N/A
N=62
Stigma and a Shared Decision Aid
Opioid Use Disorder
Bottom Line
View on ClinicalTrials.gov: NCT05352412 ↗Enrolled (actual)
62
Serious AEs
4.8%
Results posted
Jun 2025
Primary outcome: Primary: 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
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Shared Decision Making Aid - Patients (Behavioral); Shared Decision Making Aid - Providers (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Washington University School of Medicine
- Primary completion
- Mar 2024
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 |
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.
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.