Emergency Department Outcomes for Patients With Opioid Use Disorder

Completed

Conditions studied: Opioid-use Disorder

In brief

Using mixed methods and triangulating multiples sources of data collected over the course of the parent (CTN-0079 - NCT03544112) and the ancillary studies to evaluate the feasibility, acceptability, sustainability and impact of the emergency department (ED)-initiated Buprenorphine (BUP) clinical program and implementation facilitation strategy and identify factors influencing diffusion and effectiveness.

Key facts

Study ID

NCT04289363

Run by

NYU Langone Health

People needed

53

Starts

2020-11-25

Expected to finish

2022-02-18

Last updated by the study team

2023-07-06

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Qualitative Population:
• Key stakeholder or opinion leader for ED-initiated BUP
• 18 years of age or older
• Full Study Population \& Limited Study Population:
• Be able to speak English sufficiently to understand study procedures
• Be a potential candidate for ED-initiated BUP by meeting either of the 2 criteria:
• Clinical determination: patient is a willing and eligible candidate for ED-initiated BUP or for whom this can be reasonably inferred, including any patient who is administered and/or prescribed BUP as part of the index ED visit.
• Research determination: Both a and b below must be true at the time of study enrollment:
• a) Assessment conducted by an RA indicates that the patient- (all must be true): i. has had nonmedical opioid use within the last 7 days, ii. meets DSM-5 criteria for moderate or severe opioid use disorder (OUD), iii. denies methadone use within 72 hours of ED visit registration, iv. is not engaged in formal medications for opioid use disorder (MOUD) treatment, v. is not prescribed opioids for chronic pain management, vi. reports being interested or "not sure" if interested in receiving BUP as elicited on the ED Health Survey during the index ED visit.
• b) Absence of clinical documentation associated with the ED visit indicating that the patient is not a candidate for ED-initiated BUP.

You may not qualify if…

• Qualitative Population:
• Unwilling or unable to provide consent
• currently in jail, prison, or any inpatient overnight facility
• Full Study Population:
• Unwilling or unable to provide written/electronic informed consent
• Currently engaged in formal MOUD treatment at the time of index ED visit
• Currently in jail, prison or any inpatient overnight facility as required by court of law
• Previous participation as a patient- participant in CTN-0079 or previous participation as a Full Study participant in the current study
• Presents from a medical-based extended care facility
• Current research participant in a substance use intervention study
• Inadequate locator information (unable or unwilling to provide 2 unique means of contact)
• Unable or unwilling to complete research visits at baseline and Day 30.
• Limited Study Population:
• Unwilling or unable to provide written/electronic informed consent
• Currently engaged in formal MOUD treatment at the time of index ED visit
• Currently in jail, prison or any inpatient overnight facility as required by court of law
• Previous participation in the current study as a Limited study or Full study participant
• Presents from a medical-based extended care facility

Where it is running

• Catholic Medical Center — Manchester, New Hampshire, United States
• Bellevue Hospital Center — New York, New York, United States

Full record on ClinicalTrials.gov

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