Table 2.
Visit Schedule for Phase 1 of POATS
Phase 1 (visit week #) | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Assessments | Screening/Baseline Measures | BUP/NX Treatment, Initial Follow-Up Taper | Final Visit | |||||||||||
WEEK NUMBER ≫ | 1a | 1b | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | (Week 12 if treatment success, or at time of treatment failure) | |
SCREENING ASSESSMENTS | ||||||||||||||
Informed Consent | X | |||||||||||||
Inclusion/Exclusion Criteria | X | X | ||||||||||||
Demographics | X | |||||||||||||
Randomization | X | |||||||||||||
CIDI/Substance Use Diagnosis | X | |||||||||||||
SAFETY ASSESSMENTS | ||||||||||||||
Clinical Opiate Withdrawal Scale (COWS) | X | X | X | X | X | X | X | X | ||||||
Medical/Psychiatric Evaluation (including physical exam) | X | Physical Exam Only | ||||||||||||
Vital Signs | X | X | X | X | X | X | X | X | X | X | ||||
Lab Tests (LFTs, Chemistry, Hematology, Urinalysis) | X | X | ||||||||||||
Pregnancy Test | X | X | X | |||||||||||
Adverse Event (AE) Evaluation | X | X | X | X | X | X | X | X | X | |||||
Serious Adverse Event (SAE) Evaluation | ≪ Completed when necessary ≫ | |||||||||||||
Concomitant Treatments (including medications & psychosocial) | X | X | X | X | X | X | X | X | X | X | ||||
EFFICACY ASSESSMENTS | ||||||||||||||
Craving Visual Analog Scale (VAS) | X | X | X | X | X | X | X | X | X | X | ||||
Substance Use Report-Baseline | X | |||||||||||||
Substance Use Report-Follow-up | X | X | X | X | X | X | X | X | X | |||||
Urine Drug Screen | X | X | X | X | X | X | X | X | X | X | ||||
PAIN ASSESSMENTS | ||||||||||||||
Pain & Opioid Analgesic Use History | X | |||||||||||||
Brief Pain Inventory | X | X | X | X | ||||||||||
Brief Pain Inventory abbrev (if pain stratification) | X | X | X | X | ||||||||||
Beck Depression Inventory II | X | X | X | X | ||||||||||
SF-36 | X | X | ||||||||||||
OTHER ASSESSMENTS | ||||||||||||||
Addiction Severity Index (ASI Lite) | X | |||||||||||||
Addiction Severity Index (ASI Lite) Follow-Up | X | |||||||||||||
RBS (Risk Behavior Survey) | X | |||||||||||||
CIDI/Depression & PTSD Diagnosis | X | |||||||||||||
Fagerstrom Test for Nicotine Dependence | X | X | ||||||||||||
TREATMENT PLAN | ||||||||||||||
BUP/NX Induction | X | |||||||||||||
BUP/NX Dosing or Taper | X | X | X | X | X | |||||||||
Medication Accountability | X | X | X | X | X | |||||||||
Standard Medical Management | X | X | X | X | X | X | X | |||||||
Enhanced Medical Management | 2X | 2X | 2X | 2X | X | X | ||||||||
VISIT DURATION (minutes) | 240 | 60–90 | 60–90 | 30 | 120 |