Physical Therapists Identifying Patients With Opioid Misuse

Not Applicable

Completed

• Conditions: Opioid Misuse; Musculoskeletal Pain
• Interventions: Behavioral: Training Arm

• Registration Number: NCT05497154
• Lead Sponsor: University of Utah

Brief Summary

The purpose of this study is to develop and operationalize key procedures for physical therapists (n = 12) to address patients who are at risk for or have opioid misuse (OM). The investigators will train physical therapists in procedures to: 1) engage patients at risk for OM in conversations about appropriate opioid use, 2) screen and 3) assess these patients for OM and, 4) refer patients for further treatment if OM is suspected. The investigators will employ a modified Delphi approach to iteratively refine and operationalize the procedures and to arrive at a finalized procedure manual followed by an evaluation of the implementation of these procedures.

Detailed Description

The purpose of this study is to develop and operationalize key procedures for physical therapists (n = 12) to address patients who are at risk for or have OM. The investigators will train physical therapists in procedures to: 1) engage patients at risk for OM in conversations about appropriate opioid use, 2) screen and 3) assess these patients for OM and, 4) refer patients for further treatment if OM is suspected. The investigators will employ a modified Delphi approach to iteratively refine and operationalize the procedures and to arrive at a finalized procedure manual followed by an evaluation of the implementation of these procedures. Approximately 4 months following the development of the manual and the distribution of the finalized manual, the investigators will conduct semi-structured interviews to determine the barriers and facilitators to implementing the procedures learned in the training.

Our aims are:

1. Qualitatively evaluate physical therapists' perceptions and recommendations for implementing OM procedures.

2. Evaluate the implementation of the manualized OM procedures.

Study Timeline

• Study First Submitted: 2022-08-03
• Study First Submitted QC: 2022-08-09
• Study First Posted: 2022-08-11
• Study Start: 2022-10-14
• Primary Completion: 2023-05-27
• Study Completion: 2023-06-08
• Status Verified: 2023-08
• Last Update Submitted: 2023-08-02
• Last Update Posted: 2023-08-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 12

Inclusion Criteria

• University of Utah physical therapists with at least 0.5 full-time equivalent
• Self report managing patients with musculoskeletal pain

Exclusion Criteria

• None

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Training Arm	Training Arm	-

Primary Outcome Measures

Name	Time	Method
Change in the Drug and Drug Problems Perception Questionnaire (DDPPQ)	Baseline, immediate post training, 4 months after last training session	The DDPPQ is a 20 item tool used to measure the attitudes of health care providers related to the management of patients misusing drugs and contains 5 subscales (Role Adequacy: 7 items; Role Legitimacy: 2 items; Role Support: 3 items; Role Self-esteem: 4 items; Job Satisfaction: 4 items) Each item is scored on a 7-point scale (1 = strongly agree to 7 = strongly disagree). Each item was modified to asses the health care providers' attitudes about managing patients with opioid misuse.

Trial Locations

Locations (1)

University of Utah; 🇺🇸 Salt Lake City, Utah, United States