Kentucky Access to Recovery Evaluation

NCT05889702 | Completed

• 3 other identifiers: 81811R01CE003513-01-00R01CE003513-01
• Study Type: observational
• Target: 458
• Locations: 1 country
• Sites: 2

Brief Summary

Evaluate the long-term effectiveness of implementing vouchers as a linkage strategy in a population requiring recovery support services (RSS) when no other funding sources are available. A within-subjects study design will be used to test the effectiveness of the Kentucky Access to Recovery (KATR) last resort voucher linkage approach to reduce the risk of nonfatal and fatal overdoses by (a) increasing an individual's recovery capital; (b) reducing resumption of illicit substance use; and (c) promoting relinking to RSSs if illicit substance use is resumed.

Conditions

Substance Use Disorders; Treatment Adherence and Compliance

Keywords

Support Services; Recovery; Opioid Overdose; Addiction; Social Services; Appalachia

Outcome Measures

Primary Outcomes (3)

• Change in Recovery Capital per person

  Recovery capital will be assessed using the Brief Assessment of Recovery Capital-10 (BARC-10); 10 item survey unidimensional measure of recovery capital, scores may range from 6-60 at any given time. Evaluation of the measure suggests that individuals who have a higher score are likely to reach or sustain a year or longer of recovery from substance use disorder.

  Enrollment, Up to 6 months, 3 months post discharge, and 12 months post enrollment

• Change in number of drug overdoses per person

  Number of drug overdoses will be assessed with the following survey question: In the past 30 days, did you experience an overdose or take too much of a substance that resulted in needing supervision or medical attention?

  Enrollment, Up to 6 months, 3 months post discharge, and 12 months post enrollment

• Change in number of days of illicit substance use per person

  Number of days illicit substance use will be assessed with the following survey question: During the past 30 days, how many days have you used any substance

  Enrollment, Up to 6 months, 3 months post discharge, and 12 months post enrollment

Study Arms (1)

KATR Clients

participants in the early stages of recovery and in substance use disorder (SUD) treatment; or those that have completed within the past year SUD treatment for opioid use disorder or stimulant use disorder or have a history of overdose from opioid use.

Behavioral: KATR Linkage Strategy

Interventions

KATR Linkage Strategy BEHAVIORAL

The Kentucky ATR (KATR) strategy is a 25-county program that links county residents at or below the 200% national poverty level who have an illicit SUD and are in treatment or early recovery to evidence-based RSSs such as recovery housing, and to other RSSs. The KATR linkage approach uses vouchers as a linkage strategy for individuals in SUD treatment who have no other funding options to acquire critical RSSs. As such, KATR's linkage through vouchers is a "last resort" approach for linking to RSSs.

KATR Clients

Eligibility Criteria

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

Study Population

individuals in underserved areas with incomes at or below the 200% poverty level, individuals with prior criminal-justice involvement, veterans, and pregnant and parenting populations, with illicit SUD

You may qualify if:

• be in SUD treatment or have completed within the past year SUD treatment for opioid use disorder or stimulant use disorder or have a history of overdose from opioid use
• be a first-time participant in KATR
• be in early stages of recovery (less than one year in recovery)
• be a resident of a KATR service county
• be at or below the 200% federal poverty level
• not have financial resources available through other funding mechanisms for RSSs
• be 18 years of age and older
• be in need of recovery supports that will enhance their likelihood of staying in recovery

You may not qualify if:

• Under 18
• Participated in KATR previously

Sponsors & Collaborators

• Terry Bunn: lead

Study Sites (2)

FAHE

Berea, Kentucky, 40403, United States

Location

University of Kentucky

Lexington, Kentucky, 40506, United States

Location

MeSH Terms

Conditions

Substance-Related Disorders; Treatment Adherence and Compliance; Opiate Overdose; Behavior, Addictive

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders; Health Behavior; Behavior; Drug Overdose; Prescription Drug Misuse; Drug Misuse; Opioid-Related Disorders; Narcotic-Related Disorders; Compulsive Behavior; Impulsive Behavior

Study Officials

• Terry Bunn, PhD

  University of Kentucky

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: May 23, 2023
• First Posted: June 5, 2023
• Study Start: July 3, 2023
• Primary Completion: February 24, 2025
• Study Completion: February 24, 2025
• Last Updated: April 16, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)