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The MOUD Plus Pilot: Counseling and Peer Support to Support Retention for Medically Complex Patients With Opioid Use Disorder Seen In Primary Care

A legfontosabb adatok

Ki végzi
Oregon Health and Science University
Hol
Portland (Egyesült Államok)A helyszín megnézése
Azonosító
Állapot
Fut, nem toboroz
Résztvevők
70 fő, tervezett
Kezdés
2025. márc. 24.
Várható befejezés
2027. jún. 1.
A vizsgálat típusa
Beavatkozással járó, 2 csoportAz egyik csoport egy már használt kezelést kap, összehasonlításként.
A vizsgált kezelések
  • MOUD "Plus" Intervention (treatment as usual + coordinated counseling and referral to community based peer)
  • Treatment As Usual (primary care with low threshold MOUD prescribing)
A regiszteradat frissítve
2026. október 21.

Ki vehet részt

Életkor
18 év felett
Nem
Nők és férfiak
Egészséges önkéntesek
Nem vehetnek részt

A regiszter feltételei, szó szerint

Mind a 12 feltétel megnézéseKevesebb

Ki vehet részt

  • Eligibility/Inclusion Criteria. For Aim 3, criteria we seek to recruit include:
  • Patient participants 18 years and older
  • Have an OUD-related diagnosis (e.g. Opioid Use Disorder in remission, Opioid Dependence, Opioid Abuse, Substance Use Disorder - opioids, etc.), or have used fentanyl or heroin over the past 30 days
  • Who meet at least one of the following criteria:; Present to primary care at Central City Concern (CCC) within 8 weeks of starting or re-starting a treatment episode (defined as starting MOUD after not having received prescribed MOUD in an outpatient setting for OUD in the prior 30 days); Who present to primary care at CCC and are not seeking treatment with MOUD and have not engaged in counseling services (e.g. harm reduction counseling) in the prior 30 days; Have been receiving MOUD in prior 30 days but had a return to use (used fentanyl or heroin) within the past 30 days
  • Medical complexity (e.g. self-reported or verified in patient's electronic health record)
  • Have access to phone and/or computer for follow-up activities
  • Desire to engage in counseling and/or peer services

Ki nem vehet részt

  • Patient participants who present for addiction treatment but are ineligible to receive on-going services at Central City (i.e. they have existing primary care at another location, or are currently receiving opioid use disorder treatment at another clinic, such as methadone clinic) may not participate in the study
  • Patient participants who are not able to verbally consent may not participate in the study
  • Patients who do not have addiction to opioids may not participate in the study
  • Patients who participated in Aim 2 would not be eligible for Aim 3
  • Patients who lack stable phone access may not participate in the study

Helyszínek itt: Egyesült Államok

  • Central City ConcernPortland, Egyesült Államok

A vizsgálatról

Mit akar kideríteni a vizsgálat

The goal of this pilot clinical trial is to learn if a community informed designed program of addiction counseling with coordinated community peer navigator for people with Opioid Use Disorder (OUD) and other medical conditions can improve engagement in primary care and retention on buprenorphine.

A teljes eredeti leírásKevesebb

The main questions it aims to answer are:

* Does the addition of a counseling and peer referral interventions in addition to usual primary care with low-threshold buprenorphine increase retention on medications for opioid use disorder? * Does the addition of counseling and peer referral intervention in addition to usual primary care with low-threshold buprenorphine increase engagement in primary care?

Researchers will compare the MOUD "Plus" intervention compared to primary care treatment as usual low-threshold buprenorphine prescribing practice to see if MOUD "Plus" improves retention and engagement.

Participants will upon screening and enrollment:

* Meet with prescribers who will determine dose of buprenorphine and assess other medical issues as per treatment as usual with visits every 2-4 weeks * Meet with the integrated addictions counselor to develop rapport and support around clinic engagement, brief counseling intervention, and coordination of care in support of their MOUD * Be referred to a community based peer who meets with participants outside the clinic for support and advocacy for patient directed recovery goals * Meet with the research coordinator at 2, 3, and 6 months to complete follow-up surveys about their care and experiences

A vizsgálat 2 csoportja

  • MOUD Plus Arm (treatment as usual + integrated counseling and peer referral)A vizsgált kezelés

    Treatment as usual (prescriber trained in low threshold MOUD prescribing practices) plus coordinated warm-handoffs with integrated counseling services and coordinated referral to community based peer services

    Kezelés: MOUD "Plus" Intervention (treatment as usual + coordinated counseling and referral to community based peer)

  • Treatment as usual Arm (low threshold MOUD prescribing in primary care)Már használt kezelés, összehasonlításként

    Current treatment as usual consists of scheduled appointments with prescribers who are trained in low-threshold MOUD prescribing practices and who are part of a patient centered medical home model of care

    Kezelés: Treatment As Usual (primary care with low threshold MOUD prescribing)

Adatok és források

Regiszteradat
Szerepel a ClinicalTrials.gov-on.
Hivatalos cím
Designing Intensive Primary Care Interventions to Improve Addiction Treatment for Medically and Socially Complex Patients: The "MOUD PLUS (MOUD+)" Study
A regiszteradat frissítve
2026. október 21.