Enhancing Substance Use Treatment Services to Decrease Dropout and Improve Outpatient Treatment Utilization in Emerging Adults

NCT05374395 | Active Not Recruiting

• 1 other identifier: 21-097-2
• Study Type: interventional
• Target: 11
• Locations: 1 country
• Sites: 1

Brief Summary

Emerging adults (ages 18-25) are at higher risk for substance use disorders, including opiate addiction, than any other age group but are also more likely to drop out early from substance use treatment services. This project will evaluate an enhancement to usual services, delivered by peer recovery supports, specifically aimed at improving treatment adherence and reducing dropout in this age group. The study will also answer key questions about risk factors for dropout among emerging adults and the financial sustainability of enhancing services to reduce dropout.

Conditions

Substance Use Disorders

Keywords

peer recovery supports; emerging adults; recovery support services

Outcome Measures

Primary Outcomes (2)

• Number of patients who dropout from substance use services

  Data will come from de-identified clinical charts. Dropout will be defined in two ways: 1) patient did not complete the total number of sessions prescribed in the treatment plan and 2) patient was in treatment for less than 90 days.

  90 days from initiation of treatment

• Number of missed sessions and no show sessions

  Data will come from de-identified clinical charts. Number of missed sessions or no shows will be evaluated based on the number of scheduled sessions.

  90 days from initiation of treatment

Study Arms (2)

Usual Services

NO INTERVENTION

clinics will continue to deliver their normal outpatient services

Peer Recovery Support - Delivered Dropout Prevention + Usual Services

EXPERIMENTAL

clinics will continue to deliver their normal outpatient services plus the peer recovery support-delivered dropout prevention enhancement

Behavioral: Peer Recovery Support-Delivered Dropout Prevention enhancement

Interventions

Peer Recovery Support-Delivered Dropout Prevention enhancement BEHAVIORAL

Peer recovery supports will meet with emerging adults for four weekly sessions plus monthly check-ins during the next two months. Peer recovery supports will engage the emerging adults in motivational and skills-based strategies aimed at increasing adherence to services and attendance to treatment sessions.

Peer Recovery Support - Delivered Dropout Prevention + Usual Services

Eligibility Criteria

• Age: 18 Years - 25 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• initiating outpatient treatment for a substance use problem

Sponsors & Collaborators

• Oregon Social Learning Center: collaborator
• UConn Health: lead
• University of Texas at Austin: collaborator

Study Sites (1)

UConn Health

Farmington, Connecticut, 06030, United States

Location

MeSH Terms

Conditions

Substance-Related Disorders

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders

Study Officials

• Kristyn Zajac, PhD

  UConn Health

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Primary outcomes will come from the clinics' chart data. Individuals pulling data from charts will be blind to study condition.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Model Details: A stepped-wedge cluster randomized design will include five blocks of two clinics randomized to the timing of the Peer recovery support-delivered Dropout Prevention enhancement, with each clinic having two phases: a longitudinal Usual Services (US) Phase and a longitudinal Usual Services + Peer recovery support-delivered Dropout Prevention (PDP) enhancement Phase. All clusters will have a baseline phase and will be randomized to the timing of the PDP phase. Once randomized to begin, all clusters will have a 24-month US+PDP Phase.

Study Record Dates

• First Submitted: May 10, 2022
• First Posted: May 16, 2022
• Study Start: July 1, 2023
• Primary Completion (Estimated): October 1, 2026
• Study Completion (Estimated): February 28, 2027
• Last Updated: January 8, 2025

Record last verified: 2025-01

Locations

US (1)