Clinical trial NCT05497154: Physical Therapists Identifying Patients With Opioid Misuse
Official title: Physical Therapists Identifying Patients With Opioid Misuse
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Opioid Misuse
Musculoskeletal Pain
Keywords: opioid misuse
physical therapy
physical therapist
Lead sponsor: University of Utah
Sponsor class: OTHER
First posted: 2022-08-11
Enrollment: 12
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to develop and operationalize key procedures for physical therapists (n = 12) to address patients who are at risk for or have opioid misuse (OM). The investigators will train physical therapists in procedures to: 1) engage patients at risk for OM in conversations about appropriate opioid use, 2) screen and 3) assess these patients for OM and, 4) refer patients for further treatment if OM is suspected. The investigators will employ a modified Delphi approach to iteratively refine and operationalize the procedures and to arrive at a finalized procedure manual followed by an evaluation of the implementation of these procedures.

Detailed description: The purpose of this study is to develop and operationalize key procedures for physical therapists (n = 12) to address patients who are at risk for or have OM. The investigators will train physical therapists in procedures to: 1) engage patients at risk for OM in conversations about appropriate opioid use, 2) screen and 3) assess these patients for OM and, 4) refer patients for further treatment if OM is suspected. The investigators will employ a modified Delphi approach to iteratively refine and operationalize the procedures and to arrive at a finalized procedure manual followed by an evaluation of the implementation of these procedures. Approximately 4 months following the development of the manual and the distribution of the finalized manual, the investigators will conduct semi-structured interviews to determine the barriers and facilitators to implementing the procedures learned in the training.

Our aims are:

1. Qualitatively evaluate physical therapists' perceptions and recommendations for implementing OM procedures.
2. Evaluate the implementation of the manualized OM procedures.

Eligibility criteria: Inclusion Criteria:

* University of Utah physical therapists with at least 0.5 full-time equivalent
* Self report managing patients with musculoskeletal pain

Exclusion Criteria:

* None

Primary outcomes:
measure: Change in the Drug and Drug Problems Perception Questionnaire (DDPPQ)
timeFrame: Baseline, immediate post training, 4 months after last training session
Secondary outcomes:
Other outcomes:
measure: Thematic analysis from semi-structured interviews
timeFrame: 4 months after the last training session
measure: Reach
timeFrame: Immediate post training
measure: Adoption 1- engaging patients in conversations
timeFrame: Approximately 4 months after last training session
measure: Adoption 2 - screening
timeFrame: Approximately 4 months after last training session
measure: Adoption 3 - assessing
timeFrame: Approximately 4 months after last training session
measure: Adoption 4 - referring
timeFrame: Approximately 4 months after last training session
measure: Qualitative thematic analysis of each focus group
timeFrame: Immediately after each of the 4 training sessions.
measure: Change in the Frequency of opioid misuse management practices - Adapted from the Alcohol Education Survey
timeFrame: Baseline, immediately post training and to approximately 4 months after the last training session
measure: Manual of procedures
timeFrame: Approximately 4 months after the last training session.
measure: Change in the Confidence in opioid misuse management practices. Adapted from the Alcohol Education Survey
timeFrame: Baseline, immediately post training and to approximately 4 months after the last training session
Locations:
city: Salt Lake City
country: United States
facility: University of Utah
state: Utah
Study officials:
affiliation: University of Utah
name: John Magel, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: D'Onofrio G, Nadel ES, Degutis LC, Sullivan LM, Casper K, Bernstein E, Samet JH. Improving emergency medicine residents' approach to patients with alcohol problems: a controlled educational trial. Ann Emerg Med. 2002 Jul;40(1):50-62. doi: 10.1067/mem.2002.123693.
citation: Watson H, Maclaren W, Kerr S. Staff attitudes towards working with drug users: development of the Drug Problems Perceptions Questionnaire. Addiction. 2007 Feb;102(2):206-15. doi: 10.1111/j.1360-0443.2006.01686.x.