Rural Expanded Access to OUD Care & Linkage Using Toxicologists for Telehealth Initiated Treatment

Part of paid clinical trials in Atlanta, Georgia.

Sponsor
Emory University
Study ID
NCT05711056
Status
Recruiting
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Conditions

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Sociobehavioral Intervention — BEHAVIORAL
    Utilizes two primary evidence-based strategies: * Delivering OUD consultation via telemedicine, which has been demonstrated to be a safe and effective means for initiating MOUD with buprenorphine; and, * Incorporating psychosocial support in the form of PRC, whose involvement in patient care is associated with increased treatment retention and MOUD initiation.

Study Details

The overarching goal of this project is to increase the availability of OUD treatment in rural counties in the state of Georgia by using Emergency Department (ED)-based telehealth strategies to initiate MOUD and connect patients to treatment. The investigators will implement a novel collaboration between rural EDs, medical toxicologists at the Georgia Poison Center (GPC), peer recovery coaches (PRCs) and RCOs throughout Georgia to bridge the gap between OUD treatment need in rural EDs and specialty physician availability at the GPC. Research activities will be conducted during two broad phases, at three rural EDs in Georgia: planning and implementation. During the planning phase, aggregate data will be obtained to determine each ED's existing practices treating patients with OUD and opioid withdrawal. During the implementation phase, the researchers will prospectively study a poison center OUD consultation and PRC intervention as it is rolled out at each site, collecting participant-level data. Sites will be rolled into the implementation phase in a stepped-wedge fashion, so there will be times when some sites are in the planning phase while others are in the implementation phase.

Key Dates

Start date
Aug 30, 2023
Status verified
Oct 2025
Primary completion
Aug 31, 2026
Completion
Aug 31, 2026

Study Design

Enrollment
480 participants (estimated)
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: Sociobehavioral program Group
    A novel sociobehavioral collaborative program that will improve the health of individuals in rural areas by expanding access to MOUD through an ED- based telemedicine strategy. Researchers will prospectively study a poison center OUD consultation and peer recovery coach (PRC) intervention as it is rolled out at each site, collecting participant-level data at baseline, one week post intervention and 30 days post intervention.
  • No Intervention: Control Group
    Patients who are seen at a participating hospital prior to the initiation of the intervention will be considered controls.

Primary Outcome Measure

Change in number of patients who present with acute opioid withdrawal, acute opioid overdose, or requesting treatment for OUD (Opioid Use Disorder) [ Time Frame: Baseline, 3 months post intervention, and 1 year post intervention ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Georgia Poison CenterAtlantaGeorgia30303
Emily Kiernan, DO
[email protected]

Find similar trials in Atlanta, GA

By condition
Substance use disorder
By specialty
Behavioral healthAddiction medicine
By research site
Georgia Poison Center· Atlanta, GA

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