N/A
Completed N=62
Stigma and a Shared Decision Aid
Source: ClinicalTrials.gov NCT05352412 ↗Enrolled (actual)
62
Serious AEs
4.8%
Results posted
Jun 2025
Primary outcomePrimary: Patient Internalized Stigma Towards Medicaid for Opioid Use Disorder (MOUDs) Over the Course of the Project — 15; 11; 14; 8 score on a scale — p=0.32
Summary
A major barrier for the uptake of evidence-based interventions to address the ongoing opioid epidemic in the US, especially in rural regions, is stigma, which occurs at many levels, including that of the patient and provider. A shared decision making aid is an evidence-based method for increasing engagement and knowledge of both patients and providers, potentially democratizing treatment decisions, especially in stigmatized conditions. The investigators propose to adapt and pilot a decision aid for opioid use disorder (OUD) treatment and harm reduction in two hospitals in rural Missouri to evaluate whether this reduces stigma in both patients and providers.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Patient Internalized Stigma Towards Medicaid for Opioid Use Disorder (MOUDs) Over the Course of the Project |
15; 11; 14; 8; 8; 7 | 0.32 |
| SECONDARY Patient Anticipated MOUD Stigma |
20; 21; 19; 17; 18; 13 | 0.77 |
| SECONDARY Patient Satisfaction With Clarity of Shared Decision Aid |
1.33 | — |
| SECONDARY Patient Satisfaction With Helpfulness of Shared Decision Aid |
1.44 | — |
| SECONDARY Overall Patient Satisfaction With the Shared Decision Aid |
1.06; 1.06; 1.06; 1 | — |
| SECONDARY Provider Willingness To Work With Patients With Opioid Use Disorder |
20; 20; 20; 20 | 1.00 |
| SECONDARY Hospital Policy Stigma Towards Patients With Opioid Use Disorder |
8; 7; 7; 7 | 0.48 |
| SECONDARY Provider Comfort Treating Patients With Opioid Use Disorder |
17; 17; 18; 18 | 1.00 |
| SECONDARY Provider Stigma Towards Patients With Opioid Use Order |
14; 14; 14; 13 | 0.66 |
Eligibility Criteria
Inclusion Criteria
- Patients from a rural community currently admitted or recently admitted to Barnes-Jewish Hospital
- Admission must be for an infection associated with intravenous drug use
- Patient must be willing to speak with healthcare provider about medications for opioid use disorder (MOUDs)
- patient must be over 18 years old
- must be able to complete electronic survey written in English
Exclusion Criteria
- None
Data sourced from ClinicalTrials.gov (NCT05352412). 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. Informational only — not medical advice.