Table 1:
Study measurements for TCN PATHS study
| Domain | Components/method of assessment/measurement instrumenta | When Assessed | Purpose |
|---|---|---|---|
| Demographic | Age, sex, race, ethnicity, marital status, level of education | BL | Covariate |
|
Residential data distance to nearest OTP, buprenorphine prescriber, community health center |
Zip Code | 1, 6, 12 months | Covariate |
| Health | |||
| Medical and mental health comorbidities History of OUD and MOUD treatment |
List of medical and mental health conditions | BL | Covariate |
| Addiction severity, use of other illicit drugs, and trauma | Self-report | BL, 1, 6, 12 months | Covariate |
| Wellbeing/quality of life, pain, and depression symptoms Discrimination |
Self-report via PROMIS 29+2/PROPr instrument Self-report via Everyday Discrimination Scale (short version) |
BL, 1, 6 and 12 months | Secondary outcome |
| Opioid Use Disorder treatment cascade and related outcomes | |||
| Engagement in OUD treatment Retention in OUD treatment Retention on MOUD Illicit opioid use: # of days of use in the past month |
Self-report confirmed with electronic health record or treatment facility Self-report using TimeLine FollowBack; urine toxicology positive for illicit opioids |
1 month 1, 3, 6, 9 and 12 months |
Primary Outcome |
| Overdose | Self-report; electronic health record | BL, 1, 3, 6, 9, 12 months | Secondary Outcome Cost analysis |
| Death | Electronic health record | 1, 6, 12 months | Secondary Outcome; CEA |
| Health Care Utilization and Experience | |||
| Drug Abuse Treatment Cost Analysis Program | Self-report | 1, 6 and 12 months | CEA |
| Primary Care Engagement, Acute care utilization | Self-report; electronic health record | 1, 3, 6, 9, 12 months | Secondary Outcome; CEA |
| Social determinants of health | |||
| Housing stability Food insecurity Social support Criminal Justice Contact |
Self-report; Self-report; criminal justice contact confirmed via Department of Corrections data |
1, 3, 6, 9, 12 months | Putative mediator; Putative mediator and CEA |
| Psychosocial factors | |||
| Self-stigma | Self-report | BL, 1, 6 and 12 months after release; | Covariate Cost Analysis (QOL) |
| Policy measures | |||
| Criminal Justice System Policies Collateral consequences |
Access to MOUD in halfway house, Access to naloxone, Access to benefits; Housing, food stamp, licensure bans | 1, 6, 12 months | Covariate |
a
- validated instruments used are listed where applicable
Legend: BL = Baseline assessment, OTP = Opioid Treatment Program, OUD = Opioid Use Disorder, MOUD = Medications for Opioid Use Disorder, CEA = Cost effectiveness Analysis, QOL - Quality of Life