Rural Expansion of Medication Treatment for Opioid Use Disorder (Rural MOUD): Phase 1 Feasibility Study (CTN-0102)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Opioid-use Disorder
- Sponsor
- University of California, Los Angeles
- Enrollment
- 36762
- Locations
- 6
- Primary Endpoint
- Patient days on MOUD from Electronic Health Records (EHR)
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The feasibility study (Phase 1) will examine the implementation of telemedicine (TM) in six rural clinics in two states/regions with varying levels of OBOT capacity.
Detailed Description
The dramatic increases in opioid overdose deaths across the nation, particularly in rural areas, call for a rapid expansion of access to medication treatment for opioid use disorder (MOUD).There is a need to study effective ways to expand treatment access and improve retention on MOUD in rural areas highly impacted by OUD. Telemedicine (TM) for MOUD offers an alternative or supplementary approach to delivering MOUD that may be suitable for rural clinics and patients with OUD. The objectives of the feasibility study are to study ways of incorporating TM into primary care clinics and to evaluate the associated outcomes, based on EHRs from the clinics and the TM vendor (i.e., patient days on MOUD) and participant surveys (e.g., opioid use). Additional outcomes of the feasibility study are feasibility and acceptability assessed from the perspectives of providers and participants via focus groups. A patient registry will be established in each clinic to track patients with OUD diagnoses, and those in the registry will be provided the opportunity to consent for sharing identified EHRs and participating in the follow-up surveys.
Investigators
Yih-Ing Hser
Principal Investigator
University of California, Los Angeles
Eligibility Criteria
Inclusion Criteria
- •Aged 18-80 years old, inclusive, at the time of the qualifying visit
- •with OUD diagnosis
- •At least 1 visit to the participating clinics from 9 months before and 6 months after the date of intervention implementation
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Patient days on MOUD from Electronic Health Records (EHR)
Time Frame: 9 months
Number of days patients receive MOUD based on EHR data
Secondary Outcomes
- Number of OUD patients initiating/receiving MOUD(9 months)