NCT07886944

Brief Summary

The investigators propose to test the effectiveness of PATH (Peer Advanced Training for total Health) as an educational workforce intervention for improving peer recovery support specialists' (PRSS) overdose prevention (OP) service delivery ability and quality and as a PRSS workforce and service system support. The PATH intervention combines (a) virtual education and (b) case-based consultation. The investigators hypothesize that PATH will improve organizational-level PRSS burnout, additional workforce outcomes, and OP service quality.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
200

participants targeted

Target at P75+ for not_applicable

Timeline
35mo left

Started Oct 2026

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
enrolling by invitation

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress1%
Oct 2026Sep 2029

Study Start

First participant enrolled

October 12, 2026

Completed
3 days until next milestone

First Submitted

Initial submission to the registry

October 15, 2026

Completed
6 days until next milestone

First Posted

Study publicly available on registry

October 21, 2026

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2029

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2029

Last Updated

October 21, 2026

Status Verified

October 1, 2026

Enrollment Period

2.4 years

First QC Date

October 15, 2026

Last Update Submit

October 15, 2026

Conditions

BurnoutSecondary TraumaCompassion FatigueOpioid Use DisorderStimulant Use DisorderSubstance Use Disorder

Keywords

peer recovery support specialistsubstance use disorderoverdose prevention

Outcome Measures

Primary Outcomes (1)

  • Job Approach Crafting

    Measured using the Approach domains of the Approach-Avoidance Job Crafting Scale (AAJCS). The measure assesses behavioral and cognitive strategies staff use to increase positive work resources and challenges.

    Every 4 months from enrollment to 29 months post-enrollment.

Secondary Outcomes (5)

  • Job Avoidance Crafting

    Every 4 months from enrollment to 29 months post-enrollment.

  • Professional Quality of Life

    Every 4 months from enrollment to 29 months post-enrollment.

  • Overdose Prevention Knowledge, Attitudes, and Skills

    Every 4 months from enrollment to 29 months post-enrollment.

  • Overdose Prevention Recovery Plan Integration

    From enrollment to 29 months post-enrollment

  • Client Retention

    From enrollment to 29 months post-enrollment

Other Outcomes (12)

  • Staff Boundaries with Clients

    Every 4 months from enrollment to 29 months post-enrollment.

  • Moral Injury

    Every 4 months from enrollment to 29 months post-enrollment.

  • Bias Against Overdose Prevention

    Every 4 months from enrollment to 29 months post-enrollment.

  • +9 more other outcomes

Study Arms (1)

PATH clinical trial participants

EXPERIMENTAL

Receive PATH clinical trial intervention

Behavioral: PATH (Peer Advanced Training for total Health)

Interventions

PATH (Peer Advanced Training for total Health)BEHAVIORAL

PATH is an educational workforce intervention for improving peer recovery support specialists' (PRSS) overdose prevention (OP) service delivery ability and quality and as a PRSS workforce and service system support. PATH includes 4 hours of eLearning modules completed within a 1-month period, as well as 8 weekly ECHO sessions lasting 1.5 hours each delivered over 2 months. Each ECHO session includes a 30-minute presentation followed by one hour of case-based discussion about a real client or problem. The entire PATH intervention takes 16 hours (4 hours of eLearning and 12 hours of ECHO participation) over 3 months. Participants are expected to complete all 16 hours, completing the 4 hours of eLearning before starting the 12 hours of ECHO activities

PATH clinical trial participants

Eligibility Criteria

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

You may qualify if:

  • Current peer recovery support specialist (PRSS) staff, including employee or volunteer, of a participating Recovery Community Organization (RCO)
  • Current PRSS who delivers direct, individualized peer recovery coaching services at a participating RCO,
  • Employed at their organization for at least 90 days.
  • Current administrator at a participating RCO
  • Has has service contact with the RCO at least 90 days prior to the RCO's PATH completion date
  • Has one or more nuanced harm reduction goals in the recovery plan (i.e., goals extending beyond basic overdose prevention)
  • Has received services from a PRSS participating in the post-PATH semi-structured interview

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Chestnut Health Systems Lighthouse Institute

Chicago, Illinois, 60610, United States

Location

MeSH Terms

Conditions

Burnout, PsychologicalCompassion FatigueOpioid-Related DisordersSubstance-Related Disorders

Condition Hierarchy (Ancestors)

Stress, PsychologicalBehavioral SymptomsBehaviorMental FatigueFatigueSigns and SymptomsPathological Conditions, Signs and SymptomsOccupational StressNarcotic-Related DisordersChemically-Induced DisordersMental Disorders

Study Officials

  • Dennis P Watson, PhD

    Chestnut Health Systems

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
SINGLE GROUP
Model Details: This study follows a combined stepped-wedge design (SWD) mixed methods approach. The SWD is a cluster crossover design for which each cluster/cohort acts as its own control until it switches to the intervention group at a designated time point. Ten Recovery Community Organizations (RCOs) were stratified based on total staffing levels to ensure balanced representation of organizational capacity across cohorts. The five RCOs with the lowest total staff counts were assigned to the lower-staff stratum, and the five with the highest staff counts were assigned to the higher-staff stratum. Within each stratum, RCOs were randomly assigned using a computer-generated simple randomization procedure. One RCO from each stratum was then paired to form each cohort. The SWD uses open cohort data, allowing new staff and clients from the RCO to enter at any given time point during the observation window.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Senior Research Scientist

Study Record Dates

First Submitted

October 15, 2026

First Posted

October 21, 2026

Study Start

October 12, 2026

Primary Completion (Estimated)

March 1, 2029

Study Completion (Estimated)

September 1, 2029

Last Updated

October 21, 2026

Record last verified: 2026-10

Data Sharing

IPD Sharing
Will share
Shared Documents
STUDY PROTOCOL, SAP, ICF, ANALYTIC CODE
Access Criteria
De-identified individual and aggregate PRSS survey data (raw and recoded) will be shared publicly after completing all data and analyses. Files will be shared in the format most relevant to the software used to develop them, as well as CSV files. De-identified qualitative transcripts will be maintained and shared only with an established data-sharing agreement. Files containing coding lists and summaries and transcript attributes will also be shared with appropriate agreements in place. Open sharing of qualitative data may risk identifying participants, particularly in small rural organizations where contextual details are difficult to mask. Standard protections, like de-identification and Certificates of Confidentiality, may be insufficient.

Locations

US(1)