Improving decision support for opioid addiction treatment
Official title: Adaptive Decision Support for Addiction Treatment (ADAPT)
Run by Yale University · NCT06799117 · Data updated 2026-11-12
This study is testing ways to improve a system that helps emergency department staff give buprenorphine to people with opioid addiction to make sure they get the right treatment.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1912 (estimated) |
| Sponsor | Yale University Academic / other |
| Locations | 3 sites (Guilford, Connecticut and 2 other locations) |
| Status | Recruiting |
| Started | March 21, 2025 |
| Main results expected | March 31, 2028 |
| Study ends | March 31, 2028 |
| Registry record updated | June 11, 2026 |
| Trial ID | NCT06799117 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are emergency department patients aged 18 and older with moderate to severe opioid use disorder.
✕Probably not a fit
Patients who are under 18 years of age, pregnant, or currently receiving medication for opioid use disorder may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to enhance the EMBED clinical decision support system to improve the administration of buprenorphine for patients with opioid use disorder in emergency departments. Using a Multiphase Optimization Strategy (MOST), the study will implement a factorial trial to test various strategies, including nurse prompts and clinician reminders, to ensure adherence to standard care. The goal is to refine the usability of the decision support interface and workflow to reduce errors and improve treatment initiation for patients. The study will involve multiple phases, including preparation, optimization, and confirmatory stages.
Why it matters
Potential benefit: If successful, this study could lead to more effective treatment for patients with opioid use disorder in emergency settings.
How similar studies have gone: Other studies have shown promise in using clinical decision support systems for addiction treatment, indicating that this approach has potential for success.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Emergency department patient * 18 years of age or older * Moderate to severe opioid use disorder Exclusion Criteria: * Under 18 years of age * Pregnant * Currently receiving medication for opioid use disorder
Where it's running
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Yale New Haven Shoreline Medical Center
Guilford, Connecticut, United States Recruiting -
Yale New Haven Hospital- St. Raphael
New Haven, Connecticut, United States Recruiting -
Yale New Haven Hospital
New Haven, Connecticut, United States Recruiting
Study contacts
- Principal investigator: Edward Melnick, MD, MHS — Yale University
- Study coordinator: Edward Melnick, MD, MHS
- Email: edward.melnick@yale.edu
- Phone: 203-785-4363
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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CBD for Opioid Dependence and Pain on Buprenorphine
This study tests whether different doses of cannabidiol (CBD) can affect pain and opioid cravings in adults with opioid use disorder who are on buprenorphine, using a short, randomized, placebo-controlled setup.
-
Cebranopadol for opioid withdrawal in adults with chronic pain
This study tests whether cebranopadol can reduce withdrawal symptoms in adults with chronic pain who are physically dependent on prescribed opioids, compared with placebo.
-
emPath platform pilot to link and keep adults with opioid use disorder in care in Durham
This pilot tests a mobile app and telemedicine approach to help adults with opioid use disorder start and stay in MOUD through community outreach in Durham, NC.
-
CB1 Receptors in Opioid Use Disorder Measured with a PET Radioligand
This study tests CB1 receptor availability in people with opioid use disorder starting opioid agonist therapy and compares them with healthy adults.
-
STORC: Training a support person plus patient navigation after birth
We’re testing whether training a designated support person and using patient navigation after delivery helps people with opioid use disorder build recovery resources and stay in treatment.
-
Personalized Addiction Treatment Enhancement for Opioid Use Disorder
A digital platform run by peer recovery supporters will be tested to help adults with opioid use disorder who are on buprenorphine or methadone stay in treatment and improve outcomes.
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.