Trial Outcomes & Findings for Personally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME) for Pregnant and Postpartum Persons in MOUD (NCT NCT06262347)

NCT ID: NCT06262347

Last Updated: 2025-05-11

Results Overview

This outcome is measured by the Opioid Overdose and Treatment Awareness Survey (OOTAS) knowledge evaluation: MOUD knowledge, potential score of 0-10; higher score indicates more knowledge. Values are converted to a percentage of correct answers from 0-100% where higher percentages mean more knowledge.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

131 participants

Primary outcome timeframe

Week 3

Results posted on

2025-05-11

Participant Flow

Participant milestones

Participant milestones
Measure
Personally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)
Drug: Naloxone kit TOME: Each participant's knowledge of Medication for Opioid Use Disorder (MOUD) and opioid-related overdose (OOD) was assessed. A trained research assistant met individually with the participant for ≤15 minutes to review incorrect answers and explain the correct answers using four computer-generated feedback reports: 1) MOUD; 2) OOD risk factors; 3) signs of an OOD; and 4) how to respond to an OOD. Participants were offered a copy of their personal feedback reports.
Control
Drug: Naloxone kit Naloxone nasal spray (NARCAN) is a potentially life-saving medication that can stop or reverse the effects of an opioid overdose. This nasal spray is approved by the FDA for reversing OODs and has a favorable side-effects profile. A take-home kit will be provided to participants, which may be useful in the event of a future opioid overdose. Behavioral: SAMHSA handouts SAMHSA handouts: 1) "Opioid Overdose Prevention Toolkit: Safety Advice for Patients and Family Members"; 2) "Opioid Overdose Prevention Toolkit: Recovering from Opioid Overdose"; and 3) "Medication-Assisted Treatment for Opioid Addiction: Facts for Families and Friends". These handouts can be offered as physical copies or electronically. Control: Participants randomized to the control condition will be offered three SAMHSA handouts.
Overall Study
STARTED
67
64
Overall Study
COMPLETED
63
60
Overall Study
NOT COMPLETED
4
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Personally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)
Drug: Naloxone kit TOME: Each participant's knowledge of Medication for Opioid Use Disorder (MOUD) and opioid-related overdose (OOD) was assessed. A trained research assistant met individually with the participant for ≤15 minutes to review incorrect answers and explain the correct answers using four computer-generated feedback reports: 1) MOUD; 2) OOD risk factors; 3) signs of an OOD; and 4) how to respond to an OOD. Participants were offered a copy of their personal feedback reports.
Control
Drug: Naloxone kit Naloxone nasal spray (NARCAN) is a potentially life-saving medication that can stop or reverse the effects of an opioid overdose. This nasal spray is approved by the FDA for reversing OODs and has a favorable side-effects profile. A take-home kit will be provided to participants, which may be useful in the event of a future opioid overdose. Behavioral: SAMHSA handouts SAMHSA handouts: 1) "Opioid Overdose Prevention Toolkit: Safety Advice for Patients and Family Members"; 2) "Opioid Overdose Prevention Toolkit: Recovering from Opioid Overdose"; and 3) "Medication-Assisted Treatment for Opioid Addiction: Facts for Families and Friends". These handouts can be offered as physical copies or electronically. Control: Participants randomized to the control condition will be offered three SAMHSA handouts.
Overall Study
Lost to Follow-up
4
3
Overall Study
Withdrawal by Subject
0
1

Baseline Characteristics

Personally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME) for Pregnant and Postpartum Persons in MOUD

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Personally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)
n=67 Participants
Drug: Naloxone kit Naloxone nasal spray (NARCAN) is a potentially life-saving medication that can stop or reverse the effects of an opioid overdose. This nasal spray is approved by the FDA for reversing OODs and has a favorable side-effects profile. A take-home kit will be provided to participants, which may be useful in the event of a future opioid overdose. Behavioral: TOME TOME: Each participant's knowledge of Medication for Opioid Use Disorder (MOUD) and opioid-related overdose (OOD) was assessed. A trained research assistant met individually with the participant for ≤15 minutes to review incorrect answers and explain the correct answers using four computer-generated feedback reports: 1) MOUD; 2) OOD risk factors; 3) signs of an OOD; and 4) how to respond to an OOD. Participants were offered a copy of their personal feedback reports.
Control
n=64 Participants
Drug: Naloxone kit Naloxone nasal spray (NARCAN) is a potentially life-saving medication that can stop or reverse the effects of an opioid overdose. This nasal spray is approved by the FDA for reversing OODs and has a favorable side-effects profile. A take-home kit will be provided to participants, which may be useful in the event of a future opioid overdose. Behavioral: SAMHSA handouts SAMHSA handouts: 1) "Opioid Overdose Prevention Toolkit: Safety Advice for Patients and Family Members"; 2) "Opioid Overdose Prevention Toolkit: Recovering from Opioid Overdose"; and 3) "Medication-Assisted Treatment for Opioid Addiction: Facts for Families and Friends". These handouts can be offered as physical copies or electronically. Control: Participants randomized to the control condition will be offered three SAMHSA handouts.
Total
n=131 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
67 Participants
n=5 Participants
64 Participants
n=7 Participants
131 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
31.6 years
STANDARD_DEVIATION 5.0 • n=5 Participants
30.7 years
STANDARD_DEVIATION 4.8 • n=7 Participants
31.2 years
STANDARD_DEVIATION 4.9 • n=5 Participants
Sex: Female, Male
Female
67 Participants
n=5 Participants
64 Participants
n=7 Participants
131 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
7 Participants
n=7 Participants
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
64 Participants
n=5 Participants
57 Participants
n=7 Participants
121 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
White
58 Participants
n=5 Participants
59 Participants
n=7 Participants
117 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
5 Participants
n=5 Participants
3 Participants
n=7 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Medication for Opioid Use Disorder (MOUD) Knowledge Score
64.0 percentage of correct answers
STANDARD_DEVIATION 15.4 • n=5 Participants
69.5 percentage of correct answers
STANDARD_DEVIATION 12.1 • n=7 Participants
66.7 percentage of correct answers
STANDARD_DEVIATION 14.1 • n=5 Participants
Opioid Overdose Knowledge Score
81.7 percentage of correct answers
STANDARD_DEVIATION 7.1 • n=5 Participants
82.5 percentage of correct answers
STANDARD_DEVIATION 5.6 • n=7 Participants
82.1 percentage of correct answers
STANDARD_DEVIATION 6.4 • n=5 Participants
Medication for Opioid Use Disorder (MOUD) Internalized Stigma
1.8 average score
STANDARD_DEVIATION 0.7 • n=5 Participants
1.7 average score
STANDARD_DEVIATION 0.8 • n=7 Participants
1.7 average score
STANDARD_DEVIATION 0.8 • n=5 Participants
Drug Self-efficacy
2.6 average score
STANDARD_DEVIATION 2.6 • n=5 Participants
2.7 average score
STANDARD_DEVIATION 2.9 • n=7 Participants
2.6 average score
STANDARD_DEVIATION 2.7 • n=5 Participants

PRIMARY outcome

Timeframe: Week 3

Population: Several participants were lost to follow-up, explaining why the Week 3 participant numbers analyzed differs from the overall.

This outcome is measured by the Opioid Overdose and Treatment Awareness Survey (OOTAS) knowledge evaluation: MOUD knowledge, potential score of 0-10; higher score indicates more knowledge. Values are converted to a percentage of correct answers from 0-100% where higher percentages mean more knowledge.

Outcome measures

Outcome measures
Measure
Personally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)
n=63 Participants
Drug: Naloxone kit Naloxone nasal spray (NARCAN) is a potentially life-saving medication that can stop or reverse the effects of an opioid overdose. This nasal spray is approved by the FDA for reversing OODs and has a favorable side-effects profile. A take-home kit will be provided to participants, which may be useful in the event of a future opioid overdose. Behavioral: TOME TOME: Each participant's knowledge of Medication for Opioid Use Disorder (MOUD) and opioid-related overdose (OOD) was assessed. A trained research assistant met individually with the participant for ≤15 minutes to review incorrect answers and explain the correct answers using four computer-generated feedback reports: 1) MOUD; 2) OOD risk factors; 3) signs of an OOD; and 4) how to respond to an OOD. Participants were offered a copy of their personal feedback reports.
Control
n=60 Participants
Drug: Naloxone kit Naloxone nasal spray (NARCAN) is a potentially life-saving medication that can stop or reverse the effects of an opioid overdose. This nasal spray is approved by the FDA for reversing OODs and has a favorable side-effects profile. A take-home kit will be provided to participants, which may be useful in the event of a future opioid overdose. Behavioral: SAMHSA handouts SAMHSA handouts: 1) "Opioid Overdose Prevention Toolkit: Safety Advice for Patients and Family Members"; 2) "Opioid Overdose Prevention Toolkit: Recovering from Opioid Overdose"; and 3) "Medication-Assisted Treatment for Opioid Addiction: Facts for Families and Friends". These handouts can be offered as physical copies or electronically. Control: Participants randomized to the control condition will be offered three SAMHSA handouts.
Medication for Opioid Use Disorder (MOUD) Knowledge Score
83.5 percentage of correct answers
Standard Deviation 15.6
72.0 percentage of correct answers
Standard Deviation 14.2

PRIMARY outcome

Timeframe: Week 3

Population: Several participants were lost to follow-up, explaining why the Week 3 participant numbers analyzed differs from the overall.

This outcome is measured by the first three sections of the Opioid Overdose and Treatment Awareness Survey (OOTAS). Opioid-overdose knowledge, potential score of 0-31; higher score indicates more knowledge. Values are converted to a percentage of correct answers from 0-100% where higher percentages mean more knowledge.

Outcome measures

Outcome measures
Measure
Personally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)
n=63 Participants
Drug: Naloxone kit Naloxone nasal spray (NARCAN) is a potentially life-saving medication that can stop or reverse the effects of an opioid overdose. This nasal spray is approved by the FDA for reversing OODs and has a favorable side-effects profile. A take-home kit will be provided to participants, which may be useful in the event of a future opioid overdose. Behavioral: TOME TOME: Each participant's knowledge of Medication for Opioid Use Disorder (MOUD) and opioid-related overdose (OOD) was assessed. A trained research assistant met individually with the participant for ≤15 minutes to review incorrect answers and explain the correct answers using four computer-generated feedback reports: 1) MOUD; 2) OOD risk factors; 3) signs of an OOD; and 4) how to respond to an OOD. Participants were offered a copy of their personal feedback reports.
Control
n=60 Participants
Drug: Naloxone kit Naloxone nasal spray (NARCAN) is a potentially life-saving medication that can stop or reverse the effects of an opioid overdose. This nasal spray is approved by the FDA for reversing OODs and has a favorable side-effects profile. A take-home kit will be provided to participants, which may be useful in the event of a future opioid overdose. Behavioral: SAMHSA handouts SAMHSA handouts: 1) "Opioid Overdose Prevention Toolkit: Safety Advice for Patients and Family Members"; 2) "Opioid Overdose Prevention Toolkit: Recovering from Opioid Overdose"; and 3) "Medication-Assisted Treatment for Opioid Addiction: Facts for Families and Friends". These handouts can be offered as physical copies or electronically. Control: Participants randomized to the control condition will be offered three SAMHSA handouts.
Opioid Overdose Knowledge Score
90.1 percentage of correct answers
Standard Deviation 7.6
82.6 percentage of correct answers
Standard Deviation 6.2

SECONDARY outcome

Timeframe: Week 3

Population: Several participants were lost to follow-up, explaining why the Week 3 participant numbers analyzed differs from the overall.

This will be assessed with the The Methadone Maintenance Treatment Stigma Mechanisms Scale (MMT-SMS) questionnaire. Score range: 1 - 5; higher score indicates greater MOUD stigma

Outcome measures

Outcome measures
Measure
Personally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)
n=63 Participants
Drug: Naloxone kit Naloxone nasal spray (NARCAN) is a potentially life-saving medication that can stop or reverse the effects of an opioid overdose. This nasal spray is approved by the FDA for reversing OODs and has a favorable side-effects profile. A take-home kit will be provided to participants, which may be useful in the event of a future opioid overdose. Behavioral: TOME TOME: Each participant's knowledge of Medication for Opioid Use Disorder (MOUD) and opioid-related overdose (OOD) was assessed. A trained research assistant met individually with the participant for ≤15 minutes to review incorrect answers and explain the correct answers using four computer-generated feedback reports: 1) MOUD; 2) OOD risk factors; 3) signs of an OOD; and 4) how to respond to an OOD. Participants were offered a copy of their personal feedback reports.
Control
n=60 Participants
Drug: Naloxone kit Naloxone nasal spray (NARCAN) is a potentially life-saving medication that can stop or reverse the effects of an opioid overdose. This nasal spray is approved by the FDA for reversing OODs and has a favorable side-effects profile. A take-home kit will be provided to participants, which may be useful in the event of a future opioid overdose. Behavioral: SAMHSA handouts SAMHSA handouts: 1) "Opioid Overdose Prevention Toolkit: Safety Advice for Patients and Family Members"; 2) "Opioid Overdose Prevention Toolkit: Recovering from Opioid Overdose"; and 3) "Medication-Assisted Treatment for Opioid Addiction: Facts for Families and Friends". These handouts can be offered as physical copies or electronically. Control: Participants randomized to the control condition will be offered three SAMHSA handouts.
Medication for Opioid Use Disorder (MOUD) Internalized Stigma
1.5 average score
Standard Deviation 0.7
1.6 average score
Standard Deviation 0.8

SECONDARY outcome

Timeframe: Week 3

Population: Several participants were lost to follow-up, explaining why the Week 3 participant numbers analyzed differs from the overall.

This will be assessed with the Thoughts about abstinence (TAA) instrument. Drug Self-efficacy Score range: 0 - 9; higher score indicates greater expected success in avoiding drug use

Outcome measures

Outcome measures
Measure
Personally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)
n=63 Participants
Drug: Naloxone kit Naloxone nasal spray (NARCAN) is a potentially life-saving medication that can stop or reverse the effects of an opioid overdose. This nasal spray is approved by the FDA for reversing OODs and has a favorable side-effects profile. A take-home kit will be provided to participants, which may be useful in the event of a future opioid overdose. Behavioral: TOME TOME: Each participant's knowledge of Medication for Opioid Use Disorder (MOUD) and opioid-related overdose (OOD) was assessed. A trained research assistant met individually with the participant for ≤15 minutes to review incorrect answers and explain the correct answers using four computer-generated feedback reports: 1) MOUD; 2) OOD risk factors; 3) signs of an OOD; and 4) how to respond to an OOD. Participants were offered a copy of their personal feedback reports.
Control
n=60 Participants
Drug: Naloxone kit Naloxone nasal spray (NARCAN) is a potentially life-saving medication that can stop or reverse the effects of an opioid overdose. This nasal spray is approved by the FDA for reversing OODs and has a favorable side-effects profile. A take-home kit will be provided to participants, which may be useful in the event of a future opioid overdose. Behavioral: SAMHSA handouts SAMHSA handouts: 1) "Opioid Overdose Prevention Toolkit: Safety Advice for Patients and Family Members"; 2) "Opioid Overdose Prevention Toolkit: Recovering from Opioid Overdose"; and 3) "Medication-Assisted Treatment for Opioid Addiction: Facts for Families and Friends". These handouts can be offered as physical copies or electronically. Control: Participants randomized to the control condition will be offered three SAMHSA handouts.
Drug Self-efficacy
2.3 average score
Standard Deviation 2.9
1.9 average score
Standard Deviation 2.6

Adverse Events

Personally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

T. John Winhusen, PhD.

University of Cincinnati

Phone: 513-585-8292

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place