Methadone Patient Access to Collaborative Treatment

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Arizona

About this trial

The trial of Methadone Patient Access to Collaborative Treatment (MPACT) will establish the impact of the intervention on patient outcomes of methadone treatment retention and in treatment overdose.

It will also establish the impact of patient and staff trauma symptoms and clinic practice change on MPACT intervention implementation.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Staff providing methadone treatment services at the enrolled opioid treatment programs

Disqualifiers

Patients receiving methadone treatment at the enrolled opioid treatment programs

Trial design

Design model

Parallel

Treatments tested in this trial

  • MPACT

    Other intervention

    Four components are part of this intervention: 1) accredited training about patient centered, trauma-informed care and the standard of care under the current federal regulation (42CFRpart8), 2) education about trauma and trauma symptoms including vicarious (work related) trauma and navigation to symptoms screening and resources including treatment, 3) reflective supervision for counseling, case management and peer staff, and 4) clinic self assessment for trauma-informed and patient centered care

Treatment groups

1,080 Participants
are divided into 2 treatment groups
Group A: MPACT InterventionExperimental treatment 1 intervention
Group B: Control for MPACTNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Days in Treatment to treatment interruption

Time (days) to treatment interruption

Time frame
18 months
2

Missed doses

Missed methadone doses in the last 30 days

Time frame
20 months
3

In Treatment- Point in time

Point in time in treatment (0 day, 30 day, 60, day, 90 day)

Time frame
18 months
4

Number of patients reporting opioid overdoses while in methadone treatment

Reported overdoses by patients in methadone treatment during the trial period by survey measured at 5 points during the study period.

Time frame
18 months

Secondary outcomes

1

Number of staff experiencing vicarious (work related) stress

Post traumatic stress symptoms and vicarious (work related) trauma symptoms measured by the Vicarious Trauma Scale (VTS). Total scores can be grouped into three categories to represent low (8-28), moderate (29-42) and high (43-56) levels of vicarious trauma symptoms

Time frame
18 months
2

Number of patients and staff experiencing post traumatic stress symptoms

Post traumatic stress symptoms measured by the 8-item PCL-5 measuring post traumatic stress symptoms. Scores range from 0-80, with higher scores representing greater levels of traumatic stress symptomatology.

Time frame
18 months

Other outcomes

Sponsors and contacts

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