CTN-0095-A-2: Reducing Stigma Toward People with Opioid Use Disorder Among Primary Care Clinicians

Stephanie Hooker, PhD, MPH, MS
Co-Lead Investigator

HealthPartners Institute for Education & Research
Stephanie.A.Hooker@HealthPartners.com

Rebecca Rossom, MD, MSCR
Co-Lead Investigator

HealthPartners Institute for Education & Research
rebecca.c.rossom@healthpartners.com

Gavin Bart, MD, PhD, FACP, FASAM
Co-Lead Investigator

Addiction Medicine
Minneapolis Medical Research Foundation
bartx005@umn.edu

In one of the study health systems primary care clinicians (PCCs) in clinics randomized to the intervention in COMPUTE 2.0 will be randomized 1:1 to the stigma reduction or comparison training, stratified by clinic and waiver status. Training will be conducted via online learning software. PCCs will be asked to complete a brief training on the clinical decision support tool. PCCs in the stigma reduction intervention will hear patient narratives designed to reduce stigma about patients with opioid use disorder (OUD). PCCs in the comparison training will not get any stigma content but will have training on using the clinical decision support tool. Immediately following the training, the PCCs will complete a survey of stigma beliefs and intentions to get waivered to prescribe buprenorphine and to prescribe buprenorphine. Use of the CDS will be monitored in both groups for 6 months. Secondary outcomes will include measures of PCC behavior, including prescribing behavior and new waivers among previously non-waivered PCCs.

Funded by the NIH HEAL InitiativeSM.

Primary Findings

There was no significant difference between intervention and control groups for stigma, intention to get waivered, or intention to prescribe buprenorphine if a waiver were no longer required. Stigma toward people with OUD may require more robust intervention than this brief training was able to accomplish.

Results Article: Hooker SA, et al. A Randomized Controlled Trial of an Intervention to Reduce Stigma Toward People with Opioid Use Disorder Among Primary Care Clinicians. Addiction Science & Clinical Practice 2023;18:10. [get article]

Related Studies

Related Resources

    Node Involvement

    Lead Node(s):

  • Northstar Node

  • All Participating Nodes:

  • Northstar Node