Text-Messaging Telehealth and Contingency Management for Opioid Use Disorder Treatment Engagement
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 1,808
- 试验地点
- 1
- 主要终点
- Engagement in any addiction treatment at 30 days of randomization
研究概览
简要总结
There is growing recognition of the need for approaches to initiate treatment wherever patients touch the health care system, including the Emergency Department (ED). Most research has focused on initiation of medications for opioid use disorder (MOUDs) in the ED rather than ensuring continued treatment post-discharge. The investigators propose to adapt evidence-based interventions to support patients' complex needs and facilitate continued treatment, rather than discharging them and having them navigate outpatient treatment systems with limited support. The research team will randomize participants into 1 of 4 arms to receive varying degrees of augmented usual care, including daily check-ins and contingency management. The investigators plan to examine the effects of check-ins and contingency management on engagement with addiction treatment and equity of treatment effects among racial and ethnic subgroups and assess important moderators of treatment effects.
详细描述
The investigators are proposing to conduct a randomized controlled trial to determine the effectiveness of various text-based and contingency management interventions on Opioid Use Disorder patients. Our goals are to measure their engagement with recovery treatment. The research team plan to enroll 1,649 participants into one of the following 4 arms.
Patients enrolled into the Way to Health CareConnect text line as part of usual care and meeting eligibility criteria will be enrolled in this randomized control trial and randomized to:
Augmented usual care (standard Way to HealthCareConnect text line) Patients can call or text the on-call substance use navigators (SUN) from 9a-9p, 7 days a week.
Augmented usual care + text-message check-ins (standard Way to Health CareConnect Text line) Patients can call or text the on-call substance use navigators (SUN) from 9a-9p, 7 days a week AND (text-message check-ins) patients will receive automated text-message check-ins up to once per day for 30 days to see if the patient needs help with anything.
Augmented usual care + contingency management (standard Way to Health CareConnect Text line) and, participants will be compensated for going to their follow-up appointments.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Supportive Care
- 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
- •Participants must be 18 or older
- •Screen positive for OUD
- •Bridge buprenorphine prescription (emergency department (ED) enrollment - Buprenorphine prescription at ED discharge; Bridge clinic enrollment - new buprenorphine prescription associated with on-demand or drop-in encounter
- •English reading ability
- •Have a mobile phone capable of receiving text messages
排除标准
- •Not being up to date with requirements above
研究组 & 干预措施
Augmented usual care + text-message check-ins
AUC: Standard Way to Health Care text line. Patients can call or text the on-call substance use navigators (SUN) from 9a-9p, 7 days a week.
Text check-in: Patients will also receive incentives for engagement with treatment and
Participants across all arms will receive an intake survey, and follow-up surveys at day 15, day 30, month 3, and month 6.
干预措施: Text Message Check-ins (Behavioral)
Augmented Usual care + Contingency Management (CM)
AUC: Standard Way to Health Care text line. Patients can call or text the on-call substance use navigators (SUN) from 9a-9p, 7 days a week.
Participants across all arms will receive an intake survey, and follow-up surveys at day 15, day 30, month 3, and month 6.
CM: Patients will also receive incentives for engagement with treatment.
干预措施: Contingency Management (Behavioral)
Augmented usual care + text-message check-ins + contingency management
AUC: Standard Way to Health Care text line. Patients can call or text the on-call substance use navigators (SUN) from 9a-9p, 7 days a week.
Text check-in: Patients will also receive incentives for engagement with treatment and
Participants across all arms will receive an intake survey, and follow-up surveys at day 15, day 30, month 3, and month 6.
CM: Patients will also receive incentives for engagement with treatment.
干预措施: Text Message Check-ins (Behavioral)
Augmented usual care + text-message check-ins + contingency management
AUC: Standard Way to Health Care text line. Patients can call or text the on-call substance use navigators (SUN) from 9a-9p, 7 days a week.
Text check-in: Patients will also receive incentives for engagement with treatment and
Participants across all arms will receive an intake survey, and follow-up surveys at day 15, day 30, month 3, and month 6.
CM: Patients will also receive incentives for engagement with treatment.
干预措施: Contingency Management (Behavioral)
Augmented Usual Care (AUC)
AUC: Standard Way to Health Care text line. Patients can call or text the on-call substance use navigators (SUN) from 9a-9p, 7 days a week.
Participants across all arms will receive an intake survey, and follow-up surveys at day 15, day 30, month 3, and month 6.
结局指标
主要结局
Engagement in any addiction treatment at 30 days of randomization
时间窗: 31 days
Engagement in any addiction treatment within 30 days of randomization (measured on day 31)
次要结局
- ED and Hospital Utilization and mortality(6 months)
- Engagement in addition treatment within 14 days(15 days)
研究者
M. Kit Delgado, MD
Assistant Professor of Emergency Medicine and Epidemiology
University of Pennsylvania