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Inpatient Link to Addiction Recovery

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04098601
Recruitment Status : Completed
First Posted : September 23, 2019
Last Update Posted : May 18, 2020
Sponsor:
Collaborators:
Clemson University
University of South Carolina School of Medicine, Greenville
Information provided by (Responsible Party):
Prerana Roth, Prisma Health-Upstate

Brief Summary:
The objective of this proposal is to link inpatients to a certified peer support specialist through FAVOR-Greenville and determine the effectiveness of recovery coaching on patient outcomes.This study will evaluate the impact of initiating peer recovery coaching during SUD patients' hospitalization on engagement in recovery services, addiction severity, and quality of life compared to the current standard of care.

Condition or disease Intervention/treatment Phase
Substance Use Disorders Behavioral: Recovery Coach Intervention Not Applicable

Detailed Description:
The United States is in the midst of a drug overdose crisis: the rate of substance use, overdose, and substance abuse-related economic costs is rapidly increasing. Despite the prevalence of Substance Abuse Disorder (SUD), only 10% of SUD patients receive treatment. The initial link into care is often one of the hardest barriers to overcome due to wait times, complex systems to navigate, and fluctuating motivation. Hospitalization is often a time when patients are more receptive to SUD treatment. One potential effective treatment approach is peer recovery support services. Currently at Greenville Memorial Hospital, there is no direct link between hospitalization and outpatient care for patients with SUD, making it difficult to start or continue the recovery process. Thus, the goal of this study is to evaluate the impact of the initiation of peer recovery services during hospitalization on addiction severity and quality of life. By establishing a successful inpatient link to recovery treatment, this study may lead to the development of an effective method of care that can readily be implemented into the healthcare system.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 103 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Masking Description: The investigator/study personnel inform the participant regarding which arm they have been assigned and inform a recovery coach if the participant is randomized to the intervention arm.
Primary Purpose: Treatment
Official Title: Inpatient Link to Addiction Recovery- A Pilot Program
Actual Study Start Date : April 19, 2018
Actual Primary Completion Date : December 30, 2019
Actual Study Completion Date : December 30, 2019

Arm Intervention/treatment
Experimental: Recovery Coach Intervention
Participants randomized to the intervention arm are linked to a recovery peer coach while they are in the hospital. Recovery peer coaches are provided to the participant by Faces and Voices of Recovery (FAVOR) - Greenville. Recovery coaches are Certified Peer Support Specialists (CPSS), individuals who have firsthand experience in successful recovery and are trained in using recovery-oriented tools to help peers overcome addiction. FAVOR offers immediate access to a personal coach, a local center, and assistance to off-site intervention and recovery resources in the community. They provide twice weekly contact with participants.
Behavioral: Recovery Coach Intervention
Participants randomized to the intervention arm are linked to a recovery peer coach while they are in the hospital. Recovery peer coaches are provided to the participant by Faces and Voices of Recovery (FAVOR) - Greenville. Recovery coaches are Certified Peer Support Specialists (CPSS), individuals who have firsthand experience in successful recovery and are trained in using recovery-oriented tools to help peers overcome addiction. FAVOR offers immediate access to a personal coach, a local center, and assistance to off-site intervention and recovery resources in the community. They provide twice weekly contact with participants.

No Intervention: Standard of Care Control
Patients in the control condition receive the current standard of care, which entails a treatment referral with a list of addiction recovery facilities, groups, and resources. It is the patient's responsibility to call a treatment facility or group on the list and thus relies on self-referral. The medical team is not permitted to call a facility or group on behalf of the patient. The physician may counsel the patient on the dangers of substance abuse and addiction, but the extent of counseling is variable and dependent on the individual physician.



Primary Outcome Measures :
  1. Change in Engagement in Recovery Services [ Time Frame: intervals of 1, 2, 3, and 6 months post-baseline assessment ]
    Active involvement in recovery care services, including but not limited to Alcoholics Anonymous Narcotics Anonymous, individual counseling, methadone/suboxone program, etc. This information is obtained from self-report surveys administered by medical students in both conditions at both baseline and each follow-up.

  2. Change in Substance Use Frequency [ Time Frame: intervals of 1, 2, 3, and 6 months post-baseline assessment ]
    Frequency of substance use assessed using the 13-item Addiction Severity Index (ASI-Lite). The scale asks how many days in the last 30 days participants used each of several substances. The range of responses is 0 - 30 with higher scores indicating higher/greater severity of substance use.


Secondary Outcome Measures :
  1. Change in Self-Reported Quality of Life Assessment [ Time Frame: intervals of 1, 2, 3, and 6 months post-baseline assessment ]
    The 12-item Health-Related Quality of Life Short Form (SF-12) is used to obtain self-report information on participants' satisfaction with physical, psychological, social, and environmental aspects of their lives.Physical and Mental Health Composite Scores on the SF-12 are calculated using the score of all questions and range from 0 - 100. A zero score indicates the poor health and 100 indicates the highest level of health.



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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Age 18 or older
  • English speaking;
  • Identified by healthcare provider as having Substance Use Disorder
  • Recent substance use
  • Currently admitted to the Medical Teaching Services, general medicine hospitalist services, or Infectious Disease Consult service at Greenville Memorial Hospital

Exclusion Criteria:

  • Are unable to provide informed consent (intubation, confusion, etc.) during hospitalization
  • Are admitted for marijuana use only
  • Are pregnant

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04098601


Locations
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United States, South Carolina
Greenville Memorial Hospital
Greenville, South Carolina, United States, 29605
Sponsors and Collaborators
Prisma Health-Upstate
Clemson University
University of South Carolina School of Medicine, Greenville
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Responsible Party: Prerana Roth, Clinical Assistant Professor, Prisma Health-Upstate
ClinicalTrials.gov Identifier: NCT04098601    
Other Study ID Numbers: Pro00075538
First Posted: September 23, 2019    Key Record Dates
Last Update Posted: May 18, 2020
Last Verified: May 2020

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Prerana Roth, Prisma Health-Upstate:
recovery coaching
substance abuse
Additional relevant MeSH terms:
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Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders