Clinical Decision Support for Opioid Use Disorder

Recruiting in Palo Alto (17 mi)

Overseen byMelanie F Molina, MD, MAS

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: University of California, San Francisco

No Placebo Group

Trial Summary

What is the purpose of this trial?The overarching goal of this proposal is to integrate patient social risk information into an existing electronic health record (EHR)-based clinical decision support (CDS) tool (CDSv1) to facilitate emergency department (ED)-initiated, social risk-informed opioid use disorder (OUD) medication treatment and ultimately improve treatment adherence and follow up. The investigators will evaluate the feasibility and acceptability of the social care-enhanced CDS tool, CDSv2, (compared to CDSv1) at a single study site (UCSF) as an intervention to increase medication treatment adherence and follow up for adult ED patients experiencing opioid use disorder using a mixed-methods, before-after approach.

Eligibility Criteria

This trial is for adult patients in the emergency department with opioid use disorder. It's focused on those who might benefit from a decision support tool that considers social risks when treating their condition.

Inclusion Criteria

All University of California, San Francisco ED providers (residents, attendings, advanced practice providers) who have used either CDSv1 or CDSv2 will be eligible to participate in surveys and interviews regarding feasibility and acceptability

I am over 18, speak English, and received opioid disorder treatment at UCSF ED.

Exclusion Criteria

Participants will be excluded if they present from an extended care facility

Participants will be excluded if they are actively suicidal

I do not use opioids for pain management.

+2 more

Participant Groups

The study tests an enhanced clinical decision support tool within electronic health records, designed to improve treatment adherence and follow-up for opioid use disorder by incorporating patient social risk factors.

2Treatment groups

Experimental Treatment

Active Control

Group I: Social Care-Enhanced Clinical Decision Support for Opioid Use DisorderExperimental Treatment1 Intervention

Emergency providers will no longer have access to the basic ED-based clinical decision support tool for opioid use disorder, but will instead have access to the social care-enhanced clinical decision support tool for opioid use disorder.

Group II: ED-Based Clinical Decision Support for Opioid Use DisorderActive Control1 Intervention

Emergency providers will have access to the basic ED-based clinical decision support tool for opioid use disorder.