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Counseling

Opioid dependent for Alcoholism (H-SOAP Trial)

N/A
Waitlist Available
Led By Leslie Buckley, MD, MPH
Research Sponsored by Women's College Hospital
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 36 months
Awards & highlights

H-SOAP Trial Summary

Hypothesis: Patients who are addicted to opioids or alcohol will have reduced substance use, health care utilization if they have immediate and convenient access to pharmacotherapy and addiction counselling. Summary: This randomized trial will compare two different interventions for 124 alcohol and opioid-addicted patients admitted to either Women's Own Detox (WOD) at the University Health Network or the Withdrawal Management Service (WMS) at Saint Michael's Hospital (SMH. The Delayed Intervention group will receive a card with contact information for the St. Michael's Hospital and Women's College Hospital addiction medicine services. The Rapid Intervention group will be seen by an addiction physician from one of these services, within a day or two of their admission to the WOD or the SMH WMS. The addiction physician will prescribe buprenorphine or anti-alcohol medications, and the physician, nurse and/or therapist will provide ongoing counseling, follow-up and shared care with the family physician. Outcomes (measured at 6 and 12 months) include treatment retention, health care utilization and cost, medications prescribed, and alcohol and opioid use.

Eligible Conditions
  • Alcoholism
  • Opioid Addiction

H-SOAP Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~36 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and 36 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Healthcare utilization and cost
Prescriptions
Substance use
+1 more

H-SOAP Trial Design

2Treatment groups
Experimental Treatment
Group I: Opioid dependentExperimental Treatment2 Interventions
Subjects with a possible opioid use disorder, as determined by positive responses on the eligibility form: has used opioids within the past 30 days, opioid use has been a problem, and at least one harmful consequence of opioid use has been present (eg. withdrawal symptoms, or problems with family, friends, work, money etc.).
Group II: Alcohol dependentExperimental Treatment2 Interventions
Patients who indicate they have a problem with alcohol will be asked to complete the AUDIT, a validated, 10-item instrument that measures the severity of an alcohol problem. The AUDIT enquires about core features of alcohol dependence, such as failure to fulfill obligations. A score of 8 or more indicates possible alcohol dependence.

Find a Location

Who is running the clinical trial?

Women's College HospitalLead Sponsor
101 Previous Clinical Trials
38,968 Total Patients Enrolled
Unity Health TorontoOTHER
540 Previous Clinical Trials
447,656 Total Patients Enrolled
University Health Network, TorontoOTHER
1,476 Previous Clinical Trials
485,056 Total Patients Enrolled

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Recent research and studies
Archives of Internal MedicineJournal
Collaborative Care of Opioid-addicted Patients in Primary Care Using Buprenorphine
Alford, Daniel P., Colleen T. LaBelle, Natalie Kretsch, Alexis Bergeron, Michael Winter, Michael Botticelli, and Jeffrey H. Samet. 2011. “Collaborative Care of Opioid-addicted Patients in Primary Care Using Buprenorphine”. Archives of Internal Medicine. American Medical Association (AMA). doi:10.1001/archinternmed.2010.541.
Medical CareJournal
Do Mechanisms That Link Addiction Treatment Patients to Primary Care Influence Subsequent Utilization of Emergency and Hospital Care?
Friedmann, Peter D., James C. Hendrickson, Dean R. Gerstein, Zhiwei Zhang, and Michael D. Stein. 2006. “Do Mechanisms That Link Addiction Treatment Patients to Primary Care Influence Subsequent Utilization of Emergency and Hospital Care?”. Medical Care. Ovid Technologies (Wolters Kluwer Health). doi:10.1097/01.mlr.0000188913.50489.77.
Medical CareJournal
Benefit-cost Analysis of Brief Physician Advice with Problem Drinkers in Primary Care Settings
Fleming, Michael F., Marlon P. Mundt, Michael T. French, Linda Baier Manwell, Ellyn A. Stauffacher, and Kristen Lawton Barry. 2000. “Benefit-cost Analysis of Brief Physician Advice with Problem Drinkers in Primary Care Settings”. Medical Care. Ovid Technologies (Wolters Kluwer Health). doi:10.1097/00005650-200001000-00003.
clinicaltrials.govStudy
Effectiveness of a Hospital Addiction Service in Treating Opioid and Alcohol Addiction
Meldon Kahan 2013. "Effectiveness of a Hospital Addiction Service in Treating Opioid and Alcohol Addiction". ClinicalTrials.gov. https://clinicaltrials.gov/ct2/show/NCT01934751.
All > Opiate Addiction > Addiction
~11 spots leftby Apr 2025
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