Ignite Creation Date:
2024-10-26 @ 3:38 PM
Last Modification Date:
2024-10-26 @ 3:38 PM
Study NCT ID:
NCT06569667
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-08-12
Brief Title:
Using AI and Peer Coaching to Address Racial Disparities Among People Who Use Opioids
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Leveraging Social Determinants Via Artificial Intelligence and Peer Coaching to Address Racial Disparities in Primary Care Among People Who Use Opioids
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Black and Latinx people who use opioids are disproportionately impacted by opioid overdose deaths The proposed study assesses the efficacy of an open source multimodal artificial intelligence-driven texting tool combined with peer recovery coach-supported text contact that delivers social services stigma reduction health habitus and patient navigation content addressing social determinants of health to enhance receipt of buprenorphine in primary care among emergency department-enrolled Black Latinx people who use opioids
Detailed Description:
The investigators have validated a theory-driven artificial intelligence AI-driven texting tool using natural language processing to facilitate real-time text responses to patient queries combined with automated texts facilitating receipt of buprenorphine in office-based opioid treatment OBOT and social services that address social determinants of health SDH This open-source texting tool offers passive reminders informational content and interactive two-way response algorithms without personal staff contact In addition the investigators have adapted an efficacious cultural and structural humility training for PRCs that goes beyond SDH to also address stigma reduction discrimination health habitus and patient navigation to enhance uptake of primary care and social services for PWUO
Using a three-arm comparative effectiveness trial design the specific aims are to 1 Assess the efficacy of PRC supported text-based careservices coordination with PWUO AI-driven SDH-enhanced text messaging intervention arm-1 vs AI-driven SDH-enhanced text messaging only intervention arm-2 vs Treatment as Usual TAU or printed socialmedical services referrals control to enhance the receipt of buprenorphine in OBOT among community and ED-enrolled Black Latinx PWUO N252 2 Evaluate the implementation of the multimodal intervention arm-1 guided by the RE-AIM and CFIR frameworks using in-depth interviews among 3 stakeholder groups a frontline providers n10 b administrators n10 and c a subset of the Black and Latinx PWUO from the multimodal intervention arm-1 n30 and 3 Identify the resources and estimate the associated cost of implementing and sustaining the multimodal intervention and incorporate this information into a customizable budget-impact tool and conduct a comprehensive economic evaluation to calculate the relative economic value eg cost-per quality-adjusted life years cost-per OUD treatment days of each study arm from the healthcare sector state policymaker and societal perspectives which will also inform implementation framed by RE-AIM
Using a three-arm comparative effectiveness trial design the specific aims are to 1 Assess the efficacy of PRC supported text-based careservices coordination with PWUO AI-driven SDH-enhanced text messaging intervention arm-1 vs AI-driven SDH-enhanced text messaging only intervention arm-2 vs Treatment as Usual TAU or printed socialmedical services referrals control to enhance the receipt of buprenorphine in OBOT among community and ED-enrolled Black Latinx PWUO N252 2 Evaluate the implementation of the multimodal intervention arm-1 guided by the RE-AIM and CFIR frameworks using in-depth interviews among 3 stakeholder groups a frontline providers n10 b administrators n10 and c a subset of the Black and Latinx PWUO from the multimodal intervention arm-1 n30 and 3 Identify the resources and estimate the associated cost of implementing and sustaining the multimodal intervention and incorporate this information into a customizable budget-impact tool and conduct a comprehensive economic evaluation to calculate the relative economic value eg cost-per quality-adjusted life years cost-per OUD treatment days of each study arm from the healthcare sector state policymaker and societal perspectives which will also inform implementation framed by RE-AIM
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None