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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:
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pre-Intervention | Experimental | Research participants will receive access to a web-based platform designed to provide information about Opioid Use Disorder. Prior to receiving access to this application, research participants will complete online, self-reported surveys assessing stigma, empowerment, and knowledge of opioids. |
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| Post-Intervention | Experimental | Research participants will have access to the web-based platform for 7 to 14 days prior to receiving a second, identical series of self-report surveys assessing stigma, empowerment, and knowledge of opioids. Additionally, after using the platform, research participants will complete a measure of system usability. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Overcoming and Addressing Stigma in Substance Use Disorders (OASIS) | Behavioral | Web-based educational platform for clinicians and individuals with OUD that will decrease barriers to care and enhance treatment outcomes |
| Measure | Description | Time Frame |
|---|---|---|
| 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). | 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. | 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). | 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 | 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). | Assess only at the post-assessment, after using the platform for at least one week. |
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Inclusion Criteria:
For providers:
For patients:
Exclusion Criteria:
Patient participants will be excluded from this study if they:
1) Currently receiving or have received medication for opioid dependence.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| West Haven VA Medical Center | West Haven | Connecticut | 06516 | United States |
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| ID | Term |
|---|---|
| D009293 | Opioid-Related Disorders |
| ID | Term |
|---|---|
| D000079524 | Narcotic-Related Disorders |
| D019966 | Substance-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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| 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). |
| 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). | 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). | Assessed at both timepoints: prior to accessing the online platform and after using the platform for at least one week. |