Opioid Use Disorder
Conditions
Brief summary
C4 Innovations (C4) and partners at Yale University (Yale) and the West Haven VA Medical Center (WHVA) proposed to develop and test OASIS (Overcoming and Addressing Stigma in Substance Use Disorders), a web-based educational platform for primary care clinicians and individuals with Opioid Use Disorder. The major aims of the study were to: 1. Develop a prototype of OASIS for patients with Opioid Use Disorder (OUD) and primary care clinicians; conduct usability testing. 2. Pilot OASIS with a small sample of individuals with untreated OUD and their clinicians to determine feasibility, acceptability, and preliminary product effectiveness for a Phase II effectiveness trial. After development of the prototype, the C4-Yale-WHVA team planned to test OASIS with patients (N = 30) and clinicians (N = 5) using validated measures and qualitative interviews to assess usability, satisfaction, knowledge, empowerment, and stigma.
Interventions
BEHAVIORALOvercoming and Addressing Stigma in Substance Use Disorders (OASIS)
Web-based educational platform for clinicians and individuals with OUD that will decrease barriers to care and enhance treatment outcomes
Sponsors
Center for Social Innovation, Massachusetts
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
For providers: * Clinically active and seeing patients; * Having a device with Internet access to use the OASIS prototype * English speaking * Willing and able to complete data collection activities. For patients: * Diagnosed OUD * Unmet substance use treatment need * Has an upcoming primary care visit scheduled for the intervention period (1-2 months) * English speaking * Has access to a device with Internet access to use the OASIS prototype * Willing and able to complete data collection activities
Exclusion criteria
Patient participants will be excluded from this study if they: 1\) Currently receiving or have received medication for opioid dependence.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Open Minds Scale for Health Care Providers | Assessed at both timepoints: prior to accessing the online platform and after using the platform for at least one week. | Description: A 20-item scale assessing stigma in health care providers, rated on a 5 point likert scale from Strongly Disagree (1) to Strongly Agree (5). |
| Brief Opioid Stigma Scale | Assessed at both timepoints: prior to accessing the online platform and after using the platform for at least one week. | An 8-item scale assessing perceptions of stigma and endorsed stigma toward individuals using opioids. Rated on a 5 point likert scale from Strongly Disagree (1) to Strongly Agree (5). Providers in this study did not complete the items on the Harm subscale, items 9-12. |
| Perceived Stigma of Addiction Scale | Assessed at both timepoints: prior to accessing the online platform and after using the platform for at least one week. | An 8-item scale assessing perceptions of stigma towards individuals with substance use disorders. Rated on a 7 point likert scale from Very Strongly Disagree (1) to Very Strongly Agree (7). |
| Knowledge Check | Assessed at both timepoints: prior to accessing the online platform and after using the platform for at least one week | A 10-item assessment developed by the research team to assess knowledge of opioids and opioid use disorder |
| System Usability Scale | Assess only at the post-assessment, after using the platform for at least one week. | A 10-item measure assessing the overall usability of the online platform. Rated on a 5 point likert scale from Strongly Disagree (1) to Strongly Agree (5). |
| Internalized Stigma of Mental Illness Scale | Assessed at both timepoints: prior to accessing the online platform and after using the platform for at least one week. | A 29-item measure assessing the participant's own stigma relating to mental illness. Rated on a 4 point likert scale from Strongly Disagree (1) to Strongly Agree (4). |
| Recovery Empowerment Scale | Assessed at both timepoints: prior to accessing the online platform and after using the platform for at least one week. | A 20-item scale assessing a participant's levels of empowerment, rated on a 7 point likert scale from Almost Never (1) to Almost Always (7). |
| Mental Health Seeking Attitudes Scale | Assessed at both timepoints: prior to accessing the online platform and after using the platform for at least one week. | A 9-item scale assessing the individuals rating between two dichotomous choices and how accurately they describe their perceptions of help-seeking. Participants are asked to choose one of two words on a scale (e.g., useless vs. useful) and are asked to rate how strongly they feel this word describes their thoughts on a scale from Undecided (0) to Extremely (3). |
Countries
United States
Outcome results
None listed