FOREward Together: Training Peer Recovery Coaches to Promote Retention and Adherence to MOUD

NCT05098795 | Completed Results DMC

• 1 other identifier: FEP: 14920-29
• Study Type: interventional
• Target: 29
• Locations: 1 country
• Sites: 1

Brief Summary

This project aims to implement a peer-led intervention to support retention and adherence to medications for opioid use disorder among low-income adults in Detroit, as well as a training manual for peer recovery coaches serving similar populations. The approach will serve as a guide to coaches in providing positive reinforcement and helping those in treatment to schedule and engage in valued activities. Researchers will examine the effectiveness of the intervention, supervision and training models, and share results with policymakers and treatment programs.

Conditions

Opioid Use

Keywords

Medications for opioid use disorder; Peer recovery coach; Substance use; Behavioral activation; Task sharing; Treatment retention

Outcome Measures

Primary Outcomes (2)

• MOUD Retention Rate

  Average number of days a participant missed an MOUD appointment between receiving the intervention and completing the follow-up assessment (approximately 8-12 weeks following the intervention date), averaged across all participants with available data.

  Measured between participants' completion of baseline assessment and completion of the follow-up assessment (approximately 8-12 weeks following the intervention date).

• Intervention Fidelity: Proportion of Intervention Components Delivered as Intended

  Defined as the proportion of all 24 intervention components in the total intervention that were delivered with fidelity by the interventionist (ranging from 0 to 1.0 with higher proportion reflecting more fidelity).

  The number of days between starting the intervention and completing the intervention (approximately 8-10 weeks).

Secondary Outcomes (2)

• Intervention Acceptability: Percentage of Patients Enrolled Who Attend ≥75% Sessions

  The number of days between starting the intervention and completing the intervention (approximately 8-10 weeks).

• Intervention Feasibility: Percentage of Patients Who Consents Who Started BA

  The number of days between starting providing consent and starting BA (approximately 1-5 weeks).

Study Arms (1)

Peer-delivered Behavioral Activation

EXPERIMENTAL

Adults 18 years or older on MOUD or referred to MOUD will receive Behavioral Activation (BA) an evidence-based intervention (EBI) by trained Peer Recovery Coaches (PRC)

Behavioral: Behavioral Activation (BA)

Interventions

Behavioral Activation (BA) BEHAVIORAL

BA seeks to increase the positive reinforcement patients experience from their natural environment by promoting prosocial and valued experiences. BA has been found to improve substance use treatment retention and adherence, as well as medication adherence in low-income individuals with HIV/AIDS.

Peer-delivered Behavioral Activation

Eligibility Criteria

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

You may qualify if:

• Participants must (1) be receiving or referred to MOUD; and (2) be over the age of 18.

Sponsors & Collaborators

• Henry Ford Health System: lead
• University of Maryland, College Park: collaborator

Study Sites (1)

The Detroit Recovery Project

Detroit, Michigan, 48203, United States

Location

MeSH Terms

Conditions

Substance-Related Disorders

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders

Limitations and Caveats

None noted.

Results Point of Contact

• Title: Dr. Julia Felton
• Organization: Henry Ford Health

jfelton4@hfhs.org

313-598-0841

Study Officials

• Julia Felton, PhD.

  Henry Ford Health System

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

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

Study Record Dates

• First Submitted: October 7, 2021
• First Posted: October 28, 2021
• Study Start: December 1, 2021
• Primary Completion: August 14, 2023
• Study Completion: August 14, 2023
• Last Updated: March 14, 2025
• Results First Posted: March 14, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will share

Locations

US (1)