Improving Jail Response to the Overdose Crisis: A Hybrid Trial of Jail ECHO to Improve MOUD Implementation and Public Health Outcomes

NCT07637994 | Not Yet Recruiting

• 2 other identifiers: STUDY00002674RM1DA064507
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

This project tests a training strategy to help rural jails start or increase their use of medications to treat opioid use disorder (MOUD - methadone, buprenorphine, naltrexone). Staff from participating jails will attend a series of training sessions, called Project ECHO, that include online learning sessions with skilled experts, case-based discussions (real-world examples), and peer-to-peer learning opportunities. Project ECHO is well-studied in healthcare settings but has rarely been used in correctional systems. Staff from 40 rural jails and local treatment programs will participate in 6 months of core sessions (all participants attend the same sessions), followed by 12 months of continuing sessions (where content is tailored to participants' needs). Staff will complete surveys about their knowledge and experience, and jails will provide data about their services. Researchers will measure changes in MOUD services offered by the jails over time, as well as the impact these changes have on staff's work environment. If Project ECHO helps expand MOUD services, it will offer a blueprint for expanding these life-saving services in other jails nationwide.

Conditions

Opioid Abuse (Disorder)

Keywords

Medications for Opioid Use Disorder; Rural Jails

Outcome Measures

Primary Outcomes (1)

• Increase in MOUD prescriptions (administrative data)

  Administrative data tracking the number of MOUD prescriptions will be used to assess whether the jail has increased its use of MOUD to treat opioid use disorder relative to baseline.

  From baseline through the end of sustainment phase (18 months)

Secondary Outcomes (6)

• Organizational climate - Burnout (BAT-4)

  From baseline to end of sustainment period (18 months)

• Organizational climate - Stress (TCU SOF subscale)

  From baseline through end of sustainment period (18 months)

• Organizational climate - Job Satisfaction (TCU SOF subscale)

  From baseline through end of sustainment period (18 months)

• Impact on Staff Knowledge: Opinions About MAT Questionnaire

  From baseline through end of sustainment period (18 months)

• Disciplinary infractions (administrative data)

  From baseline through end of sustainment phase (18 months)

Study Arms (1)

ECHO

EXPERIMENTAL

Subjects participate in a series of facilitated ECHO learning sessions

Behavioral: Project ECHO

Interventions

Project ECHO BEHAVIORAL

Virtual learning sessions, case-based discussions, and peer-to-peer learning

ECHO

Eligibility Criteria

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

You may qualify if:

• Administrative, security, or healthcare staff in participating jails
• Employed at the facility a minimum of 3 months

You may not qualify if:

• Ongoing or recent participation in similar organizational improvement project
• Inability to read or understand English or Spanish

Sponsors & Collaborators

• University of Massachusetts, Worcester: lead
• National Institute on Drug Abuse (NIDA): collaborator

Study Sites (1)

UMass Chan Medical School

Worcester, Massachusetts, 01655, United States

Location

MeSH Terms

Conditions

Opioid-Related Disorders

Condition Hierarchy (Ancestors)

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

Central Study Contacts

JCOIN ECHO Coordinator

CONTACT

508-856-3515; jcoinecho@umassmed.edu

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: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: May 16, 2026
• First Posted: June 10, 2026
• Study Start (Estimated): July 1, 2026
• Primary Completion (Estimated): February 28, 2030
• Study Completion (Estimated): May 31, 2030
• Last Updated: June 10, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, ICF, ANALYTIC CODE
• Time Frame: Analytic files upon publication or no later than end of study (May 2030), indefinitely via public archives
• Access Criteria: Data will be shared via NIH-approved public data repository (likely ICPSR). Registered users who consent to terms of data use agreement will be able to access deidentified data from staff surveys via download or within secure data enclave.

Locations

US (1)