Overcoming Stigma and Improving Outcomes for SUDs Through Education, Engagement, and Empowerment

Center for Social Innovation, Massachusetts19 enrolled

Overview

C4 Innovations (C4) and partners at Yale University (Yale) and the West Haven VA Medical Center (WHVA) proposed to develop and test OASIS (Overcoming and Addressing Stigma in Substance Use Disorders), a web-based educational platform for primary care clinicians and individuals with Opioid Use Disorder. The major aims of the study were to: 1. Develop a prototype of OASIS for patients with Opioid Use Disorder (OUD) and primary care clinicians; conduct usability testing. 2. Pilot OASIS with a small sample of individuals with untreated OUD and their clinicians to determine feasibility, acceptability, and preliminary product effectiveness for a Phase II effectiveness trial. After development of the prototype, the C4-Yale-WHVA team planned to test OASIS with patients (N = 30) and clinicians (N = 5) using validated measures and qualitative interviews to assess usability, satisfaction, knowledge, empowerment, and stigma.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

Conditions

Opioid Use Disorder

Interventions

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: For providers: * Clinically active and seeing patients; * Having a device with Internet access to use the OASIS prototype * English speaking * Willing and able to complete data collection activities. For patients: * Diagnosed OUD * Unmet substance use treatment need * Has an upcoming primary care visit scheduled for the intervention period (1-2 months) * English speaking * Has access to a device with Internet access to use the OASIS prototype * Willing and able to complete data collection activities Exclusion Criteria: Patient participants will be excluded from this study if they: 1\) Currently receiving or have received medication for opioid dependence.

Outcomes

Primary Outcomes

Open Minds Scale for Health Care Providers

Description: A 20-item scale assessing stigma in health care providers, rated on a 5 point likert scale from Strongly Disagree (1) to Strongly Agree (5).

Time frame: Assessed at both timepoints: prior to accessing the online platform and after using the platform for at least one week.

Brief Opioid Stigma Scale

An 8-item scale assessing perceptions of stigma and endorsed stigma toward individuals using opioids. Rated on a 5 point likert scale from Strongly Disagree (1) to Strongly Agree (5). Providers in this study did not complete the items on the Harm subscale, items 9-12.

Time frame: Assessed at both timepoints: prior to accessing the online platform and after using the platform for at least one week.

Perceived Stigma of Addiction Scale

An 8-item scale assessing perceptions of stigma towards individuals with substance use disorders. Rated on a 7 point likert scale from Very Strongly Disagree (1) to Very Strongly Agree (7).

Time frame: Assessed at both timepoints: prior to accessing the online platform and after using the platform for at least one week.

Knowledge Check

A 10-item assessment developed by the research team to assess knowledge of opioids and opioid use disorder

Time frame: Assessed at both timepoints: prior to accessing the online platform and after using the platform for at least one week

System Usability Scale

A 10-item measure assessing the overall usability of the online platform. Rated on a 5 point likert scale from Strongly Disagree (1) to Strongly Agree (5).

Time frame: Assess only at the post-assessment, after using the platform for at least one week.

Internalized Stigma of Mental Illness Scale

A 29-item measure assessing the participant's own stigma relating to mental illness. Rated on a 4 point likert scale from Strongly Disagree (1) to Strongly Agree (4).

Time frame: Assessed at both timepoints: prior to accessing the online platform and after using the platform for at least one week.

Recovery Empowerment Scale

A 20-item scale assessing a participant's levels of empowerment, rated on a 7 point likert scale from Almost Never (1) to Almost Always (7).

Time frame: Assessed at both timepoints: prior to accessing the online platform and after using the platform for at least one week.

Mental Health Seeking Attitudes Scale

A 9-item scale assessing the individuals rating between two dichotomous choices and how accurately they describe their perceptions of help-seeking. Participants are asked to choose one of two words on a scale (e.g., useless vs. useful) and are asked to rate how strongly they feel this word describes their thoughts on a scale from Undecided (0) to Extremely (3).

Time frame: Assessed at both timepoints: prior to accessing the online platform and after using the platform for at least one week.

Overcoming Stigma and Improving Outcomes for SUDs Through Education, Engagement, and Empowerment

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes