Opioid Use Disorder
Conditions
Keywords
opioid use disorder, intimate partner violence, mental health, PTSD, posttraumatic stress disorder
Brief summary
The study evaluates a web-based digital toolkit designed to screen for intimate partner violence (IPV), post-traumatic stress disorder (PTSD), and related mental health concerns within opioid treatment programs. Providers use the toolkit during routine care with patients receiving treatment for opioid use disorder. The study examines how the toolkit is implemented into clinic workflows and whether its use improves detection, referral, and patient outcomes.
Interventions
OTHERDigital Toolkit
The digital toolkit intervention consists of validated tools to screen patients for intimate partner violence and mental health conditions and evidence-based suggestions for personalized treatment plans and/or referrals
Sponsors
Medical University of South Carolina
National Institute on Drug Abuse (NIDA)
Study design
Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
SCREENING
Masking
NONE
Intervention model description
This study uses a stepped-wedge cluster randomized trial design. Opioid treatment program sites are randomized to transition from treatment as usual to the digital screening toolkit at staggered time intervals until all sites have implemented the intervention.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
for all participants: * Age 18 and older * Able to understand and sign a consent form in English Inclusion criteria for OTPs: * Current experience working in one of the three opioid treatment clinics serving as a recruitment site for this study * Health care professional training (e.g., social worker, counselor, physician, psychologist, nurse practitioner)
Exclusion criteria
for OTPs: \- None Inclusion criteria for patients with OUD: * Report opioids as their primary substance of use for which they are seeking treatment * Receive treatment at one of the three opioid treatment clinics serving as a recruitment site for this study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patients who receive screening | From enrollment until the end of study participation at (up to) 35 months | Proportion of patients seen who receive intimate partner violence and mental health screening |
| Proportion of patients screened positive for intimate partner violence | From enrollment until the end of study participation at (up to) 35 months | Proportion of patients screened who screen positive for intimate partner violence |
| Proportion of intimate partner violence-positive patients who receive recommended or referred services | From enrollment until the end of study participation at (up to) 35 months | Proportion of patients screened positive for intimate partner violence who received recommended or referred services for intimate partner violence |
| Proportion of patients retained on MOUD following intimate partner violence and mental health screening | From enrollment until the end of study participation at (up to) 35 months | Proportion of patients retained in MOUD services for at least 18 months following intimate partner violence and mental health screening |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of providers completing intimate partner violence and mental health screening | From enrollment until the end of study participation at (up to) 35 months | Proportion of providers completing intimate partner violence and mental health screening with at least 70% of eligible patients |
| Proportion of providers providing resources and referrals for patients who screened positive for intimate partner violence | From enrollment until the end of study participation at (up to) 35 months | Proportion of providers who provided resources and/or referrals for patients who screened positive for intimate partner violence |
| Proportion of providers who had patients accept referrals and/or attempted to attend recommended psychosocial services | From enrollment until the end of study participation at (up to) 35 months | Proportion of providers for whom at least 60% of patients accepted referrals and/or attempted to attend recommended psychosocial services |
Contacts
CONTACTAriel Worley, MPH
PRINCIPAL_INVESTIGATORAmber M Jarnecke, PhD
Medical University of South Carolina
PRINCIPAL_INVESTIGATORTanya C Saraiya, PhD
Medical University of South Carolina
Outcome results
None listed