Clinical trial NCT03559179: Clinical Decision Support for Opioid Use Disorders in Medical Settings: Usability Testing in an EMR
Official title: Clinical Decision Support for Opioid Use Disorders in Medical Settings: Pilot Usability Testing in an EMR
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Opioid-use Disorder
Keywords: CDS
Medication Assisted Therapy
Lead sponsor: HealthPartners Institute
Sponsor class: OTHER
Collaborators: name: National Institute on Drug Abuse (NIDA)
name: Hennepin Healthcare Research Institute
First posted: 2018-06-18
Enrollment: 55
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: The primary objective of this pilot study is to program an opioid use disorder (OUD) clinical decision support (CDS) tool for use in an electronic medical record (EMR) and obtain high primary care physician (PCP) usability and acceptability. The OUD-CDS is based on the NIDA-Blending Initiative white paper, "Clinical Decision Support for Opioid Use Disorders: Working Group Report," which itself is based on national evidence-based guidelines (American Society of Addiction Medicine (ASAM 2015), VA (VA 2015). As such, this pilot study aims to help PCPs achieve accepted standards of care in OUD treatment. The secondary objectives of this pilot study are to evaluate the usefulness of the tool by comparing OUD case-finding, medication-assisted therapy (MAT) and referral patterns pre- and post-CDS deployment for PCPs with and without CDS access.


Eligibility criteria: Inclusion Criteria:

* Be an MD, Doctor of Osteopathy, Nurse Practitioner or Physician's Assistant engaged in independent primary care of adults at HealthPartners or Park Nicollet
* Have at least schedule 3 DEA prescribing privileges
* Voluntarily provide written informed consent to participate in this study

Exclusion Criteria:

* Less than half-time clinical primary care responsibilities

Primary outcomes:
measure: Intervention PCP Confidence in Assessing and Treating OUD
timeFrame: This outcome measure was calculated at approximately month 10 of the pilot study
measure: Intervention PCP Likeliness to Recommend Use of the OUD-CDS
timeFrame: This was calculated after PCP surveys were completed, approximately month 10
Secondary outcomes:
measure: Compare Pre- and Post-intervention Rates of OUD Diagnosis in High-risk Patients.
timeFrame: This was calculated at the end of the pilot study (month 8).
measure: Compare Pre- and Post-intervention Rates of Medication-assisted Therapy (MAT) Use.
timeFrame: This was calculated at the end of the pilot study (month 8).
measure: Compare Post-intervention Referral Patterns Between Intervention and Control Groups
timeFrame: This was calculated at the end of the pilot study (month 8).
Other outcomes:
Locations:
city: Bloomington
country: United States
facility: HealthPartners
state: Minnesota
Study officials:
References:
citation: Rossom RC, Sperl-Hillen JM, O'Connor PJ, Crain AL, Nightingale L, Pylkas A, Huntley KV, Bart G. A pilot study of the functionality and clinician acceptance of a clinical decision support tool to improve primary care of opioid use disorder. Addict Sci Clin Pract. 2021 Jun 15;16(1):37. doi: 10.1186/s13722-021-00245-7.