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| ID | Type | Description | Link |
|---|---|---|---|
| UG3DA062907 | U.S. NIH Grant/Contract | View source |
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Withdrawal management strategies are currently the most utilized and ubiquitous intervention for opioid use disorder in the US, yet existing measures of opioid withdrawal lack Food and Drug Administration (FDA) qualification. This project will develop and validate a clinical outcome assessment (COA) for opioid withdrawal,essential for standardizing withdrawal mitigation strategies and establishing best practices. In line with the FDA's drug development tool qualification guidelines, our methodological process will involve conducting focus groups with persons with lived experience of opioid withdrawal for concept elicitation, refining these concepts through cognitive interviews, and conducting construct and longitudinal validations of the new assessment in laboratory settings and across diverse treatment contexts.
Participants with opioid use disorder will complete a two sessions in a within-subject study design to compare their responses to withdrawal questions after experiencing naloxone-precipitated withdrawal and following an overnight observation of spontaneous withdrawal. All participants will complete both sessions and the order of sessions will be randomized.
The primary outcome will be cognitive interviews, which will be conducted within 8 hours of each observation period ending to query all possible symptoms associated with the withdrawal experience.
Participants will be offered referrals to aftercare prior to study discharge and transitions to treatment programs will be facilitated whenever possible.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| WIthdrawal assessment_precipitated session | Assessment of withdrawal following elicitation | ||
| Withdrawal assessment_spontaneous | Assessment of withdrawal during a period of opioid abstinence |
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| Measure | Description | Time Frame |
|---|---|---|
| Cognitive interview | The experience of withdrawal will be probed qualitatively using cognitive interviews to capture all possible symptoms that opioid withdrawal may elicit in an individual | Within 8 hours of completing the withdrawal experience |
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Inclusion Criteria:
Exclusion Criteria:
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Adults with opioid use disorder located or able to access the Baltimore regional area
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Kelly E Dunn, Ph.D., MBA | Contact | 410 | 202-963-1952 | kelly.dunn@som.umaryland.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kahlert Institute for Addiction Medicine | Baltimore | Maryland | 21201 | United States |
Data will be qualitative in nature and collapsed into thematic categories. Individualized data will not be shared.
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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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Saliva samples