Barriers to Substance Use Disorder Recovery

NCT04098614 | Completed

• 1 other identifier: Pro00087080
• Study Type: interventional
• Target: 99
• Locations: 1 country
• Sites: 1

Brief Summary

The study purpose is to investigate how an inpatient recovery coaching intervention can overcome or mitigate specific risk factors and barriers to initiating and maintaining Substance Use Disorder recovery. This study will offer insight into how and why an inpatient link to recovery coaching is effective for promoting long-term Substance Use Disorder recovery.

Conditions

Substance Use Disorders

Keywords

recovery coaching; risk factors; substance abuse; EEG

Outcome Measures

Primary Outcomes (9)

• Change in Social Support

  Participants will complete the 5-item Social Support subscale of the Assessment of Recovery Capital (ARC) to assess social support. The difference between the post-baseline and baseline measures will be assessed.

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

• Change in Financial Barriers to SUD Recovery

  These barriers include lack of stable housing, transportation, and cost of recovery services. Participants will complete the Housing and Safety Subscale of the Assessment of Recovery Capital (ARC) to assess social support and housing stability. The difference between the post-baseline and baseline measures will be assessed.

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

• Change in Situational Barriers to SUD Recovery

  The barriers measured will be (1) long delays for treatment, (2) complexity of navigating the healthcare system, (3) lack of programs in one's community, (4)lack of professional help, (4) and not knowing where to go for help. The response options are binary (yes, they think this is a barrier to their recovery', or 'no, not a barrier to recovery'). Responses to these questions (0=no, 1=yes) will be summed to determine situational barriers. The difference between the post-baseline and baseline measures will be assessed.

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

• Change in Inhibitory Control

  Inhibitory control will be assessed behaviorally using a 150 - 200 trial computerized 'Stop Signal' Task, the most common measure of this construct. Stop Signal Reaction Time (SSRT) and Stop trial accuracy will be measured and compared across time points.

  baseline and 6 months post-baseline assessment

• Change in Resting State EEG beta poewer

  We will measure both absolute and relative powers for beta (14-25 Hz) bands using a 24-channel Soterix Medical EEG.

  baseline and 6 months post-baseline assessment

• Change in Striatal Dopaminergic Functioning

  Consistent with previous research, we will assess average spontaneous eyeblink rate, a well-validated indirect proxy for available levels of striatal tonic dopamine.

  baseline and 6 months post-baseline assessment

• Change in Risk-Taking

  Risk-taking will be measured using the 7-item Risk Propensity Scale (Meertens \& Lion, 2008). Higher scores on this scale indicate greater risk-taking propensity.

  baseline and 6 months post-baseline assessment

• Change in Emotion Regulation

  The Emotion Regulation Questionnaire (ERQ-10) will be used to assess these emotion regulation strategies and skills.

  baseline and 6 months post-baseline assessment

• Change in Goal-Related Activities

  Participants will complete the 5-item Meaningful Activities from the Assessment of Recovery Capital questionnaire. The 5 items will be summed for a total score.

  baseline and 6 months post-baseline assessment

Secondary Outcomes (5)

• Engagement in Recovery Services

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

• Hospital Visit Frequency

  six months pre- and post-baseline assessment

• Substance Use Severity

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

• Emotional Well-being

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

• Life Satisfaction

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

Study Arms (2)

Recovery Coach Intervention

EXPERIMENTAL

Experimental: Recovery Coach Intervention 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 - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age 18 - 60
• 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 admitted for cocaine use only
• Are pregnant

Sponsors & Collaborators

• Prisma Health-Upstate: lead
• Clemson University: collaborator
• Medical University of South Carolina: 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
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Assistant Professor

Model 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.

Study Record Dates

• First Submitted: June 11, 2019
• First Posted: September 23, 2019
• Study Start: September 3, 2019
• Primary Completion: December 18, 2020
• Study Completion: December 18, 2020
• Last Updated: November 4, 2024

Record last verified: 2021-02

Locations

US (1)