Study Results
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View full resultsBasic Information
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COMPLETED
NA
23659 participants
INTERVENTIONAL
2019-09-03
2023-06-30
Brief Summary
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Terms - A-CHESS: Addiction Comprehensive Health Enhancement Support System NIATx-TI: Network for the Improvement of Addiction Treatment-Technology Implementation
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Detailed Description
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NIATx-TI was piloted in the Iowa Rural Health Information Technology Initiative (IRHIT) with 14 of Iowa's 105 SUD treatment sites and resulted in a 2-fold increase in patients receiving distance treatment. The framework's deliberate component includes using an organizational technology assessment and patient simulation. These tools identify and address assets and barriers to incorporate into the technology's implementation protocol. The framework's emergent component includes using a project team to uncover and prioritize implementation barriers as they arise, develop changes to address identified barriers, and monitor selected adoption measures, while receiving monthly coaching.
This project, based in Iowa, will compare a control condition (using a typical product training approach to software implementation that includes user tutorials and instruction on administrative and clinical protocols, followed by access to on-line support) to the typical product training combined with NIATx-TI. While e-health spans many modalities and health disciplines, this project will focus on the implementing Addiction Comprehensive Health Enhancement Support System (A-CHESS), an evidence-based SUD treatment recovery app developed by our Center for a disease that affects 21.5 million and kills 136,000 Americans annually: substance use disorder. A mobile app was selected, as opposed to another e-health technology, because of the near ubiquitous daily use of mobile technology and because mobile e-health adoption requires supportive participation of both health centers and patients.
In response to the COVID-19 pandemic, the study team added a study component focused on describing how patients are responding to receiving remote treatment (e.g., telehealth). The study team will also seek to understand how using A-CHESS mitigates COVID-19 associated anxiety and loneliness among those with substance use disorders.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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TAU/Control
Sites in the Treatment as Usual (TAU)/Control Arm will receive product training/online support. Sites in the TAU/Control Arm will participate in a one-day product implementation or training session.
No interventions assigned to this group
NIATx-TI Framework
Sites in the NIATx-TI Arm will receive product training/online support, and training in the NIATx-TI framework. The NIATx-TI framework will include a pre-implementation (planning) phase, and post-implementation (problem-solving) phase, with training delivered by a NIATx-TI coach.
NIATx-TI with Product Training/On-line Support
NIATx-TI framework includes the product training as well as a preimplementation phase and a post-implementation phase. A NIATx-TI coach will provide the training for this arm. The coach will also assist the organizations with applying the NIATx-TI framework.
Interventions
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NIATx-TI with Product Training/On-line Support
NIATx-TI framework includes the product training as well as a preimplementation phase and a post-implementation phase. A NIATx-TI coach will provide the training for this arm. The coach will also assist the organizations with applying the NIATx-TI framework.
Eligibility Criteria
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Inclusion Criteria
* Understand English
* Have a SUD diagnosis
* Have access to a smartphone
18 Years
ALL
No
Sponsors
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University of Iowa
OTHER
Iowa Department of Public Health
UNKNOWN
National Institute on Drug Abuse (NIDA)
NIH
University of Wisconsin, Madison
OTHER
Responsible Party
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Principal Investigators
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Todd Molfenter, Ph.D.
Role: PRINCIPAL_INVESTIGATOR
University of Wisconisn-Madison
David Gustafson, Ph.D.
Role: PRINCIPAL_INVESTIGATOR
University of Wisconsin, Madison
Locations
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Zion Recovery Services
Adel, Iowa, United States
Prairie Ridge Integrated Behavioral Healthcare
Algona, Iowa, United States
Community and Family Resources
Ames, Iowa, United States
Area Substance Abuse Council
Anamosa, Iowa, United States
UCS Healthcare
Ankeny, Iowa, United States
Zion Recovery Services
Atlantic, Iowa, United States
Area Substance Abuse Council
Belle Plaine, Iowa, United States
Community and Family Resources
Boone, Iowa, United States
Alcohol and Drug Dependency Services (ADDS)
Burlington, Iowa, United States
Area Substance Abuse Council
Cedar Rapids, Iowa, United States
Prairie Ridge Integrated Behavioral Healthcare
Charles City, Iowa, United States
Jackson Recovery Centers
Cherokee, Iowa, United States
Prelude Behavioral Health Services
Clarence, Iowa, United States
Zion Recovery Services
Clarinda, Iowa, United States
Community and Family Resources
Clarion, Iowa, United States
Heartland Family Services
Council Bluffs, Iowa, United States
Area Substance Abuse Council
De Witt, Iowa, United States
Jackson Recovery Centers
Denison, Iowa, United States
UCS Healthcare
Des Moines, Iowa, United States
House of Mercy
Des Moines, Iowa, United States
Prelude Behavioral Health Services
Des Moines, Iowa, United States
Substance Abuse Services Center
Dubuque, Iowa, United States
Prairie Ridge Integrated Behavioral Healthcare
Forest City, Iowa, United States
Community and Family Resources
Fort Dodge, Iowa, United States
Heartland Family Services
Glenwood, Iowa, United States
Zion Recovery Services
Greenfield, Iowa, United States
Prairie Ridge Integrated Behavioral Healthcare
Hampton, Iowa, United States
Community and Family Resources
Humboldt, Iowa, United States
House of Mercy
Indianola, Iowa, United States
Prelude Behavioral Services
Iowa City, Iowa, United States
ADDS
Keokuk, Iowa, United States
UCS Healthcare
Knoxville, Iowa, United States
Jackson Recovery Centers
Le Mars, Iowa, United States
Heartland Family Services
Logan, Iowa, United States
Area Substance Abuse Council
Maquoketa, Iowa, United States
Prelude Behavioral Health Services
Marengo, Iowa, United States
Prairie Ridge Integrated Behavioral Healthcare
Mason City, Iowa, United States
ADDS
Mount Pleasant, Iowa, United States
House of Mercy
Newton, Iowa, United States
Zion Recovery Services
Perry, Iowa, United States
Community and Family Resources
Pocahontas, Iowa, United States
Zion Recovery Services
Red Oak, Iowa, United States
Community and Family Resources
Rockwell City, Iowa, United States
Zion Recovery Services
Shenandoah, Iowa, United States
Jackson Recovery Centers
Sioux City, Iowa, United States
Prelude Behavioral Services
Tipton, Iowa, United States
Area Substance ABuse Council
Vinton, Iowa, United States
ADDS
Wapello, Iowa, United States
Community and Family Resources
Webster City, Iowa, United States
Countries
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References
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Fleddermann K, Molfenter T, Vjorn O, Horst J, Hulsey J, Kelly B, Zawislak K, Gustafson DH, Gicquelais RE. Patient Preferences for Mobile Health Applications to Support Recovery. J Addict Med. 2023 Jul-Aug 01;17(4):394-400. doi: 10.1097/ADM.0000000000001137. Epub 2023 Jan 18.
Fleddermann K, Molfenter T, Jacobson N, Horst J, Roosa MR, Boss D, Ross JC, Preuss E, Gustafson DH. Clinician Perspectives on Barriers and Facilitators to Implementing e-Health Technology in Substance Use Disorder (SUD) Treatment Facilities. Subst Abuse. 2021 Oct 26;15:11782218211053360. doi: 10.1177/11782218211053360. eCollection 2021.
Gustafson D Sr, Horst J, Boss D, Fleddermann K, Jacobson N, Roosa M, Ross JC, Gicquelais R, Vjorn O, Siegler T, Molfenter T. Implementation of Smartphone Systems to Improve Quality of Life for People With Substance Use Disorder: Interim Report on a Randomized Controlled Trial. JMIR Hum Factors. 2022 Jul 14;9(3):e35125. doi: 10.2196/35125.
White VM, Molfenter T, Gustafson DH, Horst J, Greller R, Gustafson DH Jr, Kim JS, Preuss E, Cody O, Pisitthakarm P, Toy A. NIATx-TI versus typical product training on e-health technology implementation: a clustered randomized controlled trial study protocol. Implement Sci. 2020 Oct 23;15(1):94. doi: 10.1186/s13012-020-01053-4.
Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan
Other Identifiers
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A195010
Identifier Type: OTHER
Identifier Source: secondary_id
ENGR/INDUSTRIAL ENGR
Identifier Type: OTHER
Identifier Source: secondary_id
Protocol version: 02-15-2021
Identifier Type: OTHER
Identifier Source: secondary_id
2020-0833
Identifier Type: OTHER
Identifier Source: secondary_id
2018-0997
Identifier Type: -
Identifier Source: org_study_id
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