Patient Decision Aid for Opioid Use Disorder

NCT ID: NCT03568552

Last Updated: 2025-12-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

7554 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-03

Study Completion Date

2024-08-31

Brief Summary

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The aim of the study is to test the effectiveness of the Patient Decision Aid for Opioid Use Disorder (PtDA-MAT) by conducting a stepped-wedge cluster-randomized trial in CA H\&SS (stratified by rural vs. non-rural areas) for adults with OUD. Patient outcomes will be tracked by (1) personal assessments (baseline, 3 months, and 6 months): drug use, overdose, healthcare utilization, and (2) clinical and administrative records (over approximately 24 months): drug treatment status and retention, physical and mental health diagnoses, arrest, incarceration, controlled substance use, and mortality. Multilevel models will be applied to test the intervention effects, controlling for possible temporal trends.

Detailed Description

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In response to RFA-DA-18-005 (Expanding Medication Assisted Treatment for Opioid Use Disorders in the Context of the SAMHSA Opioid STR Grants, R21/R33), this project will develop and test a patient decision support tool called Patient Decision Aid for Medication-Assisted Treatment (PtDA-MAT) for use in the CA H\&SS. The PtDA-MAT is designed to (1) improve patient knowledge and involvement and to subsequently improve treatment adherence and outcomes and (2) to support clinicians in informing and communicating with their patients with OUD along a continuum of care. The 3 year project will assess the effectiveness of the PtDA-MAT in a stepped-wedge cluster-randomized trial in CA H\&SS (stratified by rural vs. non-rural areas) for adults with OUD. Patient outcomes will be tracked by (1) personal assessments (baseline, 3 months, and 6 months): drug use, overdose, healthcare utilization, and (2) clinical and administrative records (over an average of 24 months): drug treatment status and retention, physical and mental health diagnoses, arrest, incarceration, controlled substance use, and mortality. Multilevel models will be applied to test the intervention effects, controlling for possible temporal trends.

Conditions

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Opioid Use Disorder

Keywords

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Opioid Use Disorder (OUD) Medication Assisted Therapy (MAT) Patient Decision Aid Medication Treatment for Opioid Use Disorder (MOUD)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

The Patient Decision Aid for Medication Assisted Therapy (PtDA-MAT) will be tested by patients and clinicians during actual visits with OUD patients to assess its acceptability and effectiveness. We will track patients receiving PtDAT-MAT using their clinical and administration data over a 24-month period to assess outcomes associated with PtDAT-MAT. Participating clinics will be randomly selected in sequence to implement the intervention.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Patient Decision Aid

Participating clinics (and their patients) will be randomly selected to implement the intervention, at which time their patients will receive Patient Decision Aid for Medication Assisted Treatment for opioid use disorder.

Group Type EXPERIMENTAL

Patient Decision Aid

Intervention Type BEHAVIORAL

PtDA-MAT will provide information on MAT treatment options and pros and cons of each treatment option, and will assess patients' preferred options.

Prior to intervention

All participating clinics will start with a baseline period without the intervention. The clinics and their patients will remain in the no intervention condition until randomly selected to crossover to receive the intervention.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Patient Decision Aid

PtDA-MAT will provide information on MAT treatment options and pros and cons of each treatment option, and will assess patients' preferred options.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Opioid Use Disorder diagnosis and agreement to follow study procedures (including permission to share medical records and other administrative records)

Exclusion Criteria

* Significant or unstable medical or psychiatric illness that may interfere with study participation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of California, Los Angeles

OTHER

Sponsor Role lead

Responsible Party

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Yih-Ing Hser

Professor-in-Residence

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yih-Ing Hser, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of California, Los Angeles

Larissa Mooney, M.D.

Role: PRINCIPAL_INVESTIGATOR

University of California, Los Angeles

Locations

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UCLA Integrated Substance Abuse Programs

Los Angeles, California, United States

Site Status

Countries

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United States

Other Identifiers

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OPIOD1.1

Identifier Type: -

Identifier Source: org_study_id