OPTI-MOM 3.0
OPTI-MOM 3.0
Optimizing Pregnancy and Treatment Interventions for Moms 3.0 (OPTI-Mom)
Study overview
We want to learn if Patient Navigation helps pregnant Medicaid members with opioid use disorder, with or without stimulant use disorder, stay in care, use medications for opioid use disorder, reduce substance use, and connect with services, compared to usual care.
Enrolled participants will be randomly assigned (by chance, like flipping a coin) to one of two groups: Usual Care or Patient Navigation.
Participate will last up to 14 months and participants randomized to Patient Navigation may have about 14 sessions/calls with a Patient Navigator (30-45 minutes each) and complete 3 surveys (30-60 minutes each). All visits can be by phone or video.
Study aims
- Development of a PN model will follow an evidence-informed adaptation framework and involve multidisciplinary experts and individuals with lived experience. The result will be an enhanced PN intervention manual and navigator training approach designed to address both OUD and StUD within the perinatal context.
- Qualitative interviews and focus groups will be conducted with Medicaid program leaders, healthcare professionals, and individuals with lived experience to identify barriers and facilitators to implementing PN within Medicaid systems. Using implementation science frameworks, findings will be translated into a structured implementation playbook outlining strategies for adoption, integration, and sustainability of PN services in real-world settings.
- The effectiveness of PN will be evaluated in a randomized controlled trial comparing PN to usual care (UC), defined as standard case management and referral services. Eligible participants will include pregnant individuals (≥18 years) with diagnosed OUD, newly initiated on MOUD, and enrolled in participating Medicaid managed care plans.
Study Team
Principal Investigator
- Gerald Cochran, PhD, MSW
Multiple PI
- Marcela Smid, MD
Co-Investigators
- Richard Nelson, PhD
- Kenneth Hohmeier, PharmD
- John Roll, PhD
- Andrew Barnes, PhD
Study Staff
- Project Manager: Grace Broussard, MPH, CCRC
- Clinical Research Coordinator: Melissa Tyszko
- Patient Navigator: Ashley White, CMHC
Study Sponsor
Center for Disease Control (CDC)
Contact Us
Melissa Tyszko
Phone Number: 385-315-0698
Email: optimom@utah.edu
