Cardiac Surgery Peer Recovery Support Program

NCT03590106 | Completed

• 1 other identifier: SON2018-001
• Study Type: interventional
• Target: 8
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study is to develop and implement an addiction recovery support program for cardiac surgery patients admitted with a diagnosis of infective endocarditis secondary to IV drug addiction. This is a single center/single unit (7-3600) exploratory study to examine the efficacy of three interventions on a subject's SOCRATES 8D score at time of discharge, at three months, and at six months. A convenience sample of all patients admitted to 7-3600 who meet the inclusion criteria for this study will be approached and provided information related to this study. Once entered into the study, the subjects will continue in the study through their hospitalizations and up to 60 days post hospitalization. This is a quality improvement study designed specifically for the cardiac surgery population. The unit is the primary unit that subjects who are admitted with IE are located. The study's objectives include: By date of discharge, subjects enrolled in the Peer Recovery Support Program will:

1. 1.Actively engage in the program as defined by meeting with a Peer Support Volunteer at least two times prior to discharge, and or use of resilience journal, and or review of NA book.
2. 2.Demonstrate negative drug screens done randomly during their hospitalization.
3. 3.Actively contact at least one outpatient recovery program that they might enroll in prior to discharge (information about recovery programs to be provided by unit SW).
4. 4.Demonstrate appropriate changes in their SOCRATES 8D survey scores from admission to program to post discharge.
5. 5.Participate in follow up phone call with completion of SOCRATES 8D survey at 30 and 60 days post discharge.

Conditions

IV Drug Usage; Infective Endocarditis; Substance Use Disorders

Outcome Measures

Primary Outcomes (1)

• SOCRATES 8D

  Personal Drug Use Questionnaire

  60 days post-discharge

Study Arms (1)

Peer Recovery Support Program

EXPERIMENTAL

Patients enrolled in the Peer Recovery Support Program will: 1. Actively engage in the program as defined by meeting with a Peer Support Volunteer at least two times prior to discharge, and or use of resilience journal, and or review of NA book. 2. Demonstrate negative drug screens done randomly during their hospitalization. 3. Actively contact at least one outpatient recovery program that they might enroll in prior to discharge (information about recovery programs to be provided by unit SW). 4. Demonstrate appropriate changes in their SOCRATES 8D survey scores from admission to program to post discharge. 5. Participate in follow up phone call with completion of SOCRATES 8D survey at 30 and 60 days post discharge.

Behavioral: Peer Recovery Support Program

Interventions

Peer Recovery Support Program BEHAVIORAL

See above

Peer Recovery Support Program

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All patients considered for this program must meet the following criteria:
• Must be at least 18 years of age and able to provide consent
• Must speak/read/understand English
• Currently hospitalized and physically located on 7-3600 unit
• Followed by or on the Cardiac Surgery service
• Have a diagnosis of Endocarditis associated with recent or remote intravenous drug use (IVDU)
• Alert and oriented to person, place, time, and events leading up to hospitalization
• Able to carry on a coherent conversation
• Clinical Opiate Withdrawal (COW) score of less than or equal to 5 with no adjunctive (opioids) medication use within past 24 hours a. If COW score is greater than five or adjunctive medications have been used within the previous 24 hours, the patient will be re-evaluate every 24 hours until score is less than or equal to five and no adjunctive medications used within the previous 24 hours

You may not qualify if:

• Under the age of 18 years old
• Unable to speak/read/understand English
• Hospitalized but not on 7-3600
• Does not have a diagnosis of endocarditis associated with IVDU
• Not followed by or on the Cardiac Surgery service
• Not Alert or oriented or unable to carry on a coherent conversation

Sponsors & Collaborators

• University of Rochester: lead

Study Sites (1)

University of Rochester Medical Center

Rochester, New York, 14642, United States

Location

MeSH Terms

Conditions

Endocarditis; Substance-Related Disorders

Condition Hierarchy (Ancestors)

Heart Diseases; Cardiovascular Diseases; Chemically-Induced Disorders; Mental Disorders

Study Officials

• David Goede, DNP ACNP-BC

  University of Rochester School of Nursing

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Assistant Professor

Model Details: All patients meeting the eligibility criteria will be approached about participation in the Peer Recovery Support Program. Those who agree will receive the intervention as designed. Those who receive will continue to receive standard of care.

Study Record Dates

• First Submitted: July 5, 2018
• First Posted: July 18, 2018
• Study Start: September 3, 2018
• Primary Completion: October 7, 2019
• Study Completion: October 7, 2019
• Last Updated: December 13, 2019

Record last verified: 2019-12

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)