SCOSI-M: Preventing Prescription Drug Problems

NCT02210936 | Completed

• 1 other identifier: 14047
• Study Type: interventional
• Target: 93
• Locations: 1 country
• Sites: 1

Brief Summary

Brandeis University and University of South Carolina (USC) have joined together to develop the South Carolina Opioid Safety Initiative - Military (SCOSI-M), to develop an academic detailing (medical education) intervention for physicians and evaluate its effectiveness in a pilot study. The goal of the intervention is to increase the use of safe prescribing and prescription monitoring practices among primary care physicians. The research team will design and pilot an educational intervention for physicians who treat military personnel, veterans, and their families with prescription opioids. The overall aim of SCOSI-M is to prevent the onset or progression of prescription drug problems among Iraq and Afghanistan veterans, military members, and their families who are at high risk for developing problems if their treatment involves long-term use of an opioid.

Conditions

Prescription Drug Problems

Outcome Measures

Primary Outcomes (1)

• Use of SCRIPTS

  Primary outcomes, or effectiveness, will be measured first by the use of SCRIPTS when prescribing opioids (e.g., % of new patients the physician queried; % of patients with long-term use the physician queried).

  Up to 12 months

Study Arms (1)

PDMP Data

OTHER

Other: Educational Intervention

Interventions

Educational Intervention OTHER

The design is primarily a pre-post, non-equivalent comparison group test of program effectiveness. If final sample size permits, we will examine program effects for each practice environment separately. For measures that require interview data there will be no comparison group data. We will construct matched comparison groups of physicians for each environment for which only secondary data analysis will be conducted. The matched comparison group will be constructed using prescription data from the DoD's pharmacy data transaction system (MACH and DORN VAMC) and from SCRIPTS (community-based physicians and VA prescribers).

PDMP Data

Eligibility Criteria

• Age: 18 Years - 85 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• a physician within one of the 3 practice environments;
• typically prescribes Schedule II opioids to 10 or more non-cancer pain patients each month;
• if community office-based, a substantial number of patients must have TRICARE (e.g., 20%); and d) willing to provide written consent for data collection and release of own SCRIPTS data.

You may not qualify if:

• non-physician providers who report data to the SCRIPTS (dentist, veterinarians, nurses),
• surgeons, pediatricians, or physicians predominately treating pain in cancer or surgical patients, and,
• not eligible to register as authorized SCRIPTS user.

Sponsors & Collaborators

• Brandeis University: lead
• University of South Carolina: collaborator
• Medical University of South Carolina: collaborator
• Moncrief Army Community Hospital: collaborator
• William Jennings Bryan Dorn VA Medical Center: collaborator

Study Sites (1)

Brandeis University

Waltham, Massachusetts, 02454, United States

Location

Related Publications (1)

• Larson MJ, Browne C, Nikitin RV, Wooten NR, Ball S, Adams RS, Barth K. Physicians report adopting safer opioid prescribing behaviors after academic detailing intervention. Subst Abus. 2018;39(2):218-224. doi: 10.1080/08897077.2018.1449175. Epub 2018 May 4.

  PMID: 29608412 DERIVED

MeSH Terms

Interventions

Early Intervention, Educational

Intervention Hierarchy (Ancestors)

Child Health Services; Community Health Services; Health Services; Health Care Facilities Workforce and Services; Preventive Health Services

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 10, 2014
• First Posted: August 7, 2014
• Study Start: July 1, 2014
• Primary Completion: May 1, 2019
• Study Completion: May 1, 2019
• Last Updated: July 9, 2020

Record last verified: 2020-07

Locations

US (1)