A Pragmatic Trial of the Consult for Addiction Treatment and Care in Hospitals (CATCH) Model for Engaging Patients in Opioid Use Disorder Treatment

NCT03611335 | Completed

• 1 other identifier: 18-00096
• Study Type: observational
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

This pragmatic clinical trial seeks to evaluate the effectiveness of the Consult for Addiction Treatment and Care in Hospitals (CATCH) intervention as a strategy for engaging patients with Opiod Use Disorder (OUD) in addiction treatment.

Conditions

Opioid Dependence; Opioid Abuse

Outcome Measures

Primary Outcomes (2)

• Effectiveness of CATCH in increasing MAT initiation among patients with OUD.

  Effectiveness of patients hospitalized during the CATCH period to have higher rates of treatment initiation.

  Initiate MAT outpatient treatment within 14 days of discharge.

• Effectiveness of CATCH in increasing MAT engagement among patients with OUD.

  Effectiveness of patients hospitalized during the CATCH period to have higher rates of treatment engagement, defined as having 2 or more additional MAT services within 30 days of treatment initiation.

  Have 2 or more additional MAT services within 30 days of treatment initiation.

Study Arms (6)

Site 1 H+H

Lincoln Medical and Mental Health Center

Behavioral: CATCH Interviews

Site 2 H+H

Bellevue Hospital

Behavioral: CATCH Interviews

Site 3 H+H

Metropolitan Hospital

Behavioral: CATCH Interviews

Site 4 H+H

Elmhurst Hospital Center

Behavioral: CATCH Interviews

Site 5 H+H

Coney Island Hospital

Behavioral: CATCH Interviews

Site 6 H+H

Woodhull Medical and Mental Health Center

Behavioral: CATCH Interviews

Interventions

CATCH Interviews BEHAVIORAL

Baseline interviews are conducted with CATCH staff (5/site); while Post-implementation interviews are conducted 9-12 months after introduction of CATCH, with CATCH staff (5/site) and patients (5/site)

Site 1 H+H; Site 2 H+H; Site 3 H+H; Site 4 H+H; Site 5 H+H; Site 6 H+H

Eligibility Criteria

• Age: 18 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Our study retrospectively analyzes administrative data for patients with OUD who have been hospitalized at the participating sites. These patients are not recruited or enrolled.The cases identified through administrative data consists of individuals with OUD who are hospitalized at one of the six study sites. We anticipate that the characteristics of this population will vary by site, given the differences in patient populations served by each of the participating hospitals. Overall, we expect that cases will have the following demographic characteristics: 28% female; 14% Hispanic; 24% Black, 37% White, 1% Asian, 38% mixed race/other; 4% age 18-25, 33% age 26-45, 55% age 46-65, 7% \>65 years.

You may qualify if:

• Adult patients (≥18 years);
• Hospitalized for at least 1 night on an inpatient service (not including intensive care);
• Admission or discharge diagnosis (based on ICD-10 codes) of opioid use disorder or opioid poisoning.
• Cases are excluded if they received MAT (buprenorphine, methadone maintenance treatment, or naltrexone) in the 30 days prior to admission. Cases included in the intervention condition must have been admitted on a date following implementation of CATCH.

You may not qualify if:

• Lack of fluency in English, unable to provide informed consent.

Sponsors & Collaborators

• NYU Langone Health: lead

Study Sites (1)

NYU Langone Health

New York, New York, 10016, United States

Location

Related Publications (3)

• Rostam-Abadi Y, Wang S, King C, Kalyanaraman Marcello R, Van Wye G, Tuazon E, Kennedy J, Cooke C, Mazumdar M, Tarpey T, Billings J, Appleton N, Fernando J, Fawole A, Siddiqui S, Barron C, Schatz D, McNeely J. Addiction Consult Services, Mortality, and Acute Care Utilization in Inpatients With Opioid Use Disorder: A Secondary Analysis of a Cluster Randomized Clinical Trial. JAMA Netw Open. 2025 Aug 1;8(8):e2525222. doi: 10.1001/jamanetworkopen.2025.25222.

  PMID: 40768148 DERIVED

• McNeely J, Wang SS, Rostam Abadi Y, Barron C, Billings J, Tarpey T, Fernando J, Appleton N, Fawole A, Mazumdar M, Weinstein ZM, Kalyanaraman Marcello R, Dolle J, Cooke C, Siddiqui S, King C. Addiction Consultation Services for Opioid Use Disorder Treatment Initiation and Engagement: A Randomized Clinical Trial. JAMA Intern Med. 2024 Sep 1;184(9):1106-1115. doi: 10.1001/jamainternmed.2024.3422.

  PMID: 39073796 DERIVED

• McNeely J, Troxel AB, Kunins HV, Shelley D, Lee JD, Walley A, Weinstein ZM, Billings J, Davis NJ, Marcello RK, Schackman BR, Barron C, Bergmann L. Study protocol for a pragmatic trial of the Consult for Addiction Treatment and Care in Hospitals (CATCH) model for engaging patients in opioid use disorder treatment. Addict Sci Clin Pract. 2019 Feb 19;14(1):5. doi: 10.1186/s13722-019-0135-7.

  PMID: 30777122 DERIVED

MeSH Terms

Conditions

Opioid-Related Disorders

Condition Hierarchy (Ancestors)

Narcotic-Related Disorders; Substance-Related Disorders; Chemically-Induced Disorders; Mental Disorders

Study Officials

• Jennifer McNeely, MD

  NYU Langone

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Target Duration: 12 Months
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 26, 2018
• First Posted: August 2, 2018
• Study Start: December 7, 2018
• Primary Completion: September 15, 2022
• Study Completion: March 20, 2023
• Last Updated: February 5, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)