total of all three sites combined.
Patient Had Illicit Drug Use Within the Last 30 Days 6 months Analysis for measure was done for the total of all three sites combined.
Patients, Within the Last 6 Months Have Received Other Addiction Treatment 6 months Analysis for measure was done for the total of all three sites combined.
Patients Partook in HIV Risky Behavior in the Last 6 Months 6 months Analysis for measure was done for the total of all three sites combined.
Patients Partook in HIV Testing in the Last 6 Months 6 months Analysis for measure was done for the total of all three sites combined.
- Secondary Outcome Measures
Name Time Method Number of Patients Using System up to 3 years Analysis for measure was done for the total of all three sites combined.
Clinical Adoption up to 3 years We analyzed computerized system log files to produce patterns of system adoption of the staff.
Total Costs for Clinic 6 months This includes the clinic operating costs and clinic implementation costs of the intervention.
Trial Locations
- Locations (3)
Partnership Health Center
🇺🇸Missoula, Montana, United States
Institute for Family Health
🇺🇸Bronx, New York, United States
UW Health Access Clinic
🇺🇸Madison, Wisconsin, United States