Inpatient Link to Addiction Recovery

NCT04098601 | Completed

• 1 other identifier: Pro00075538
• Study Type: interventional
• Target: 103
• Locations: 1 country
• Sites: 1

Brief Summary

The objective of this proposal is to link inpatients to a certified peer support specialist through FAVOR-Greenville and determine the effectiveness of recovery coaching on patient outcomes.This study will evaluate the impact of initiating peer recovery coaching during SUD patients' hospitalization on engagement in recovery services, addiction severity, and quality of life compared to the current standard of care.

Conditions

Substance Use Disorders

Keywords

recovery coaching; substance abuse

Outcome Measures

Primary Outcomes (2)

• Change in Engagement in Recovery Services

  Active involvement in recovery care services, including but not limited to Alcoholics Anonymous Narcotics Anonymous, individual counseling, methadone/suboxone program, etc. This information is obtained from self-report surveys administered by medical students in both conditions at both baseline and each follow-up.

  intervals of 1, 2, 3, and 6 months post-baseline assessment

• Change in Substance Use Frequency

  Frequency of substance use assessed using the 13-item Addiction Severity Index (ASI-Lite). The scale asks how many days in the last 30 days participants used each of several substances. The range of responses is 0 - 30 with higher scores indicating higher/greater severity of substance use.

  intervals of 1, 2, 3, and 6 months post-baseline assessment

Secondary Outcomes (1)

• Change in Self-Reported Quality of Life Assessment

  intervals of 1, 2, 3, and 6 months post-baseline assessment

Study Arms (2)

Recovery Coach Intervention

EXPERIMENTAL

Participants randomized to the intervention arm are linked to a recovery peer coach while they are in the hospital. Recovery peer coaches are provided to the participant by Faces and Voices of Recovery (FAVOR) - Greenville. Recovery coaches are Certified Peer Support Specialists (CPSS), individuals who have firsthand experience in successful recovery and are trained in using recovery-oriented tools to help peers overcome addiction. FAVOR offers immediate access to a personal coach, a local center, and assistance to off-site intervention and recovery resources in the community. They provide twice weekly contact with participants.

Behavioral: Recovery Coach Intervention

Standard of Care Control

NO INTERVENTION

Patients in the control condition receive the current standard of care, which entails a treatment referral with a list of addiction recovery facilities, groups, and resources. It is the patient's responsibility to call a treatment facility or group on the list and thus relies on self-referral. The medical team is not permitted to call a facility or group on behalf of the patient. The physician may counsel the patient on the dangers of substance abuse and addiction, but the extent of counseling is variable and dependent on the individual physician.

Interventions

Recovery Coach Intervention BEHAVIORAL

Participants randomized to the intervention arm are linked to a recovery peer coach while they are in the hospital. Recovery peer coaches are provided to the participant by Faces and Voices of Recovery (FAVOR) - Greenville. Recovery coaches are Certified Peer Support Specialists (CPSS), individuals who have firsthand experience in successful recovery and are trained in using recovery-oriented tools to help peers overcome addiction. FAVOR offers immediate access to a personal coach, a local center, and assistance to off-site intervention and recovery resources in the community. They provide twice weekly contact with participants.

Recovery Coach Intervention

Eligibility Criteria

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

You may qualify if:

• Age 18 or older
• English speaking;
• Identified by healthcare provider as having Substance Use Disorder
• Recent substance use
• Currently admitted to the Medical Teaching Services, general medicine hospitalist services, or Infectious Disease Consult service at Greenville Memorial Hospital

You may not qualify if:

• Are unable to provide informed consent (intubation, confusion, etc.) during hospitalization
• Are admitted for marijuana use only
• Are pregnant

Sponsors & Collaborators

• Prisma Health-Upstate: lead
• Clemson University: collaborator
• University of South Carolina School of Medicine, Greenville: collaborator

Study Sites (1)

Greenville Memorial Hospital

Greenville, South Carolina, 29605, United States

Location

Related Publications (1)

• Cupp JA, Byrne KA, Herbert K, Roth PJ. Acute Care Utilization After Recovery Coaching Linkage During Substance-Related Inpatient Admission: Results of Two Randomized Controlled Trials. J Gen Intern Med. 2022 Aug;37(11):2768-2776. doi: 10.1007/s11606-021-07360-w. Epub 2022 Mar 16.

  PMID: 35296984 DERIVED

MeSH Terms

Conditions

Substance-Related Disorders

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The investigator/study personnel inform the participant regarding which arm they have been assigned and inform a recovery coach if the participant is randomized to the intervention arm.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Assistant Professor

Study Record Dates

• First Submitted: June 11, 2019
• First Posted: September 23, 2019
• Study Start: April 19, 2018
• Primary Completion: December 30, 2019
• Study Completion: December 30, 2019
• Last Updated: November 4, 2024

Record last verified: 2020-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)