N/A
N=55
Clinical Decision Support for Opioid Use Disorders in Medical Settings: Usability Testing in an EMR
Opioid-use Disorder
Bottom Line
View on ClinicalTrials.gov: NCT03559179 ↗Enrolled (actual)
55
Serious AEs
0.0%
Results posted
Mar 2020
Primary outcome: Primary: Intervention PCP Confidence in Assessing and Treating OUD — 6; 11; 8; 1 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Opioid Wizard (Other)
- Age
- Pediatric, Adult, Older Adult
- Sex
- All
- Sponsor
- HealthPartners Institute
- Primary completion
- Feb 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Intervention PCP Confidence in Assessing and Treating OUD |
6; 11; 8; 1 | — |
| PRIMARY Intervention PCP Likeliness to Recommend Use of the OUD-CDS |
6; 13 | — |
| SECONDARY Compare Pre- and Post-intervention Rates of OUD Diagnosis in High-risk Patients. |
11.3; 28.54; 7.87 | — |
| SECONDARY Compare Pre- and Post-intervention Rates of Medication-assisted Therapy (MAT) Use. |
1.4; 1.1; 1.03 | — |
| SECONDARY Compare Post-intervention Referral Patterns Between Intervention and Control Groups |
0.99; 1.21; 1.04 | — |
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
Data sourced from ClinicalTrials.gov (NCT03559179). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.