A Multi-site Intervention to Expand Hospital Based OUD Treatment Provision
In Hospital Treatment of Opioid Use Disorder: Clinician Perspectives and Current Practices
2 other identifiers
interventional
400
1 country
1
Brief Summary
The investigators implemented a multi-site hospital-based opioid use disorder (OUD) treatment intervention across 12 hospitals in Colorado to address an OUD treatment gap among hospitalized adults with OUD.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2023
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 18, 2023
CompletedFirst Submitted
Initial submission to the registry
February 20, 2024
CompletedFirst Posted
Study publicly available on registry
March 4, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 30, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2025
CompletedMay 1, 2026
March 1, 2024
1.3 years
February 20, 2024
April 27, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in buprenorphine prescribing at hospital discharge
Change in rate of buprenorphine prescribing at hospital discharge among patients with OUD before and after intervention implementation
Calculate monthly prescribing rates over a three year time frame (including pre and post implementation) to assess for change
Secondary Outcomes (1)
Change in rates of methadone prescribing during hospitalization
Calculate monthly prescribing rates over a three year time frame (including pre and post implementation) to assess for change
Other Outcomes (2)
Change in average (mean) COWS score over time
Calculate mean monthly COWS scores over a three year time frame (including pre and post implementation) to assess for change
Change in naloxone prescribing at hospital discharge
Calculate monthly prescribing rates over a three year time frame (including pre and post implementation) to assess for change
Study Arms (1)
OUD intervention
EXPERIMENTALParticipants received education on the diagnosis and management of OUD, have access to protocols to walk them through assessment of OUD using Diagnostic and Statistical Manual, fifth Edition (DSM)-5, COWS score to calculate severity of opioid withdrawal, buprenorphine or methadone initiation with pre-populated orders, and clickable links for OUD treatment referral post discharge.
Interventions
Participants received education on the diagnosis and management of OUD, have access to protocols to walk them through assessment of OUD using Diagnostic and Statistical Manual, fifth Edition (DSM)-5, COWS score to calculate severity of opioid withdrawal, buprenorphine or methadone initiation with pre-populated orders, and clickable links for OUD treatment referral post discharge.
Eligibility Criteria
You may qualify if:
- Physicians, advanced practice providers, social workers, and nurses who work at any affiliated hospitals
You may not qualify if:
- none
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Colorado Anschutz Medicl Campus
Aurora, Colorado, 80045, United States
Related Publications (3)
Calcaterra SL, Lockhart S, Natvig C, Mikulich-Gilbertson SK. Measuring the Impact of a Multi-Site In-Hospital Intervention for Opioid Use Disorder Treatment Provision: A Survey of Hospital-Based Clinicians. J Gen Intern Med. 2026 Mar;41(4):1048-1057. doi: 10.1007/s11606-025-09728-8. Epub 2025 Aug 27.
PMID: 40866748RESULTCalcaterra SL, Lockhart S, Grimm E, Holtrop JS, Keniston A, Hoppe JA, Lebin JA, Binswanger IA. A mixed methods assessment of an electronic health record-embedded intervention with supportive education and outreach to increase in-hospital opioid use disorder treatment initiation. J Hosp Med. 2026 Feb 19. doi: 10.1002/jhm.70289. Online ahead of print.
PMID: 41715987RESULTCalcaterra SL, Lockhart S, Natvig C, Mikulich S. Barriers to initiate buprenorphine and methadone for opioid use disorder treatment with postdischarge treatment linkage. J Hosp Med. 2023 Oct;18(10):896-907. doi: 10.1002/jhm.13193. Epub 2023 Aug 22.
PMID: 37608527RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Susan L Calcaterra, MD
University of Colorado, Denver
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 20, 2024
First Posted
March 4, 2024
Study Start
January 18, 2023
Primary Completion
April 30, 2024
Study Completion
May 1, 2025
Last Updated
May 1, 2026
Record last verified: 2024-03
Data Sharing
- IPD Sharing
- Will not share