Improving Jail Response to the Overdose Crisis: A Hybrid Trial of Jail ECHO to Improve MOUD Implementation and Public Health Outcomes
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Project ECHO.
- Who it may be relevant to
- Registry conditions: Opioid Abuse (Disorder). Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Overview
This project tests a training strategy to help rural jails start or increase their use of medications to treat opioid use disorder (MOUD - methadone, buprenorphine, naltrexone). Staff from participating jails will attend a series of training sessions, called Project ECHO, that include online learning sessions with skilled experts, case-based discussions (real-world examples), and peer-to-peer learning opportunities. Project ECHO is well-studied in healthcare settings but has rarely been used in correctional systems. Staff from 40 rural jails and local treatment programs will participate in 6 months of core sessions (all participants attend the same sessions), followed by 12 months of continuing sessions (where content is tailored to participants' needs). Staff will complete surveys about their knowledge and experience, and jails will provide data about their services. Researchers will measure changes in MOUD services offered by the jails over time, as well as the impact these changes have on staff's work environment. If Project ECHO helps expand MOUD services, it will offer a blueprint for expanding these life-saving services in other jails nationwide.
Interventions
- Behavioral Project ECHO
Virtual learning sessions, case-based discussions, and peer-to-peer learning
Primary outcome measures
- Increase in MOUD prescriptions (administrative data) [Time frame: From baseline through the end of sustainment phase (18 months)]
Secondary outcome measures (6)
- Organizational climate - Burnout (BAT-4) [Time frame: From baseline to end of sustainment period (18 months)]
- Organizational climate - Stress (TCU SOF subscale) [Time frame: From baseline through end of sustainment period (18 months)]
- Organizational climate - Job Satisfaction (TCU SOF subscale) [Time frame: From baseline through end of sustainment period (18 months)]
- Impact on Staff Knowledge: Opinions About MAT Questionnaire [Time frame: From baseline through end of sustainment period (18 months)]
- Disciplinary infractions (administrative data) [Time frame: From baseline through end of sustainment phase (18 months)]
- Improvement on Opioid Services Cascade (BJS survey module) [Time frame: From baseline through end of sustainment period (18 months)]
Eligibility criteria
Inclusion criteria
- Administrative, security, or healthcare staff in participating jails
- Employed at the facility a minimum of 3 months
Exclusion criteria
- Ongoing or recent participation in similar organizational improvement project
- Inability to read or understand English or Spanish
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Health services research
Study locations
United States · 1 center
- UMass Chan Medical School — Worcester
Identifiers
NCT: NCT07637994 · STUDY00002674 · RM1DA064507