NCT06565416

Brief Summary

The present study seeks to examine the implementation process of culturally tailoring screening and brief intervention for both chronic pain and opioid misuse/opioid use disorder in three American Indian and Alaska Native (AI/AN) serving clinics. The investigators also will assess staff perspectives on this implementation as well as a survey to understand clients at these sites who have chronic pain and opioid misuse/opioid use disorder.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
225

participants targeted

Target at P75+ for not_applicable

Timeline
26mo left

Started Jun 2023

Longer than P75 for not_applicable

Geographic Reach
1 country

3 active sites

Status
recruiting

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 Progress58%
Jun 2023Jul 2028

Study Start

First participant enrolled

June 1, 2023

Completed
1.2 years until next milestone

First Submitted

Initial submission to the registry

August 19, 2024

Completed
3 days until next milestone

First Posted

Study publicly available on registry

August 22, 2024

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2026

Expected
2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2028

Last Updated

November 12, 2025

Status Verified

November 1, 2025

Enrollment Period

3.1 years

First QC Date

August 19, 2024

Last Update Submit

November 10, 2025

Conditions

Outcome Measures

Primary Outcomes (2)

  • Number of clients screened for chronic pain and opioid misuse/opioid use disorder

    Derived from electronic medical records

    6 months (or duration of implementation phase)

  • Number of clients screened for chronic pain and opioid misuse/opioid use disorder

    Derived from electronic medical records

    6 months (or duration of sustainment phase)

Study Arms (4)

Pre-Intervention

NO INTERVENTION

Baseline prior to any involvement with the project

Intervention

NO INTERVENTION

A workgroup for each clinic meets for approximately 6 months to select the specific goals for the clinic to be targeted during the implementation phase.

Implementation

ACTIVE COMPARATOR

Evidence-based implementation strategies are put into practice for approximately 6 months.

Behavioral: Implementation Strategies

Sustainment

NO INTERVENTION

Measuring the degree to which the clinic maintains the implementation phase goals.

Interventions

Culturally centering screening and brief intervention for chronic pain and opioid misuse/opioid use disorder among American Indian/Alaska Native clients

Implementation

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Willing and able to provide informed consent
  • have English comprehension and proficiency
  • receiving services at one of our participating study sites
  • report current chronic pain and/or opioid misuse/opioid use disorder
  • self-identify as American Indian/Alaska Native

You may not qualify if:

  • if they have a psychiatric, cognitive, or medical condition that interferes with the consenting process

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Clinic Site A (blinded pending tribal approval)

Arcata, California, 95521, United States

RECRUITING

Clinic Site C (blinded pending tribal approval)

Minneapolis, Minnesota, 55404, United States

NOT YET RECRUITING

Clinic Site B (blinded pending tribal approval)

Toppenish, Washington, 98948, United States

NOT YET RECRUITING

MeSH Terms

Conditions

Opioid-Related DisordersChronic Pain

Condition Hierarchy (Ancestors)

Narcotic-Related DisordersSubstance-Related DisordersChemically-Induced DisordersMental DisordersPainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Matthew R Pearson, PhD

    University of New Mexico

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Kamilla L Venner, PhD

CONTACT

Angel R Vasquez, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
Given the single group design, it is not feasible to blind investigators or outcomes assessor. Given that the intervention occurs at the site level among providers, patients/clients can be considered blinded given that they are not the direct target of the intervention.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: A provider-level implementation intervention will be administered at each of the three participating sites. The investigators will examine implementation and effectiveness outcomes before, during, and after implementation.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 19, 2024

First Posted

August 22, 2024

Study Start

June 1, 2023

Primary Completion (Estimated)

July 1, 2026

Study Completion (Estimated)

July 1, 2028

Last Updated

November 12, 2025

Record last verified: 2025-11

Data Sharing

IPD Sharing
Will not share

Each Tribal partner has would need to agree to have their data shared.

Locations