• The MOUD Plus Pilot: Counseling and Peer Support to Support Retention for Medically Complex Patients With Opioid Use Disorder Seen In Primary Care

  NCT06837662

  RecruitingInterventionalNot ApplicableUpdated Feb 25, 2026
• Behavioral Optimization for Overcoming Suboptimal Treatment Retention (BUP-BOOSTeR)

  NCT07607743

  Not yet recruitingInterventionalNot ApplicableUpdated May 28, 2026
• Mindful Body Awareness With Medication Treatment for Opioid Use Disorder

  NCT04082637

  CompletedInterventionalNot ApplicableUpdated Jan 24, 2025
• Opioid Use Disorder Treatment Linkage at Strategic Touchpoints Using Buprenorphine

  NCT04991974

  CompletedInterventionalPhase 2Phase 3Updated May 29, 2026
• Supporting Treatment Access and Recovery in COD

  NCT05138614

  RecruitingInterventionalNot ApplicableUpdated Jun 4, 2026
• Connection, Navigation, Engagement in Care and Treatment for Opioid Use Disorder

  NCT04797962

  CompletedInterventionalNot ApplicableUpdated Mar 22, 2024

ClinicalTrials.gov ID

NCT06416020

Lead Sponsor

Howard UniversityOTHER

Overall Status

Not yet recruiting

Study Type

Interventional

Phase

Not Applicable

Enrollment

400Estimated

Last Update Posted

Dec 3, 2025Actual

Start Date

Jan 26, 2026Estimated

Primary Completion Date

Jul 2028Estimated

Completion Date

Jul 2028Estimated

Official Title

Integrating MOUD in Nonmedical Community Settings (Better Together)

Brief Summary

A multisite effectiveness-implementation study will be conducted in four sites to evaluate interventions to improve engagement and retention in MOUD with buprenorphine treatment persons with Opioid Use Disorder (OUD) in urban neighborhoods with high overdose rates. The investigators hypothesize that treatment with the Better Together Integrated Collaborative Community MOUD care model (BT-MOUD) will result in better retention in treatment than standard-of-care MOUD with buprenorphine provided in the hub buprenorphine clinic only (HC-MOUD Only) through 24 weeks following randomization. BT-MOUD provides MOUD with buprenorphine in nonmedical community-based settings via telemedicine from a hub buprenorphine clinic combined with Recovery Guiding, a manual guided coaching developed for this approach, provided onsite in the community organization.

Detailed Description

This multi-site hybrid Type 1 effectiveness-implementation study conducted in Washington, District of Columbia (DC), Chicago, Miami-Dade County and Baltimore will evaluate: 1) the effectiveness of providing MOUD with buprenorphine onsite (via telemedicine from a hub buprenorphine clinic) combined with Recovery Guiding in nonmedical community-based settings (the Better Together Integrated Collaborative Community MOUD care model - BT-MOUD) compared to standard-of-care MOUD with buprenorphine provided in the hub buprenorphine clinic only (HC-MOUD Only) and 2) BT-MOUD implementation barriers and facilitators. In the BT-MOUD intervention, community sites serve as "spokes" for telemedicine provision of MOUD by buprenorphine providers based in a "hub" buprenorphine clinic. A trained and supervised Recovery Guide with roots or connections with the community provides manual-guided Recovery Guiding on-site in the community site. Recovery Guiding includes psychoeducation (about OUD and effective buprenorphine MOUD) and behavioral counseling to promote engagement in MOUD with buprenorphine, retention in care, medication adherence, and behavioral change supportive of recovery. In HC-MOUD Only, participants will receive MOUD with buprenorphine and other available services in the hub buprenorphine clinic only. A Peer Outreach Specialist (POS) will assist with outreach and recruitment of all participants across conditions and with maintaining high rates of follow-up in research assessments. This study will test the hypothesis that BT-MOUD is more effective than HC-MOUD Only in retaining persons with OUD in MOUD with buprenorphine through six months post-randomization.

• Opioid Use Disorder

• HC-MOUD Only
• BT-MOUD with Buprenorphine

Ages Eligible for Study

Child (0-17)Adult (18-64)Older Adult (65+)

Sexes Eligible for Study

All

Accepts Healthy Volunteers

No

Eligibility Criteria

Inclusion Criteria

1. Be 16 years of age or older
2. Has been newly prescribed MOUD with buprenorphine by a hub clinic provider no more than 10 days before the day of randomization or on the day of randomization [Note that the "start" of a "current, new treatment episode" of MOUD with buprenorphine is defined as the date MOUD with buprenorphine was prescribed by a hub clinic provider.]
3. Is willing and able to provide written informed consent
4. Is willing and able to provide reliable locator information to facilitate contacting the participant for research follow-up assessments
5. Speaks English well enough to be able to comprehend the study procedures and complete the assessments

Exclusion Criteria:

1. In the 30 days prior to receiving the prescription for MOUD with buprenorphine from the hub clinic provider, has either taken prescribed MOUD as an outpatient for more than 10 consecutive days OR received injectable MOUD that covers more than 10 consecutive days [Note that receipt of MOUD in a hospital, residential treatment, or carceral setting would not trigger exclusion.]
2. Plans to move out of the area or anticipate not being able to remain in the study for 6 months
3. Is currently in jail, prison, or other overnight facility as required by a court of law or have pending legal action that could prevent participation in study activities
4. Has been previously enrolled in CTN-0144 or CTN-0088 or is currently enrolled in another clinical trial for treatment of OUD

Primary Purpose

Treatment

Allocation

Randomized

Interventional Model

Parallel Assignment

Masking

None (Open Label)

Lead Sponsor

Howard UniversityOTHER

Collaborators

University of Illinois at ChicagoOTHER

University of MiamiOTHER

National Institute on Drug Abuse (NIDA)NIH

The Emmes Company, LLCINDUSTRY

University of MarylandOTHER

vhorigian@med.miami.edu