Facilitating MAT Acceptance & Implementation in Problem Solving & Felony Courts

NCT03229447 | Unknown Phase 1

• 2 other identifiers: NationalDRIR34DA038799
• Study Type: interventional
• Target: 96
• Locations: 1 country
• Sites: 1

Brief Summary

This study compares two methodologies for improving access to medication assisted treatment (MAT) in Ohio courts where MAT is currently restricted or prohibited. All participating courts are asked to view two educational modules. Module 1 addresses the nature of opioid addiction and treatment. Module 2 addresses concerns specific to criminal justice such as misuse and diversion of medications. Courts selected for the experimental group also receive a hands-on change team initiative in which specially trained professionals work with court staff to provide education and instrumental assistance in order to improve access to MAT for court supervisees who are opioid-dependent.

Conditions

Improving Treatment for Opioid Use Disorder in Courts

Outcome Measures

Primary Outcomes (1)

• Enrollment in Medication Assisted Treatment

  Pre-post intervention comparison of enrollment in MAT among opioid-dependent supervisees. Using an online survey, investigators compare court-reported data for MAT enrollment.

  9 months

Secondary Outcomes (4)

• MAT referrals

  9 months

• MAT knowledge/attitudes

  9 months

• Willingness to refer clients to MAT

  9 months

• Barriers to MAT

  9 months

Study Arms (2)

E-learning intervention

ACTIVE COMPARATOR

The E-learning intervention consists of two 20-minute e-learning modules that combine a didactic component with testimonials from respected professionals in the fields of addiction treatment and criminal justice. Module 1 describes the nature of opioid addiction and treatment modalities. Module 2 addresses specific criminal justice concerns of cost, acceptance, usefulness, and diversion, perceived obstacles to providing MAT access as described to us by Ohio criminal justice professionals in formative phase. All courts recruited for the study are exposed to E-Learning.

Behavioral: eLearning Modules

Change Team Intervention

EXPERIMENTAL

Half of the courts exposed to e-learning will be randomly assigned to a change team intervention. The change team will reinforce the information in the modules and provide instrumental assistance in linking courts to MAT providers and financial resources.

Behavioral: eLearning Modules; Behavioral: Change Team Intervention

Interventions

eLearning Modules BEHAVIORAL

All participating courts will view two eLearning modules. Module one discusses opioid addiction and treatment; module two discusses specific concerns of criminal justice with regard to MAT and ways in which those concerns may be addressed.

Change Team Intervention; E-learning intervention

Change Team Intervention BEHAVIORAL

Courts selected for the experimental condition will participate in a hands-on change team intervention to provide instrumental assistance and to reinforce the information contained in the eLearning modules.

Change Team Intervention

Eligibility Criteria

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

You may qualify if:

• Over 18 years of age
• Court Personnel

You may not qualify if:

• Under 18 years of age
• Not employed by court

Sponsors & Collaborators

• National Development and Research Institutes, Inc.: lead
• Treatment Alternatives for Safe Communities: collaborator

Study Sites (1)

National Development and Research Institutes, Inc.

New York, New York, 10010, United States

RECRUITING

Study Officials

• Andrew Rosenblum

  Executive Director

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Andrew Rosenblum, PhD

CONTACT

2128454258; rosenblum@ndri.org

Harlan Matusow, PhD

CONTACT

2128454445; matusow@ndri.orgm

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: This study will develop and test the feasibility of an interactive eLearning modality and an eLearning + an organizational approach (change team intervention; a Technology Transfer model) to advance knowledge and facilitate inclusion of MAT in the criminal justice system for opioid-addicted clients. Courts recruited for the study will receive eLearning and half of these courts will be randomly assigned to the change team.

Study Record Dates

• First Submitted: July 14, 2017
• First Posted: July 25, 2017
• Study Start: April 15, 2016
• Primary Completion: April 1, 2018
• Study Completion: April 1, 2018
• Last Updated: July 25, 2017

Record last verified: 2017-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)