# Piloting a Patient-Reported Outcome Measure for Opioid Use Disorder Recovery in a Clinical Setting

> **NIH NIH R61** · BRANDEIS UNIVERSITY · 2020 · $424,220

## Abstract

PROJECT SUMMARY/ABSTRACT
 Performance measure can be used to improve quality of care at the patient, provider, and systems level of
care. Some performance measures exist for substance use disorder (SUD) and opioid use disorder (OUD), but
they are focused on access to care, process of care, and short-term outcomes. Patient-reported outcome
measures (PROMs) offer an efficient way to monitor recovery as the ultimate outcome for SUD treatment and
quality of care. PROMs are fundamental to the principles of patient-centered care, encouraging self-efficacy
and shared decision-making, and if collected at multiple time points, capture of the course of chronic
disease. However, SUD PROMs may bring administrative burden and feasibility issues to the clinical setting,
and have not yet been tested in clinical trials. We propose a two-phase study, of people with OUD who are
receiving OUD treatment medication in an office-based model, that brings a patient-centered approach to
quality measure development and testing: First, refine a preliminary Recovery PROM, and assess its
implementation, feasibility and usefulness to patients and clinicians, incorporating their perspectives at each
stage. Second, conduct an RCT to rigorously assess implementation and effectiveness in a clinical setting.
 Specifically, the R61 is a pilot study of the preliminary Recovery PROM, in which we will: (1) Work with a
clinical partner to assess and refine the Recovery PROM, and examine feasibility and implementation (e.g.,
workflow, data transfer issues) related to its use in a clinical setting. (2) Determine its initial effectiveness for
improving patient outcomes (self-efficacy, health-related quality of life, patient-provider relationship, social
determinants of health, substance use) and facilitating self-directed care and patient-centered shared decision-
making. (3) Evaluate and update (if needed) the Recovery PROM in terms of recovery while on OUD
medication treatment, patient characteristics, and clinical workflow, and finalize the R33 RCT PROM and
processes. The R33 is an RCT of the Recovery PROM in community health centers, in which we will: (1)
Assess its implementation in the context of OUD medication treatment, in community health centers that offer
office-based OUD pharmacotherapy. (2) Determine if the Recovery PROM has improved patient outcomes and
patient-centered care for patients who use the Recovery PROM in the clinical setting compared to patients who
do not. (3) Define meaningfully important differences (MIDs) to establish thresholds associated with types of
recovery outcomes, to enhance shared decision-making and development into a performance measure.
 The proposed research will help to confirm the value of a Recovery PROM, determine the feasibility of its
implementation in the clinical setting, and, more generally, contribute to a dearth of research about the
feasibility of using PROMs. The Recovery PROM will be improved through patient and clinician input duri...

## Key facts

- **NIH application ID:** 9985107
- **Project number:** 5R61DA049263-02
- **Recipient organization:** BRANDEIS UNIVERSITY
- **Principal Investigator:** CONSTANCE M. HORGAN
- **Activity code:** R61 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $424,220
- **Award type:** 5
- **Project period:** 2019-08-01 → 2023-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9985107

## Citation

> US National Institutes of Health, RePORTER application 9985107, Piloting a Patient-Reported Outcome Measure for Opioid Use Disorder Recovery in a Clinical Setting (5R61DA049263-02). Retrieved via AI Analytics 2026-05-27 from https://api.ai-analytics.org/grant/nih/9985107. Licensed CC0.

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