Testing MOUD Scale-Up Strategies in Criminal Legal Settings
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Reach of systems-change for scaling medications for MOUD
研究概览
简要总结
The goal of this clinical trial is to improve health outcomes for incarcerated individuals by increasing medications for opioid use disorder (MOUD) use, using scalable and cost-effective methods that could be applied more broadly in the criminal justice system.
详细描述
This trial will evaluate a systems-change approach to scaling medications for opioid use disorder (MOUD) across 120 prisons in 12 U.S. states. Researchers will test two promising, implementation strategies-policy academy and multisite learning collaborative-commonly used in healthcare, education, and community development. The focus on MOUD is driven by strong evidence of its efficacy, low penetration in prisons, significant health inequities among incarcerated populations, and the high risk of overdose deaths during reentry into the community.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Have an interest in embedding or increasing the use of MOUD within their site
- •Have the funds to pay for medication for the duration of the study (24 months)
- •Agree to implement or continue the use of at least one medication for opioid use disorder
- •Have leadership support at all levels including from Secretary of DOC, medical director, wardens, etc.
- •Sign a memorandum of Understanding (MOU) or Information Sheet
- •Agree to provide data described in the Information Sheet
排除标准
- •Failure to meet eligibility criteria
研究组 & 干预措施
Substance Abuse and Mental Health Services Administration (SAMHSA) Policy Academy
Departments of Corrections (DOCs) which previously completed the SAMHSA Policy Academy will be recruited for the Policy Academy.
干预措施: SAMHSA (Behavioral)
Multi-site Learning Collaborative (LC)
The LCs will include learning sessions at baseline and monthly coaching sessions thereafter in the 12 month intervention period to provide training and technical assistance on the study protocol, types of MOUD and their clinical effectiveness, strategies to reduce stigma towards MOUD, approaches to overcoming common MOUD implementation barriers, and strategies to increase use and reduce burden of MOUD.
干预措施: Learning Collaborative (Behavioral)
Practice as Usual
This arm will conduct practice as usual, not using the updated MOUD practices.
结局指标
主要结局
Reach of systems-change for scaling medications for MOUD
时间窗: 2 years
Using the RE-AIM framework, reach is measured by number of MOUD (buprenorphine, methadone, injectable naltrexone) standardized medication units purchased by prisons in a state
次要结局
- Effectiveness of systems-change approach for scaling MOUD(2 years)
- Adoption of systems-change approach for scaling MOUD(2 years)
- Implementation - IMAT Index(2 years)
- Implementation - Cascade of Care(2 years)
- Implementation - EBI checklist(2 years)
- Implementation - Partnering(2 years)