Leveraging Parents and Peers to Increase Recovery Capital in Emerging Adults

NCT06414993 | Active Not Recruiting

• 1 other identifier: R34DA057639
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 8

Brief Summary

Emerging adults (EAs; aged 18-26) are the highest-risk population for poly-substance use (misuse of more than one drug), compared to all other age groups and are the least-served population for substance use services. The overarching purpose of this pilot study is to assess whether an innovative services package, Launch, can reasonably work (is feasible) and whether providers and participants like it (acceptability). Launch works with both EAs and a supportive parent (or parental figure) and delivers peer recovery support services (PRSS) to EAs while helping parents use an effective, evidence-based program called contingency management, adapted for EAs, at home with their EA child. This study will also lay the groundwork for a future large-scale trial of Launch services.

Conditions

Polysubstance Drug Use (Indiscriminate Drug Use)

Keywords

Contingency management; Emerging adults; Polysubstance use; Peer recovery support services

Outcome Measures

Primary Outcomes (8)

• Levels of Emerging Adult Perceptions of Acceptability of the Launch Intervention (measured at 6 months).

  Levels of acceptability of the Launch intervention, such as if participants like the intervention, as reported by emerging adults on the Acceptability of Intervention Measure. Scores range from 4-20. Higher scores indicate higher levels of intervention acceptability.

  6 months

• Levels of Parent Perceptions of Acceptability of the Launch Intervention (measured at 6 months).

  Levels of acceptability of the Launch intervention, such as if participants like the intervention, as reported by parents on the Acceptability of Intervention Measure. Scores range from 4-20. Higher scores indicate higher levels of intervention acceptability.

  6 months

• Levels of Emerging Adult Perceptions of Launch Intervention Appropriateness (measured 6 months).

  Levels of Launch intervention appropriateness, such as if the intervention is a good match, as reported by emerging adults on the Intervention Appropriateness Measure. Scores range from 4-20. Higher scores indicate higher levels of intervention appropriateness.

  6 months

• Levels of Parent Perceptions of Launch Intervention Appropriateness (measured 6 months).

  Levels of Launch intervention appropriateness, such as if the intervention is a good match, as reported by parents on the Intervention Appropriateness Measure. Scores range from 4-20. Higher scores indicate higher levels of intervention appropriateness.

  6 months

• Levels of Emerging Adult Perceptions of Feasibility of the Launch Intervention (measured at 6 months).

  Levels of Launch intervention feasibility, such as if the intervention is easy to use, as reported by emerging adults on the Feasibility of Intervention Measure. Scores range from 4-20. Higher scores indicate higher levels of intervention feasibility.

  6 months

• Levels of Parent Perceptions of Feasibility of the Launch Intervention (measured at 6 months).

  Levels of Launch intervention feasibility, such as if the intervention is easy to use, as reported by parents on the Feasibility of Intervention Measure. Scores range from 4-20. Higher scores indicate higher levels of intervention feasibility.

  6 months

• Levels of Emerging Adult Client Satisfaction with Launch Services (measured at 6 months).

  Levels of satisfaction with the Launch services reported by emerging adult clients on the Client Satisfaction Questionnaire 8-item scale adapted to reflect receipt of Launch services.

  6 months

• Levels of Parent Client Satisfaction with Launch Services (measured at 6 months).

  Levels of satisfaction with the Launch services reported by parent clients on the Client Satisfaction Questionnaire 8-item scale (CSQ-8) adapted to reflect receipt of Launch services.

  6 months

Secondary Outcomes (19)

• Changes from baseline to 6 months post-baseline in Emerging Adult Substance Use Disorders (measured at 0 and 6 months).

  Baseline to 6 months

• Changes from baseline to 6 months post-baseline in Emerging Adult Substance Use and Problems (measured at 0 and 6 months).

  Baseline to 6 months

• Changes from baseline to 6 months post-baseline in Emerging Adult Polysubstance Use (measured at 0 and 6 months).

  Baseline to 6 months

• Changes from baseline to 6 months post-baseline in Emerging Adult Quality of Life (measured at 0 and 6 months).

  Baseline to 6 months

• Changes from baseline to 6 months post-baseline in Emerging Adult Service Utilization (measured at 0 and 6 months).

  Baseline to 6 months

Study Arms (3)

Contingency Management for Emerging Adults (CM-EA) Only

EXPERIMENTAL

The parents in this group will receive CM-EA delivered virtually by a parent coach approximately weekly (20-40 minute sessions) for 6 months.

Behavioral: Contingency Management for Emerging Adults (CM-EA)

Standard Peer Recovery Support Services (PRSS)+Vocational/Educational (V/E) Skill Building

EXPERIMENTAL

The EAs in this group will receive PRSS+Vocational/Educational (V/E) Skill Building delivered by peer workers in-person in the local community and/or virtually, for approximately weekly (1 hour sessions) for 6 months.

Behavioral: Standard Peer Recovery Support Services (PRSS) +Vocational/Educational (V/E) Skill Building services

CM-EA and PRSS+V/E

EXPERIMENTAL

Families receive both CM-EA and PRSS + V/E as described above.

Behavioral: Contingency Management for Emerging Adults (CM-EA); Behavioral: Standard Peer Recovery Support Services (PRSS) +Vocational/Educational (V/E) Skill Building services

Interventions

Standard Peer Recovery Support Services (PRSS) +Vocational/Educational (V/E) Skill Building services BEHAVIORAL

Standard PRSS begin by identifying clients' needs in key domains (e.g., transportation, employment). After needs are identified, a peer worker addresses needs through informational resources and community referrals and engages clients in positive recreational activities offering advice, hope and empowerment to encourage steps toward a reduction in substance use and eventual abstinence. When desired, peer workers also link clients to a broader recovery peer community. In addition, the peer worker will dedicate time to increasing recovery capital via improving skills related to V/E advancement using a workbook, Targeting Employment for Emerging Adults: A Toolkit for Mental Health Providers, for which peer workers will be trained.

CM-EA and PRSS+V/E; Standard Peer Recovery Support Services (PRSS)+Vocational/Educational (V/E) Skill Building

Contingency Management for Emerging Adults (CM-EA) BEHAVIORAL

After CM-EA is introduced, a contingency contract is developed between a parent and emerging adult (EA) that provides EAs with rewards for negative drug screens and completion of developmentally appropriate goals to build recovery capital, along with disincentives for positive screens or engaging in inappropriate behaviors. Concurrently, parents are taught to conduct random urine drug screens. Additionally, parents are trained to complete functional analyses in collaboration with their EA to identify the EA's triggers for poly-substance use and negative behaviors. Individualized triggers are targeted via self-management planning and drug refusal skills training. At the end of CM-EA, plans are made with the family for sustaining abstinence and improvements in other behaviors.

CM-EA and PRSS+V/E; Contingency Management for Emerging Adults (CM-EA) Only

Eligibility Criteria

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

You may qualify if:

• EA (aged 18-26) who reports (1) misuse of opioids and/or stimulants and at least one other substance in the same week during the past year, (2) at least one SU disorder reported by EA or parent as assessed via the DSM-V Checklist, and (3) has a supportive parent willing to be virtually coached to deliver CM-EA. Participating "parents" can include any supportive adult who is in a financially supportive caregiving role for the EA and has the desire and ability to implement the CM-EA program

You may not qualify if:

• Only EAs that present with unstable conditions requiring intensive treatment, such as hospital interventions, will be excluded from the sample. Examples of these conditions include participant reports of active suicidal or homicidal intentions or requests for medically supervised detox services.
• Peer Workers
• Certified peer worker (aged 18+) willing to be trained in vocational/educational skill building and participate in research protocols with study-enrolled emerging adult clients.
• None
• Parent Coaches
• Individual (18+) with a background in clinical work willing to be trained in Contingency Management for Emerging Adults (CM-EA) and participate in research protocols with study-enrolled parent clients.
• None
• Payors/Providers of Recovery Services
• Individual (18+) who works at an administrative level at an organization that provides or pays for recovery services that would potentially fund or otherwise support the implementation of Launch services willing to be interviewed.
• None

Sponsors & Collaborators

• Chestnut Health Systems: lead
• National Institute on Drug Abuse (NIDA): collaborator

Study Sites (8)

Rising Sun Recovery

Hiram, Georgia, 30141, United States

Location

A New Horizon

Bloomington, Illinois, 61701, United States

Location

Chestnut Health Systems

Granite City, Illinois, 62040, United States

Location

Take Action Today

West Frankfort, Illinois, 62896, United States

Location

Wabash Valley Recovery Center

Terre Haute, Indiana, 47807, United States

Location

Chestnut Health Systems

Hillsboro, Missouri, 63050, United States

Location

Chestnut Health Systems

Eugene, Oregon, 97401, United States

Location

WeCare Hawkins

Rogersville, Tennessee, 37857, United States

Location

Related Publications (1)

• Drazdowski TK, Castedo de Martell S, Sheidow AJ, Chapman JE, McCart MR. Leveraging Parents and Peer Recovery Supports to Increase Recovery Capital in Emerging Adults With Polysubstance Use: Protocol for a Feasibility, Acceptability, and Appropriateness Study of Launch. JMIR Res Protoc. 2024 Jul 22;13:e60671. doi: 10.2196/60671.

  PMID: 39037768 DERIVED

Study Officials

• Tess K Drazdowski, PhD

  Chestnut Health Systems

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: May 7, 2024
• First Posted: May 16, 2024
• Study Start: June 7, 2024
• Primary Completion (Estimated): July 30, 2026
• Study Completion (Estimated): September 1, 2026
• Last Updated: April 9, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, ICF
• Time Frame: Data will be shared upon acceptance of the data for publication or within six months after the completion of the 6-month follow-up assessments, whichever is earlier.
• Access Criteria: Information on where the data will be available and how to access the data will be included in any publications and presentations that the study team authors using these data. The repositories (e.g., NAHDAP), HEAL Data Ecosystem, and funding sources will be acknowledged in any publications and presentations. Repositories such as the NAHDAP have policies and procedures in place that will provide data access to qualified researchers, fully consistent with NIH data sharing policies and applicable laws and regulations.

Locations

US (8)