To Test a Payer/Treatment Agency Intervention to Increase Use of Buprenorphine

NCT01702142 | Completed DMC

• 2 other identifiers: Molfenter_2012_00081R01DA030431-01A1
• Study Type: observational
• Target: 14
• Locations: 1 country
• Sites: 1

Brief Summary

A team of researchers from the University of Wisconsin-Madison College of Engineering and Oregon Health \& Science University will test whether clinician training and the use of organizational change strategies are sufficient for disseminating an evidence-based practice (EBP), or if changes to both organizational systems and payer policy results in greater EBP use. Demonstrating the role of payment policy as a driver in the adoption of evidence-based practices could provide a contribution to dissemination and implementation science. This study will employ an intervention that was developed through the Robert Wood Johnson Foundation-funded Advancing Recovery (AR) program. In AR, payer/treatment organization partnerships in 12 states collaborated to remove systemic barriers to the adoption of EBPs such as medication-assisted treatment for substance abuse disorders. The resulting "AR Framework" of payer and organizational change strategies will be tested against its ability to increase the use of the addiction medication buprenorphine as compared to organizational change strategies alone. Buprenorphine is an EBP for treating people addicted to heroin or opioid-based pain medications for non-medical use. Buprenorphine has experienced low adoption rates and is not a standard part of addiction treatment. In Ohio, the location of the study, deaths to due to accidental overdoses of opioids has increased by 304% over the past decade and surpassed auto accidents as the leading cause of accidental deaths in 2006. Ohio was selected for the study because of the public health significance of opioid abuse and because each county in Ohio acts as a stand-alone payer, offering 48 unique eligible payer environments. This trial will develop a deeper understanding of the role payers and treatment organizations play in implementing and disseminating EBPs and will focus on the public health issue of rising opioid abuse.

Conditions

Addiction

Keywords

Addiction Treatment

Outcome Measures

Primary Outcomes (1)

• Buprenorphine Use

  Five Years

Study Arms (2)

NIATx Only

NIATx (Network for the Improvement of Addiction Treatment) organization change model only

NIATx and Advancing Recovery

Organizational and system changes

Eligibility Criteria

• Age: 17 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Treatment agencies and Ohio County Boards

You may qualify if:

• Treatment agencies with greater than 75 admissions per year

Sponsors & Collaborators

• University of Wisconsin, Madison: lead
• National Institute on Drug Abuse (NIDA): collaborator

Study Sites (1)

Ohio Department of Addiction Services

Columbus, Ohio, 43215, United States

Location

Related Publications (1)

• Molfenter T, Kim JS, Quanbeck A, Patel-Porter T, Starr S, McCarty D. Testing use of payers to facilitate evidence-based practice adoption: protocol for a cluster-randomized trial. Implement Sci. 2013 May 10;8:50. doi: 10.1186/1748-5908-8-50.

  PMID: 23663749 DERIVED

Biospecimen

Retention: NONE RETAINED

Biospecimens are not part of this study.

MeSH Terms

Conditions

Behavior, Addictive

Condition Hierarchy (Ancestors)

Compulsive Behavior; Impulsive Behavior; Behavior

Study Officials

• Todd D Molfenter, Ph.D.

  University of Wisconsin, Madison

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 28, 2012
• First Posted: October 5, 2012
• Study Start: March 1, 2012
• Primary Completion: December 31, 2016
• Study Completion: February 28, 2018
• Last Updated: November 29, 2018

Record last verified: 2018-11

Locations

US (1)