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Trials / Not Yet Recruiting

Not Yet RecruitingNCT06527079

Evaluation of Clinical Decision Support in Opioid Tapering

Status
Not Yet Recruiting
Phase
Study type
Observational
Enrollment
200,000 (estimated)
Sponsor
University of Colorado, Denver · Academic / Other
Sex
All
Age
12 Years – 89 Years
Healthy volunteers
Accepted

Summary

The 2022 Center for Disease Control and Prevention (CDC) clinical practice guideline for prescribing opioids for pain recommends that when tapering a patient's opioid dose, doses should be decreased at a slow rate to reduce the risk of withdrawal symptoms, overdose, and to promote tolerance of the tapering. This project will evaluate a clinical decision support (CDS) tool in the form of a clinical care pathway that gives providers information, recommendations, and educational material on strategies for opioid tapering. Primary care providers will be randomized at the clinic location to a control arm or intervention arm. The control arm will have the clinical care pathway available, but will not be reminded of the pathway when tapering a patient. The intervention arm will receive a nudge when prescribing a tapering opioid strategy to a patient to use the clinical care pathway. The rate of opioid tapering in line with CDC guidelines will be examined as well as long-term patient outcomes of opioid overdose or poisoning using existing patient health records. The study period will be approximately 18 months.

Conditions

Interventions

TypeNameDescription
OTHEROpioid Tapering Pathway Clinical Decision Support (CDS)Clinical decision support in the form of an electronic health record (EHR)-integrated, provider facing notification suggesting the provider utilize a clinical care pathway that provides resources and decision support in opioid tapering in line with CDC guidelines.

Timeline

Start date
2026-02-01
Primary completion
2026-12-01
Completion
2027-06-01
First posted
2024-07-30
Last updated
2025-12-10

Source: ClinicalTrials.gov record NCT06527079. Inclusion in this directory is not an endorsement.