Scalable Digital Delivery of Evidence-based Training for Professionals to Maximize Treatment Rates of OUD in Families

Study Overview
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Brief Summary
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The goal of this project is to develop and evaluate the technical feasibility and commercial viability of a scalable digital counselor training program for CRAFT. This pilot project will develop an enhanced training model for CRAFT and digitize it to maximize scalability. In this project, investigators will: Aim 1: Produce the digital counselor training prototype and coaching process, tailored to OUD - with stakeholder input. Aim 2: Conduct a pilot study of 3 levels of digital training (Level 1 - Digital tutorial only [T]; Level 2 - Tutorial & digital training materials for self-study [TM]; Level 3 - Tutorial, digital materials, feedback and coaching [TMC]) to establish feasibility, acceptability, and examine the effects of training on CRAFT knowledge, fidelity, and treatment entry and retention.

Official Title
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Scalable Digital Delivery of Evidence-based Training for Addiction Professionals to Maximize Treatment Admission and Retention Rates of Opioid Use Disorder in Affected Families

Conditions
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Community Reinforcement And Family Training, Family Health, Substance-Related Disorders

Intervention / Treatment
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* Behavioral: Behavioral: Digital Tutorial Overview
* Behavioral: Behavioral: Training Materials
* Behavioral: Behavioral: Feedback and Coaching


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Is over 19 Lives in the US Working in a counselor-related profession Has not been trained in CRAFT Provides at least 45 minute individual counselor sessions each week to ≥5 clients (CSO or IP) If not already providing care to CSOs, is willing and able to do so Counseling work involves clients affected by OUDs, or might if they learned CRAFT Is able and willing to submit the required session audiotapes and participate in the tutorial and training and intervention activities over the course of the 12-week study Reports having access to a computer and smartphone with internet access, email, and word processing capability Demonstrates complete understanding of the requirements for participation in the study by reading and signing the consent form Provides valid locator information to allow research and CRAFT training staff to contact them to schedule study-related appointments Completes the first assessment mock session with our standardized patient (SP) and pre-tutorial surveys Exclusion Criteria: Does not agree to participate Does not complete the baseline assessment requirements Is not English-speaking Participated in the Qualitative Review study

Ages Eligible for Study
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Minimum Age: 19 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Conduct a pilot study of 3 levels of digital training (Level 1 - Digital tutorial only [T]; Level 2 - Tutorial & digital training materials for self-study [TM]; Level 3 - Tutorial, digital materials, feedback and coaching [TMC]) to establish feasibility, acceptability, and examine the effects of training on CRAFT knowledge, fidelity, and treatment entry and retention.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: T - Digital Tutorial overview<br>A digital tutorial consisting of a curriculum dashboard for review of 10(?) modules, including videos, PDFs, text and quizzes, which are to be self-administered over two weeks. Modules remain available during the 10-week post tutorial period. Participants receive weekly contact encouraging engagement in all of the materials available to them. | Behavioral: Behavioral: Digital Tutorial Overview<br>* Self study of a digital tutorial covering an overview of CRAFT designed to be reviewed within 2 weeks.<br>* Other names: T;|
| Experimental: TM - Digital Tutorial plus training Materials<br>Participants receive the digital tutorial (T) as described above plus access to 10 modules of digital training materials released weekly over the 10-week post tutorial period. | Behavioral: Behavioral: Digital Tutorial Overview<br>* Self study of a digital tutorial covering an overview of CRAFT designed to be reviewed within 2 weeks.<br>* Other names: T;Behavioral: Behavioral: Training Materials<br>* 10 weeks post-tutorial access to additional digital training materials.<br>* Other names: TM;|
| Experimental: TMC - Digital Tutorial plus training Materials plus feedback and Coaching<br>Participants receive the digital tutorial (T) plus the digital Training materials as described in the two arms above plus they submit audio recordings of sessions with clients and receive feedback on their application of CRAFT and coaching on how to improve. | Behavioral: Behavioral: Digital Tutorial Overview<br>* Self study of a digital tutorial covering an overview of CRAFT designed to be reviewed within 2 weeks.<br>* Other names: T;Behavioral: Behavioral: Training Materials<br>* 10 weeks post-tutorial access to additional digital training materials.<br>* Other names: TM;Behavioral: Behavioral: Feedback and Coaching<br>* 10 weeks post-tutorial access to additional digital training materials and systematic feedback and coaching.<br>* Other names: TMC;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| CRAFT procedure fidelity | Measured via audiotaped sessions with a standardized patient, coded per the CRAFT Coding manual. CRAFT certified trainers (i.e., CRAFT Trainer or CRAFT Coder) access the digitally audio taped sessions via a secure server. The trainer listens to the audiotape and records a session content checklist that indicates key procedures for each module. For each key component, the trainer indicates whether it was addressed in the session, rates the quality of implementation for that component (1=poor to 5-excellent). | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| CRAFT knowledge | Measuring the proficiency with which participants answer questions about what to do in scenarios as per the CRAFT approach. | 3 months | 
| Program implementation potential | Measured by program implementation potential questionnaire containing 25 Items; responses on 1-6 scale (strongly agree to strongly disagree). | 3 months | 
| New treatment entry: Identified patient treatment entry status | Participants report whether their client's loved one has attended any treatment for their opioid problem since the last assessment by answering questions regarding participation in treatment. In addition, reports of treatment entry to WTV staff will be categorized as treatment entry. The outcome is the proportion of participants reporting that their client's loved one (IP) entered new treatment. | 3 months |