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Integrating MOUD in Nonmedical Community Settings (Better Together)
Sponsor: Howard University
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.
Key Details
Gender
All
Age Range
16 Years - Any
Study Type
INTERVENTIONAL
Enrollment
400
Start Date
2026-01-26
Completion Date
2028-07
Last Updated
2025-12-03
Healthy Volunteers
No
Conditions
Interventions
HC-MOUD Only
MOUD with buprenorphine provided in a hub buprenorphine clinic
BT-MOUD with Buprenorphine
MOUD with buprenorphine provided by a hub buprenorphine provider either in the hub clinic or via telemedicine at a community hub; Recovery Guiding provided to participants
Locations (4)
Howard University
Washington D.C., District of Columbia, United States
University of Miami
Miami, Florida, United States
University of Illinois- Chicago
Chicago, Illinois, United States
University of Maryland
Baltimore, Maryland, United States