Ignite Creation Date:
2024-05-06 @ 7:59 PM
Last Modification Date:
2024-10-26 @ 3:17 PM
Study NCT ID:
NCT06200012
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
2024-04-23
First Post:
2023-11-30
Brief Title:
Multi-Level Stigma Intervention for Mental Health Services
Sponsor:
Wayne State University
Organization:
Wayne State University
Study Overview
Official Title:
Multi-Level Stigma Intervention to Improve Access to Substance Use Care With Prescribing Providers in Mental Health Settings
Status:
ACTIVE_NOT_RECRUITING
Status Verified Date:
2024-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This cluster randomized trial develops and pilot tests a multi-level substance use stigma intervention that leverages organizational policy and professional education to address structural and professional drivers of stigma in outpatient mental health MH services The investigators will generate preliminary data to determine whether adding an organizational policy to a professional stigma training may reduce measures of provider-based stigma towards substance use and improve care quality and patient outcomes to a greater degree than simply conducting training alone The investigators hypothesize that providers at a MH site implementing an organizational policy change in addition to providing professional training will demonstrate greater improvement to health services for people who use drugs compared to a site where providers receive training alone
Detailed Description:
Substance use is commonly stigmatized even in health settings Stigma toward people who use drugs PWUD arises from multiple sources including policies and individuals who carry out policies structural stigma and health professionals provider-based stigma This study seeks to answer the question of whether addressing organizational-level structural stigma toward PWUD enhances the behavioral effects of stigma training among professionals providing mental health MH services
This study will have two intervention groups A MH clinic where the providers receive only the educational intervention and a MH clinic where the providers receive both the educational intervention and an organizational policy change The investigators hypothesize that providers at a MH site implementing an organizational policy change in addition to providing professional training will demonstrate greater improvement to health services for PWUD compared to a site where providers receive training alone
Only a small body of research develops and evaluates interventions seeking to reduce structural and provider-based stigma toward PWUD in healthcare settings or investigates the impact of such interventions on provision of evidence-based interventions like substance use disorder SUD pharmacotherapy Little is known about substance use stigma in MH settings in particular although some research suggests psychiatrist stigma toward dual diagnosis patients is greater than toward patients with either a SUD or MH diagnosis alone Extant studies on stigma toward PWUD in healthcare found educational interventions incorporating critical reflection techniques and contact with PWUD significantly reduced provider-based stigma But most provider-based stigma intervention studies have two major weaknesses 1 failing to address structural drivers of stigma such as organizational policies motivating attitudes and behaviors and 2 falling short of practical application because they largely focus on professional attitudes without measuring changes to service provision The investigators propose to pilot test a multi-level stigma intervention that leverages what existing research suggests works in professional stigma education and adds a novel component of organizational policy change within a MH clinic Because so little research exists on organizational-level stigma interventions the investigators will use an inductive approach to identify a promising feasible policy that may reduce stigma toward PWUD Our pilot testing will assess the extent to which combining interventions that modify structuralorganizational and individualprofessional-level drivers of stigma in outpatient MH services may improve not only attitudes but also health service provision to PWUD
This study will have two intervention groups A MH clinic where the providers receive only the educational intervention and a MH clinic where the providers receive both the educational intervention and an organizational policy change The investigators hypothesize that providers at a MH site implementing an organizational policy change in addition to providing professional training will demonstrate greater improvement to health services for PWUD compared to a site where providers receive training alone
Only a small body of research develops and evaluates interventions seeking to reduce structural and provider-based stigma toward PWUD in healthcare settings or investigates the impact of such interventions on provision of evidence-based interventions like substance use disorder SUD pharmacotherapy Little is known about substance use stigma in MH settings in particular although some research suggests psychiatrist stigma toward dual diagnosis patients is greater than toward patients with either a SUD or MH diagnosis alone Extant studies on stigma toward PWUD in healthcare found educational interventions incorporating critical reflection techniques and contact with PWUD significantly reduced provider-based stigma But most provider-based stigma intervention studies have two major weaknesses 1 failing to address structural drivers of stigma such as organizational policies motivating attitudes and behaviors and 2 falling short of practical application because they largely focus on professional attitudes without measuring changes to service provision The investigators propose to pilot test a multi-level stigma intervention that leverages what existing research suggests works in professional stigma education and adds a novel component of organizational policy change within a MH clinic Because so little research exists on organizational-level stigma interventions the investigators will use an inductive approach to identify a promising feasible policy that may reduce stigma toward PWUD Our pilot testing will assess the extent to which combining interventions that modify structuralorganizational and individualprofessional-level drivers of stigma in outpatient MH services may improve not only attitudes but also health service provision to PWUD
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| UG1DA049468 | NIH | None | httpsreporternihgovquickSearchUG1DA049468 |