RECRUITING

Rural Expanded Access to OUD Care & Linkage Using Toxicologists for Telehealth Initiated Treatment

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The overarching goal of this project is to increase the availability of OUD treatment in rural counties in the state of Georgia by using Emergency Department (ED)-based telehealth strategies to initiate MOUD and connect patients to treatment. The investigators will implement a novel collaboration between rural EDs, medical toxicologists at the Georgia Poison Center (GPC), peer recovery coaches (PRCs) and RCOs throughout Georgia to bridge the gap between OUD treatment need in rural EDs and specialty physician availability at the GPC. Research activities will be conducted during two broad phases, at three rural EDs in Georgia: planning and implementation. During the planning phase, aggregate data will be obtained to determine each ED's existing practices treating patients with OUD and opioid withdrawal. During the implementation phase, the researchers will prospectively study a poison center OUD consultation and PRC intervention as it is rolled out at each site, collecting participant-level data. Sites will be rolled into the implementation phase in a stepped-wedge fashion, so there will be times when some sites are in the planning phase while others are in the implementation phase.

Official Title

Expanding Rural Access to Opioid Use Disorder Treatment Utilizing Medical Toxicologists and the Georgia Poison Center to Facilitate Emergency Department- and Telehealth-Based Medication Initiation and Linkage to Care

Quick Facts

Study Start:2023-08-30
Study Completion:2026-08
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT05711056

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Age 18 years or older
  2. * English speaking
  3. * Clinically sober
  4. * Medically and psychiatrically stable
  1. * Already receiving MAT or psychotherapy for OUD prior to ED arrival
  2. * Prior participation in the study
  3. * Unable to provide informed consent
  4. * If their clinical condition worsens such that continued participation would be considered unsafe in the opinion of the PRC or ED staff
  5. * Prisoners
  6. * Individuals who are not yet adults (infants, children, teenagers)
  7. * Cognitively impaired or Individuals with Impaired Decision-Making Capacity
  8. * Individuals who are not able to clearly understand English

Contacts and Locations

Study Contact

Emily Kiernan, DO
CONTACT
412-519-4944
emily.anne.kiernan@emory.edu

Principal Investigator

Emily Kiernan, DO
PRINCIPAL_INVESTIGATOR
Emory University

Study Locations (Sites)

Georgia Poison Center
Atlanta, Georgia, 30303
United States

Collaborators and Investigators

Sponsor: Emory University

  • Emily Kiernan, DO, PRINCIPAL_INVESTIGATOR, Emory University

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2023-08-30
Study Completion Date2026-08

Study Record Updates

Study Start Date2023-08-30
Study Completion Date2026-08

Terms related to this study

Keywords Provided by Researchers

  • Opioid

Additional Relevant MeSH Terms

  • Opioid Use
  • Opioid Abuse