Bringing Just Care for Families to rural Oregon with a mobile app and trained local Experts
Official title: Testing Implementation Strategies to Scale-up a Multicomponent Continuum of Service Intervention for Families Involved in Systems With Parental Opioid and Methamphetamine Use
Run by Chestnut Health Systems · NCT07365293 · Data updated 2026-11-12
This trial will test whether adding a mobile app and local Expert coaching helps parents with opioid or stimulant use who are involved with child welfare get more treatment and improve family outcomes.
Quick facts
| Study type | Interventional |
|---|---|
| Sex | All |
| Enrollment | 254 (estimated) |
| Sponsor | Chestnut Health Systems Academic / other |
| Locations | 1 site (Eugene, Oregon) |
| Status | Recruiting |
| Started | February 12, 2026 |
| Main results expected | February 1, 2030 |
| Study ends | May 31, 2030 |
| Registry record updated | April 17, 2026 |
| Trial ID | NCT07365293 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Parents insured by Medicaid who have misused opioids and/or stimulants in the past year, have a child aged 0–18 living at home or a reunification plan, live in one of the nine participating Oregon counties, and can access a smartphone or computer are the intended participants.
✕Probably not a fit
People with an alcohol use disorder are excluded, and individuals without Medicaid, without access to a smartphone/computer (if a device is required), or unwilling to enroll with the first available JCFF coach may not be eligible or benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Hybrid Type II, adapted stepped-wedge trial will enroll 254 parents across nine rural Oregon counties to compare Just Care for Families (JCFF) delivered with and without a mobile App and with or without provider feedback. Five counties already implementing JCFF with developer support and four new counties implementing with trained JCFF Experts will be compared on implementation outcomes. Parents will receive usual services, JCFF, JCFF with the App, or JCFF with the App plus feedback, and will be followed with in-person assessments at baseline, 4, 9, 14, and 18 months plus weekly text checks. Outcomes include parent opioid and stimulant use, treatment engagement and retention, child welfare outcomes (reunification, case length, re-referral), and modeling of caseload/reimbursement sustainability.
Why it matters
Potential benefit: If successful, this approach could help more parents reduce opioid and stimulant use, shorten child welfare cases, and allow JCFF to be scaled to rural counties using a mobile app and trained local Experts.
How similar studies have gone: Family-centered treatments and digital supports have shown promise for improving engagement and reducing substance use, but combining JCFF with an app and Expert-led scale-up in rural child welfare settings is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Misuse of opioids and/or stimulants in the last year, including misuse of prescriptions * parent of a child aged 0-18 with the child living in the home or a reunification plan in place * residing in one of the nine participating counties * insured by Medicaid * access to a computer, smartphone, or wireless/cellular connection if a device were to be provided * Willing to enroll with the first available Just Care coach Exclusion Criteria: \-- Alcohol use disorder
Where it's running
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Chestnut Health Systems
Eugene, Oregon, United States Recruiting
Study contacts
- Principal investigator: Lisa Saldana, PhD — Chestnut Health Systems
- Study coordinator: Rowan M McClelland-Bishop
- Email: rmmcclellandbishop@chestnut.org
- Phone: 541-731-3476
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.