NCT05405712

Brief Summary

The COVID-19 pandemic puts individuals recovering from opioid use disorders (OUDs), an already vulnerable population, at increased risk of overdose due to decreased access to treatment, decreased social support, and increased psychosocial stress. This proposal will test the efficacy of a promising mobile app-based peer support program, compared to usual care, in increasing recovery capital, improving retention in treatment, and reducing psychosocial adverse effects, among a national sample of people in recovery from OUD. If effective, it would provide an accessible, personalized, and scalable approach to OUD recovery increasingly needed during the COVID-19 pandemic.

Trial Health

75
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,300

participants targeted

Target at P75+ for not_applicable

Timeline
8mo left

Started May 2022

Longer than P75 for not_applicable

Geographic Reach
1 country

2 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress85%
May 2022Mar 2027

Study Start

First participant enrolled

May 12, 2022

Completed
5 days until next milestone

First Submitted

Initial submission to the registry

May 17, 2022

Completed
20 days until next milestone

First Posted

Study publicly available on registry

June 6, 2022

Completed
4.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2026

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2027

Last Updated

January 29, 2026

Status Verified

October 1, 2025

Enrollment Period

4.3 years

First QC Date

May 17, 2022

Last Update Submit

January 28, 2026

Conditions

Keywords

drug overdosesubstance-related disorderschemically-induces disordersFentanylAnalgesics, opioidNarcoticsNaloxoneCentral Nervous System DepressantsPhysiological Effects of DrugsMedications for Opioid Use DisorderRecoveryApplicationMachine-learningMobile treatmentNatural language processingOpioid use disorderPeer supportTechnology

Outcome Measures

Primary Outcomes (1)

  • Change in the Brief Assessment of Recovery Capital (BARC-10) score over 6 month study period

    This primary outcome measure will test the efficacy of app-based peer support, compared to the control, in improving recovery capital and engagement in treatment programs. The investigators will measure a change in the Brief Assessment of Recovery Capital (BARC-10) scores, between study groups over 6 months. The Brief Assessment of Recovery Capital will be asked at baseline, 1month follow up, 3 month follow up and 6 month follow up surveys. This score is an abbreviated 10-item measure of recovery capital with high internal consistency. The scale is from 1 "Strongly Disagree" to 6 "Strongly Agree." Total scores can range from 10 to 60. Scores of 47 or higher that are sustained over time indicate higher chances of long term recovery.

    6 months

Study Arms (2)

Marigold APP

EXPERIMENTAL

Participants randomized to receive the APP will be enrolled in an app based peer support program

Behavioral: Mobile Phone App

CONTROL

NO INTERVENTION

In the control arm participants will receive existing standardized peer recovery support resources from SAMHSA

Interventions

App-based peer support program, used in conjunction with standard outpatient treatment

Also known as: Peer Recovery App
Marigold APP

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • English-speaking
  • Age ≥ 18 years old
  • Own their own smartphone
  • Self-identifying as being in recovery from or treatment for an opioid use disorder

You may not qualify if:

  • Does not have an Android or iOS platform smartphone
  • Previous enrollment in the study
  • Currently incarcerated
  • Unable to provide informed consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Indiana University

Indianapolis, Indiana, 46202, United States

Location

Brown University School of Public Health

Providence, Rhode Island, 02903, United States

Location

Related Publications (1)

  • Scherzer CR, Ranney ML, Jain S, Bommaraju SP, Patena J, Langdon K, Nimaja E, Jennings E, Beaudoin FL. Mobile Peer-Support for Opioid Use Disorders: Refinement of an Innovative Machine Learning Tool. J Psychiatr Brain Sci. 2020;5(1):e200001. doi: 10.20900/jpbs.20200001. Epub 2020 Feb 3.

    PMID: 32149192BACKGROUND

MeSH Terms

Conditions

Opioid-Related DisordersDrug OverdoseSubstance-Related Disorders

Condition Hierarchy (Ancestors)

Narcotic-Related DisordersChemically-Induced DisordersMental DisordersPrescription Drug MisuseDrug Misuse

Study Officials

  • Megan Ranney, MD, MPH

    Brown University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
The biostatistician will be blinded to the intervention/control group assignment throughout the course of the study and the assignments. Additionally, the principal investigator will remain blinded to the randomization.
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: Participants randomized to receive the APP intervention will receive login and sign up instructions to use the Marigold Health app. Both arms will receive standardized peer recovery support resources from SAMHSA
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 17, 2022

First Posted

June 6, 2022

Study Start

May 12, 2022

Primary Completion (Estimated)

September 1, 2026

Study Completion (Estimated)

March 1, 2027

Last Updated

January 29, 2026

Record last verified: 2025-10

Data Sharing

IPD Sharing
Will not share

Locations