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Implementing Technology-Assisted Drug Treatment and Relapse Prevention in Federally Qualified Health Centers (FQHCs) (Seva)

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ClinicalTrials.gov Identifier: NCT01963234
Recruitment Status : Completed
First Posted : October 16, 2013
Last Update Posted : February 21, 2018
Sponsor:
Collaborators:
National Institute on Drug Abuse (NIDA)
Dartmouth College
Center for Health Enhancement System Studies
Information provided by (Responsible Party):
University of Wisconsin, Madison

Brief Summary:
Implementing a mobile-phone based system for drug use disorders in primary care settings.

Condition or disease
Substance Use Disorders HIV

Detailed Description:
The purpose of the research is to study the impact of a recovery support system called Seva on primary care organizations, where issues such as coordination of care, job satisfaction, and the cost of adopting and operating new technologies are critical. The study will also investigate how to best implement this kind of technology into health care delivery systems that care for people diagnosed with substance abuse.

Study Type : Observational
Actual Enrollment : 268 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Implementing Technology-Assisted Drug Treatment and Relapse Prevention in Federally Qualified Health Centers (FQHCs)
Actual Study Start Date : March 2014
Primary Completion Date : June 30, 2017
Study Completion Date : June 30, 2017

Group/Cohort
Seva
Up to 100 patients in each of 3 intervention clinics will receive access to the Seva mobile health system for drug use disorders.



Primary Outcome Measures :
  1. Implementation status [ Time Frame: up to 3 years ]
    To measure implementation progress, we will adapt our implementation model intervention into a specific implementation plan (including timetables) for each clinic. We employ the Stages of Implementation Completion model (Chamberlain et al., 2011) to assess the degree of implementation. Each of the 8 phases of the implementation completion model is prospectively broken down into discrete tasks and events. We will assess whether each task/event was implemented and the length of time each one took to implement. Starting at the beginning of the implementation planning period (4 months before the first patient accesses Seva), the checklist will be reviewed and updated monthly by the implementation program leader, with responses verified by the clinic coach.


Secondary Outcome Measures :
  1. Number of patients using system [ Time Frame: up to 3 years ]
  2. Clinical adoption [ Time Frame: up to 3 years ]
    We will analyze computerized system log files to produce metrics about patterns of system adoption by patients and staff. We will assess the characteristics of staff members (job function, years with clinic, etc.) and patients (age, gender, race, etc.) to determine individual characteristics associated with the degree of adoption.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Patients of federally qualified health centers with drug use disorders.
Criteria

Inclusion Criteria:

Patient subjects must be 1) age 18 or older 2) meet criteria for Substance Use Disorder (SUD) according to the clinic. Clinician subjects referring patients will ensure that patients: 3) have no current psychotic disorder severe enough to prevent participation, 4) have no acute medical problem requiring immediate inpatient treatment, 5) are willing to use Seva, and 6) can understand and sign a consent form in English.

Clinician subjects include MDs, behavioral health providers, nurses and management staff from the clinics' primary care and behavioral health departments. Clinician must have an interest in the research objectives.

Exclusion Criteria:

  • Failure to meet inclusion criteria above will exclude patients and clinicians from participating.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01963234


Locations
United States, Montana
Partnership Health Center
Missoula, Montana, United States
United States, New York
Institute for Family Health
Bronx, New York, United States
United States, Wisconsin
UW Health Access Clinic
Madison, Wisconsin, United States, 53706
Sponsors and Collaborators
University of Wisconsin, Madison
National Institute on Drug Abuse (NIDA)
Dartmouth College
Center for Health Enhancement System Studies