Strategies to Reduce Addiction Stigma Among Health Professionals

Johns Hopkins Bloomberg School of Public Health

Status: Completed

Conditions: Opioid Use Disorder; Substance Use Disorders; Stigma, Social

Treatments: Behavioral: Words Matter - Visual Campaign & Narrative Vignette (Messenger: Person with Opioid Use Disorder) Experimental: Words Matter - Visual Campaign & Narrative Vignette (Messenger: Clinician); Behavioral: Medication Treatment for Opioid Use Disorder Works - Visual Campaign & Narrative Vignette (Messenger: Clinician); Behavioral: Medication Treatment for Opioid Use Disorder Works - Visual Campaign & Narrative Vignette (Messenger: Person with Opioid Use Disorder); Behavioral: Words Matter - Visual Campaign & Narrative Vignette (Messenger: Health System Administrator); Behavioral: Medication Treatment for Opioid Use Disorder Works - Visual Campaign; Behavioral: Medication Treatment for Opioid Use Disorder Works - Visual Campaign & Narrative Vignette (Messenger: Health System Administrator); Behavioral: Words Matter - Visual Campaign & Narrative Vignette (Messenger: Clinician); Behavioral: Words Matter - Visual Campaign

Study type: Interventional

Funder types: Other

Identifiers

NCT05127707

IRB14743

Details and patient eligibility

About

The aim of this study was to evaluate the effects of exposure to stigma reduction message frames communicated by visual campaigns and narrative vignettes among a national sample of health professionals.

Full description

This randomized experiment evaluated the impact of exposure to message frames communicating the importance of non-stigmatizing language regarding addiction and the effectiveness of medication treatment for opioid use disorder delivered through a visual campaign alone or through a visual campaign in addition to a narrative vignette from the perspective of one of three messengers (a person with opioid use disorder, a clinician, or a health system leader) on attitudes toward people with opioid use disorder and medications for treating opioid use disorder among a national sample of health professionals.

Enrollment: 1,842 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• employed as health professional in the United States, including clinicians (e.g., physicians, nurses, physician assistants, pharmacists, and optometrists), technicians and technologists (e.g., laboratory technologist or technician, emergency medical technician, paramedic, licensed practical or licensed vocational nurse, medical records or health information technician, etc.), health aids and assistants (e.g., nursing aide, home health aide, medical assistant, pharmacy aide, phlebotomist, etc.)
• participant in existing web-based survey panel (IPSOS's KnowledgeNetworks panel and partner opt-in panel)

Exclusion criteria

• not employed in health profession
• not able to complete experiment and survey in English

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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1,842 participants in 9 patient groups

No exposure control group

No Intervention group

Description:

This group was not exposed to any message frame.

Words Matter - Visual Campaign

Experimental group

Description:

Participants randomized to this arm were exposed to a visual campaign communicating the importance of use of non-stigmatizing language regarding substance use disorder and opioid use disorder in clinical settings.

Treatment:

Behavioral: Words Matter - Visual Campaign

Words Matter - Visual Campaign & Narrative Vignette (Messenger: Person with Opioid Use Disorder)

Experimental group

Description:

Participants randomized to this arm were exposed to a visual campaign communicating the importance of use of non-stigmatizing language regarding substance use disorder and opioid use disorder in clinical settings and a narrative vignette told from the perspective of a person with opioid use disorder.

Treatment:

Behavioral: Words Matter - Visual Campaign & Narrative Vignette (Messenger: Person with Opioid Use Disorder) Experimental: Words Matter - Visual Campaign & Narrative Vignette (Messenger: Clinician)

Words Matter - Visual Campaign & Narrative Vignette (Messenger: Clinician)

Experimental group

Description:

Participants randomized to this arm were exposed to a visual campaign communicating the importance of use of non-stigmatizing language regarding substance use disorder and opioid use disorder in clinical settings and a narrative vignette told from the perspective of a clinician.

Treatment:

Behavioral: Words Matter - Visual Campaign & Narrative Vignette (Messenger: Clinician)

Words Matter - Visual Campaign & Narrative Vignette (Messenger: Health System Administrator)

Experimental group

Description:

Participants randomized to this arm were exposed to a visual campaign communicating the importance of use of non-stigmatizing language regarding substance use disorder and opioid use disorder in clinical settings and a narrative vignette told from the perspective of a health system administrator/leader.

Treatment:

Behavioral: Words Matter - Visual Campaign & Narrative Vignette (Messenger: Health System Administrator)

Medication Treatment Works - Visual Campaign

Experimental group

Description:

Participants randomized to this arm were exposed to a visual campaign communicating the effectiveness of medications for treating opioid use disorder in saving lives.

Treatment:

Behavioral: Medication Treatment for Opioid Use Disorder Works - Visual Campaign

Medication Treatment Works - Visual Campaign & Narrative Vignette (Person with OUD)

Experimental group

Description:

Participants randomized to this arm were exposed to a visual campaign communicating the effectiveness of medications for treating opioid use disorder in saving lives and a narrative vignette told from the perspective of a person with opioid use disorder.

Treatment:

Behavioral: Medication Treatment for Opioid Use Disorder Works - Visual Campaign & Narrative Vignette (Messenger: Person with Opioid Use Disorder)

Medication Treatment Works - Visual Campaign & Narrative Vignette (Clinician)

Experimental group

Description:

Participants randomized to this arm were exposed to a visual campaign communicating the effectiveness of medications for treating opioid use disorder in saving lives and a narrative vignette told from the perspective of a clinician.

Treatment:

Behavioral: Medication Treatment for Opioid Use Disorder Works - Visual Campaign & Narrative Vignette (Messenger: Clinician)

Medication Treatment Works - Visual Campaign & Narrative Vignette (Health System Administrator)

Experimental group

Description:

Participants randomized to this arm were exposed to a visual campaign communicating the effectiveness of medications for treating opioid use disorder in saving lives and a narrative vignette told from the perspective of a health system administrator/leader.

Treatment:

Behavioral: Medication Treatment for Opioid Use Disorder Works - Visual Campaign & Narrative Vignette (Messenger: Health System Administrator)