ClinicalTrials.gg
RecruitingNCT07797933Updated Nov 10, 2026

A Universal Primary Care Based Intervention to Reduce Youth Overdose Risk Aim 3

An interventional study of Brief youth overdose prevention education and Usual Standard of Care in Overdose, sponsored by Boston Medical Center. Recruiting at 1 site in United States. Open to participants aged 13 Years and older. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by Boston Medical Center · Not applicable, Interventional, and Prevention

Updated Nov 10, 2026Now RecruitingSite recruiting status changed+6 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
648
Allocation
Randomized
Ages
13 Years and older
Sex
All
01

Study summary

Between 2015 and 2019, overdose deaths translated to 1.25 million years of life lost among adolescents and young adults (youth) aged 12 to 24 years, and the percent change in fatal overdose rates among adolescents ages 14 to 18 was higher than adults between 2019 and 2020.3-5 Primary care providers are uniquely positioned to provide evidence-based information to youth to both improve awareness of overdose risk (individual benefit) and simultaneously ensure that youth are prepared to recognize and respond to an overdose (public health benefit). However, currently there is no evidence-based intervention for pediatric primary care to reduce youth overdose risk and ensure youth can recognize and respond to an overdose.

To address the gap in evidence-based overdose prevention interventions for youth, the investigators propose a randomized controlled trial (RCT) to evaluate the efficacy of a brief universal overdose prevention intervention in pediatric primary care. Twenty-four providers and 624 youth patient participants randomized (at the provider level) will be enrolled to receive either the brief overdose prevention intervention or usual care will be enrolled.

02

Conditions studied

  • Overdose

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Keywords

  • Brief overdose prevention
  • Naloxone
  • Youth patients
  • Health care providers
  • Primary care
03

In context

Drug Overdose

104 studies on the registry are indexed under Drug Overdose; 22 are open to participants now.

This study's planned enrollment of 648 is above the median of 124 across 76 interventional studies indexed under Drug Overdose.

Browse Drug Overdose studies →

Lead sponsor

Boston Medical Center is the lead sponsor of 323 studies on the registry; 33 are open to participants now.

Of its 34 completed or terminated interventional studies of FDA-regulated products, 28 (82%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

The criteria were revised on the registry on Nov 10, 2026. See what changed

Ages eligible
13 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Providers:

  • Physicians and advanced practice providers (nurse practitioners and physician assistants) within Pediatric Primary Care and Family Medicine at Boston Medical Center, NeighborHealth, and South Boston Community Health Center
  • ≥ 1 clinic session per week

Youth:

  • Ages 13 - 26
  • Scheduled for a comprehensive physical exam (CPE) or follow-up clinical appointment with a provider who is participating in the trial
  • English or Spanish speaking

Exclusion criteria

Exclusion Criteria:

Providers:

  • Participated as an intervention provider in the R61 pilot RCT (H-45731)
  • Participated in the Community Advisory Board that assisted in the development of the intervention (H-45388)

Youth:

  • Caregivers of youth ages 13-17 unable to provide or are not English speaking
  • Cognitive limitation or intellectual disability that in the opinion of their provider would not be able to complete the requirements of the research
  • Young adults ages 18-26 with a legal guardian
  • Any medical/psychiatric condition that causes acute distress and requires emergency evaluation
  • Under legal custody of the Department of Children and Families (DCF)
  • Participated in the intervention arm of the R61 pilot RCT (H-45731)
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
648 participants (estimated)

Study arms

  • Experimental
    Intervention group

    Providers randomized to the intervention group will complete two 30-minute trainings in person or via videoconference. In the first training, providers will receive overdose prevention education and learn about the brief overdose prevention intervention. In the second training, providers will practice conducting the intervention and filling out the fidelity checklist that will be completed at the end of each appointment.

    Behavioral: Brief youth overdose prevention education

  • Active comparator
    Control group

    Providers randomized to the control group will provide usual care to youth during comprehensive physical exam (CPE) or follow-up clinical appointments.

    Other: Usual Standard of Care

Interventions

  • BehavioralBrief youth overdose prevention education

    Providers in the intervention group will inform youth participants about: the risk factors for overdose, how to recognize an overdose, and how to respond to an overdose. Providers in the intervention group will also educate youth participants on naloxone use and provide assistance with accessing naloxone.

  • OtherUsual Standard of Care

    Youth participants will be provided usual care by providers in the control group. As part of usual care, providers may educate youth participants on naloxone use and provide assistance with accessing naloxone.

06

What researchers measure

Primary outcomes

  1. Youth knowledge of risk associated with exposure to fentanyl and other emerging drugs

    Assessed using a 4-point Likert-scale question adapted from the Monitoring the Future (MTF) survey measuring perceived risk of harm from taking prescription medication that was not prescribed or taking medication other than prescribed. Possible scores range from 1 (no risk) to 4 (great risk), with higher scores indicating greater perceived risk of harm (a better outcome).

    Time frame: Baseline, 3 months, 6 months, 9 months, and 12 months.

Secondary outcomes

  1. Youth knowledge of strategies to reduce overdose risk

    Assessed using 4-point Likert-scale questions adapted from the Monitoring the Future (MTF) survey measuring perceived risk associated with using more than one substance at a time and using substances while alone. Possible scores range from 1 (no risk) to 4 (great risk), with higher scores indicating greater perceived risk of harm (a better outcome).

    Time frame: Baseline, 3 months, 6 months, 9 months, and 12 months.

  2. Youth's ability to recognize an overdose

    Assessed using questions adapted from the Opioid Overdose Knowledge Scale (OOKS) evaluating participants' ability to identify signs of an opioid overdose.

    Time frame: Baseline, 3 months, 6 months, 9 months, and 12 months.

  3. Youth's ability to respond to an overdose

    Assessed using a question adapted from the Opioid Overdose Knowledge Scale (OOKS) evaluating participants' knowledge of steps in opioid overdose response.

    Time frame: Baseline, 3 months, 6 months, 9 months, and 12 months.

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Nov 10, 2026
Sites
Boston Medical Center is now Recruiting
Nov 10, 2026
Start date
Oct 2026→Nov 2026
Oct 1, 2026
Primary completion
Dec 2029→Aug 2029
Nov 10, 2026
Study completion
Dec 2029→Aug 2029
Nov 10, 2026
Eligibility
3 inclusion criteria edited
What changed in the criteria
Inclusion criteria
  • EditedPhysicians and advanceadvanced practice providers (nurse practitioners and physician assistants) within Pediatric Primary Care and Family Medicine at Boston Medical Center, NeighborHealth, and South Boston Community Health Center
  • EditedScheduled for a comprehensive physical exam (CPE) or follow-up clinical appointment with a provider who is participating in the trial
  • EditedEnglish or Spanish speaking
Nov 10, 2026
Primary outcomes
2 removed, 1 description edited
What changed in the outcomes
  • RemovedProvider Fidelity to the InterventionTime frame: 12 months
  • RemovedYouth Fidelity to the InterventionTime frame: 12 months
  • DescriptionYouth knowledge of risk associated with exposure to fentanyl and other emerging drugs: how it is measured was reworded
Nov 10, 2026
Secondary outcomes
1 edited, 1 added, 1 description edited
What changed in the outcomes
  • EditedYouth's ability to recognize and respond to an overdoseTime frame: Baseline, 3 months, 6 months, 9 months, and 12 months.
  • AddedYouth's ability to respond to an overdoseTime frame: Baseline, 3 months, 6 months, 9 months, and 12 months.
  • DescriptionYouth knowledge of strategies to reduce overdose risk: how it is measured was reworded
Nov 10, 2026
Contact
Study contact changed: s•••@bmc.org · •••6906→s•••@bmc.org · •••6906. See the current contact
Nov 10, 2026
Show all 2 updates
  1. Nov 10, 2026
    Not yet recruiting→Recruiting
    Boston Medical Center is now Recruiting
    Primary completion Dec 2029→Aug 2029
    Study completion Dec 2029→Aug 2029
    Eligibility 3 inclusion criteria edited
    What changed in the criteria
    Inclusion criteria
    • EditedPhysicians and advanceadvanced practice providers (nurse practitioners and physician assistants) within Pediatric Primary Care and Family Medicine at Boston Medical Center, NeighborHealth, and South Boston Community Health Center
    • EditedScheduled for a comprehensive physical exam (CPE) or follow-up clinical appointment with a provider who is participating in the trial
    • EditedEnglish or Spanish speaking
    Primary outcomes 2 removed, 1 description edited
    What changed in the outcomes
    • RemovedProvider Fidelity to the InterventionTime frame: 12 months
    • RemovedYouth Fidelity to the InterventionTime frame: 12 months
    • DescriptionYouth knowledge of risk associated with exposure to fentanyl and other emerging drugs: how it is measured was reworded
    Secondary outcomes 1 edited, 1 added, 1 description edited
    What changed in the outcomes
    • EditedYouth's ability to recognize and respond to an overdoseTime frame: Baseline, 3 months, 6 months, 9 months, and 12 months.
    • AddedYouth's ability to respond to an overdoseTime frame: Baseline, 3 months, 6 months, 9 months, and 12 months.
    • DescriptionYouth knowledge of strategies to reduce overdose risk: how it is measured was reworded
    Contact Study contact changed: s•••@bmc.org · •••6906→s•••@bmc.org · •••6906. See the current contact
    + 5 other changes: identifiers, verification date, description, conditions and arm descriptions
  2. Oct 1, 2026
    Start date Oct 2026→Nov 2026

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07797933
Responsible party
Sponsor
First posted
Sep 1, 2026
Start date
Nov 2026 (estimated)
Primary completion
Aug 2029 (estimated)
Completion
Aug 2029 (estimated)
Last update
Nov 10, 2026

Study contacts

Sarah Bagley, MD, MSc
Contact
sarah.bagley@bmc.org
(617) 414-7399
Sarah Kosakowski, MPH
Contact
sarah.kosakowski@bmc.org
(617) 414-6906
Sarah Bagley, MD
principal investigator · Boston Medical Center, Internal Medicine, Addiction Medicine
Amy Yule, MD
principal investigator · Boston Medical Center, Psychiatry

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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