The Road to Recovery Initiative (R2RI)

NCT06639373 | Recruiting

• 1 other identifier: BCCSU-R2RI
• Study Type: observational
• Target: 10,000
• Locations: 1 country
• Sites: 1

Brief Summary

Despite substance use causing significant harms and cost to our health care system, British Columbia's (BC) current addiction treatment system remains under-resourced and fragmented. To address this, Providence Health Care (PHC) is expanding clinical addiction services as part of the Road to Recovery Initiative (R2R). The proposed study aims to generate novel data to promote fully evidence-informed and coordinated substance use care in BC and beyond. This study will explore substance use treatment trajectories, identify challenges and areas for growth in addiction health services, characterize important features of patients accessing care, and improve our provincial capacity to promptly tailor approaches to care in response to the substance use crisis.

Conditions

Substance-Related Disorders

Keywords

addiction; substance use; alcohol; opioids; harm reduction

Outcome Measures

Primary Outcomes (4)

• Substance use patterns following R2R access

  Metrics include frequency of use in the 12-months following R2R access

  1 year

• Health care utilization patterns following R2R access

  Metrics include the count of hospitalizations, readmissions, and emergency department visits.

  1 year

• Substance use treatment trajectories

  Metrics include completion status of substance use treatment programs within 12 months after R2R access.

  1 year

• Health among study participants over time

  Metrics include count of comorbidities in the 12 months following R2R access.

  1 year

Study Arms (1)

R2R Service Access

Individuals with a substance use disorder who access or are admitted to an R2R service

Other: Specialized clinical service access

Interventions

Specialized clinical service access OTHER

A new model of addiction care that will offer comprehensive and coordinated service delivery

R2R Service Access

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

People who have accessed or been admitted to any R2R service.

You may qualify if:

• Aged 18 years or older
• Able to provide written informed consent
• A resident of British Columbia
• Willing to comply with study procedures
• An individual who has accessed one or more R2R services

You may not qualify if:

• Individuals who have an acute, severe mental health condition (e.g., psychosis) precluding the opportunity to provide full informed consent
• Individuals who have an acute, severe medical condition (e.g., intubation) precluding the opportunity to provide full informed consent

Sponsors & Collaborators

• BC Centre on Substance Use: lead

Study Sites (1)

St. Paul's Hospital - Providence Health Care

Vancouver, British Columbia, V6Z1Y6, Canada

RECRUITING

Related Links

• Website

MeSH Terms

Conditions

Substance-Related Disorders; Behavior, Addictive; Harm Reduction

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders; Compulsive Behavior; Impulsive Behavior; Behavior

Study Officials

• Seonaid Nolan, MD, FRCPC

  BC Centre on Substance Use

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Seonaid Nolan, MD, FRCPC

CONTACT

604-682-2344; seonaid.nolan@bccsu.ubc.ca

Study Design

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

Study Record Dates

• First Submitted: October 4, 2024
• First Posted: October 15, 2024
• Study Start: October 5, 2023
• Primary Completion (Estimated): October 5, 2028
• Study Completion (Estimated): October 5, 2033
• Last Updated: October 15, 2024

Record last verified: 2024-10

Locations

CA (1)