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Completed

NCT Number: NCT03559179

Clinical Decision Support for Opioid Use Disorders in Medical Settings: Usability Testing in an EMR

The primary objective of this pilot study is to program an opioid use disorder (OUD) clinical decision support (CDS) tool for use in an electronic medical record (EMR) and obtain high primary care physician (PCP) usability and acceptability. The OUD-CDS is based on the NIDA-Blending Initiative white paper, "Clinical Decision Support for Opioid Use Disorders: Working Group Report," which itself is based on national evidence-based guidelines (American Society of Addiction Medicine (ASAM 2015), VA (VA 2015). As such, this pilot study aims to help PCPs achieve accepted standards of care in OUD treatment. The secondary objectives of this pilot study are to evaluate the usefulness of the tool by comparing OUD case-finding, medication-assisted therapy (MAT) and referral patterns pre- and post-CDS deployment for PCPs with and without CDS access.

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Key information

Conditions

Opioid-use Disorder Chemically-Induced Disorders Mental Disorders Narcotic-Related Disorders Opioid-Related Disorders Substance-Related Disorders

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

HealthPartners

Bloomington, Minnesota, 55425, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Be an MD, Doctor of Osteopathy, Nurse Practitioner or Physician's Assistant engaged in independent primary care of adults at HealthPartners or Park Nicollet
  • Have at least schedule 3 DEA prescribing privileges
  • Voluntarily provide written informed consent to participate in this study

Exclusion criteria

  • Less than half-time clinical primary care responsibilities

Treatment and study plan

Opioid Wizard

Other

The Opioid Wizard is an OUD clinical decision support tool for primary care providers.

Primary outcomes

  1. Intervention PCP Confidence in Assessing and Treating OUD

    Time frame: This outcome measure was calculated at approximately month 10 of the pilot study

    # of intervention PCPs who report feeling "moderately" or "very" confident in assessing and treating OUD.

  2. Intervention PCP Likeliness to Recommend Use of the OUD-CDS

    Time frame: This was calculated after PCP surveys were completed, approximately month 10

    # of PCPs with CDS access who rate the OUD-CDS >4 on a 5-point Likert scale of likeliness to recommend use of the tool to their colleagues. The scale ranges from 1-"not at all likely" to 5-"very likely," with higher values representing a higher likelihood of recommending the OUD-CDS to other colleagues.

Secondary outcomes

  1. Compare Pre- and Post-intervention Rates of OUD Diagnosis in High-risk Patients.

    Time frame: This was calculated at the end of the pilot study (month 8).

    Calculate and compare the number of patients diagnosed with OUD pre- and post-intervention. This will be presented as rate of OUD diagnoses per patient year.

  2. Compare Pre- and Post-intervention Rates of Medication-assisted Therapy (MAT) Use.

    Time frame: This was calculated at the end of the pilot study (month 8).

    Calculate and compare the rate of MAT use among patients with OUD pre- and post-intervention. This is presented as a pre/post ratio of MAT rx per patient year.

  3. Compare Post-intervention Referral Patterns Between Intervention and Control Groups

    Time frame: This was calculated at the end of the pilot study (month 8).

    Calculate and compare how often patients diagnosed with OUD are referred to specialty care or inpatient treatment post-intervention. Compare these rates between intervention and control groups.

Sponsors and collaborators

Lead sponsor

HealthPartners Institute

Other

Collaborators

  • Hennepin Healthcare Research Institute
  • National Institute on Drug Abuse (NIDA)

Registry information

Official study title

Clinical Decision Support for Opioid Use Disorders in Medical Settings: Pilot Usability Testing in an EMR

Acronym: COMPUTE

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
Jun 18, 2018
Registry last updated
Mar 17, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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