Integrated Collaborative Care for Substance Use Disorders
SUMMIT
1 other identifier
interventional
397
1 country
2
Brief Summary
Primary care settings (PCS) are a missed opportunity for delivering evidence-based treatments for opiate and alcohol-use disorders (OAUD). The investigators propose to evaluate the costs and effectiveness of two strategies to increase the delivery of OAUD treatments in PCS, integrated collaborative care (ICC) and education and resources (E\&R). The investigators hypothesize that ICC will be more effective than E\&R in promoting A. Implementation outcomes B. Service system outcomes and C. Patient outcomes. Results from our study will help providers choose between two different strategies and advance the field of implementation research.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jun 2014
Typical duration for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 11, 2013
CompletedFirst Posted
Study publicly available on registry
March 13, 2013
CompletedStudy Start
First participant enrolled
June 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2017
CompletedApril 27, 2017
April 1, 2017
2.3 years
March 11, 2013
April 25, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (7)
unmet need
Of those identified as screening positive for an opiate or alcohol use disorder, proportion who did not receive treatment for their substance use
past 6 months
abstinent from alcohol and opioid use, past 30 days
change in abstinence from alcohol and opioid use between baseline and 6 month follow up
past 30 days
negative consequences related to substance use
SIP-AD frequency questionnaire
past 3 months
Functioning
change in SF-12 between baseline and follow up
past 4 weeks
Engagement
Proportion with at least 2 SUD-related visits within 30 days of initiation, Washington Circle
30 days of initiation
initiation
Washington Circle initiation indicator--at least one SUD-related visit within 14 days of index visit
Within 14 days of index visit
heavy alcohol use
among people at baseline with heavy alcohol use, proportion with heavy alcohol use in past 30 days
6 months
Secondary Outcomes (3)
Proportion initiating Brief therapy
6 months
Proportion initiating MAT
6 months
abstinence from alcohol, opioids and all other drugs in the previous 30 days
collected at six months at the past 30 days
Study Arms (2)
ICC
EXPERIMENTALIntegrated collaborative care
E&R
ACTIVE COMPARATOREducation and Resources--enhanced usual care
Interventions
Eligibility Criteria
You may qualify if:
- opiate or alcohol use disorder
- not currently in substance use disorder treatment
- past 30 day use of alcohol or opioids
- English or Spanish speaking
You may not qualify if:
- co-morbid severe mental illness
- medically unstable
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- RANDlead
Study Sites (2)
Venice Family Clinic-Simms Mann Health Center
Santa Monica, California, 90405, United States
Venice Family Clinic-Rose lAvenue
Venice, California, 90291, United States
Related Publications (3)
Hunter SB, Ober AJ, McCullough CM, Storholm ED, Iyiewuare PO, Pham C, Watkins KE. Sustaining alcohol and opioid use disorder treatment in primary care: a mixed methods study. Implement Sci. 2018 Jun 18;13(1):83. doi: 10.1186/s13012-018-0777-y.
PMID: 29914524DERIVEDWatkins KE, Ober AJ, Lamp K, Lind M, Setodji C, Osilla KC, Hunter SB, McCullough CM, Becker K, Iyiewuare PO, Diamant A, Heinzerling K, Pincus HA. Collaborative Care for Opioid and Alcohol Use Disorders in Primary Care: The SUMMIT Randomized Clinical Trial. JAMA Intern Med. 2017 Oct 1;177(10):1480-1488. doi: 10.1001/jamainternmed.2017.3947.
PMID: 28846769DERIVEDOber AJ, Watkins KE, Hunter SB, Lamp K, Lind M, Setodji CM. An organizational readiness intervention and randomized controlled trial to test strategies for implementing substance use disorder treatment into primary care: SUMMIT study protocol. Implement Sci. 2015 May 8;10:66. doi: 10.1186/s13012-015-0256-7.
PMID: 25951953DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Masking Details
- We used an R software random number generator to randomly assign eligible participants to either CC or usual care. We used a concealed randomization protocol where neither participant nor researcher (outside of the statistician doing the randomization) was aware of the randomization until after the baseline interview. None of the participants or providers was blinded to treatment allocation after randomization. Interviewers were blinded to treatment allocation
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 11, 2013
First Posted
March 13, 2013
Study Start
June 1, 2014
Primary Completion
September 1, 2016
Study Completion
January 1, 2017
Last Updated
April 27, 2017
Record last verified: 2017-04