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iHOST (Improving Hospital Opioid Substitution Therapy): An intervention to improve care for people who use opioids in NHS hospitals

Not Applicable
Conditions
Addiction, substance dependence
Mental and Behavioural Disorders
Registration Number
ISRCTN47320412
Lead Sponsor
ondon School of Hygiene & Tropical Medicine
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing
Sex
All
Target Recruitment
746
Inclusion Criteria

PWUO:
1. People who have a history of opioid use for non-medical reasons AND/OR are prescribed OST in a community setting for illicit opioid dependence
2. Aged 18 years or over
3. Assessed as capable to consent (not in debilitating withdrawal or intoxicated)
4. Presenting at A&E, an acute admissions ward or inpatient at one of the hospital sites OR a client at one of the linked drug treatment services

Providers:
1. Healthcare staff involved in the prescribing, supply or administration of medicines to patients within A&E, acute admissions and high-burden inpatient wards
2. Staff at linked drug treatment services

Exclusion Criteria

1. People who are under 18 years of age
2. In secure services
3. Lacking capacity for informed consent
4. No history of opioid dependence
5. (For providers) are not involved in OST-related service provision

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Measured using patient records:<br>1. Discharge against medical advice (measured at hospital discharge)<br>2. Emergency readmission at any hospital in England (measured in the 28 days after discharge).
Secondary Outcome Measures
NameTimeMethod
Measured using patient records:<br>1. Provision of opioid substitution therapy (OST) <br>2. Dose of OST<br>3. Duration between admission and provision of OST<br>4. Records of illicit substance use while admitted to hospital
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