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Completed

NCT Number: NCT04098614

Barriers to Substance Use Disorder Recovery

The study purpose is to investigate how an inpatient recovery coaching intervention can overcome or mitigate specific risk factors and barriers to initiating and maintaining Substance Use Disorder recovery. This study will offer insight into how and why an inpatient link to recovery coaching is effective for promoting long-term Substance Use Disorder recovery.

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Key information

Conditions

Substance Use Disorders Chemically-Induced Disorders Mental Disorders Substance-Related Disorders

Age range

18 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Greenville Memorial Hospital

Greenville, South Carolina, 29605, United States

About this study

Substance Use Disorder (SUD) is a prevalent disease that impacts an estimated 24 million Americans each year. The life-altering consequences of SUD are both diverse and severe, influencing mortality, the workplace, and economics. The goal of this study is to determine how specific risk factors of relapse and barriers to recovery, including neurocognitive, health, personal, social, financial, and situational barriers, can be overcome or changed through a recovery coaching intervention. This work seeks to provide a mechanism to demonstrate exactly how and why this potential new model of care (recovery coaching) is effective, rather than simply assessing if it can work. To accomplish this aim, the change between baseline and 6-month assessments will be assessed. Then, the difference in the change between individuals assigned to the current standard of care and patients assigned to inpatient recovery will be compared.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 18 - 60
  • 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 admitted for cocaine use only
  • Are pregnant

Treatment and study plan

Recovery Coach Intervention

Behavioral

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.

Primary outcomes

  1. Change in Social Support

    Time frame: intervals of 1, 2, 3, and 6 months post-baseline assessment

    Participants will complete the 5-item Social Support subscale of the Assessment of Recovery Capital (ARC) to assess social support. The difference between the post-baseline and baseline measures will be assessed.

  2. Change in Financial Barriers to SUD Recovery

    Time frame: intervals of 1, 2, 3, and 6 months post-baseline assessment

    These barriers include lack of stable housing, transportation, and cost of recovery services. Participants will complete the Housing and Safety Subscale of the Assessment of Recovery Capital (ARC) to assess social support and housing stability. The difference between the post-baseline and baseline measures will be assessed.

  3. Change in Situational Barriers to SUD Recovery

    Time frame: intervals of 1, 2, 3, and 6 months post-baseline assessment

    The barriers measured will be (1) long delays for treatment, (2) complexity of navigating the healthcare system, (3) lack of programs in one's community, (4)lack of professional help, (4) and not knowing where to go for help. The response options are binary (yes, they think this is a barrier to their recovery', or 'no, not a barrier to recovery'). Responses to these questions (0=no, 1=yes) will be summed to determine situational barriers. The difference between the post-baseline and baseline measures will be assessed.

  4. Change in Inhibitory Control

    Time frame: baseline and 6 months post-baseline assessment

    Inhibitory control will be assessed behaviorally using a 150 - 200 trial computerized 'Stop Signal' Task, the most common measure of this construct. Stop Signal Reaction Time (SSRT) and Stop trial accuracy will be measured and compared across time points.

  5. Change in Resting State EEG beta poewer

    Time frame: baseline and 6 months post-baseline assessment

    We will measure both absolute and relative powers for beta (14-25 Hz) bands using a 24-channel Soterix Medical EEG.

  6. Change in Striatal Dopaminergic Functioning

    Time frame: baseline and 6 months post-baseline assessment

    Consistent with previous research, we will assess average spontaneous eyeblink rate, a well-validated indirect proxy for available levels of striatal tonic dopamine.

  7. Change in Risk-Taking

    Time frame: baseline and 6 months post-baseline assessment

    Risk-taking will be measured using the 7-item Risk Propensity Scale (Meertens & Lion, 2008). Higher scores on this scale indicate greater risk-taking propensity.

  8. Change in Emotion Regulation

    Time frame: baseline and 6 months post-baseline assessment

    The Emotion Regulation Questionnaire (ERQ-10) will be used to assess these emotion regulation strategies and skills.

  9. Change in Goal-Related Activities

    Time frame: baseline and 6 months post-baseline assessment

    Participants will complete the 5-item Meaningful Activities from the Assessment of Recovery Capital questionnaire. The 5 items will be summed for a total score.

Secondary outcomes

  1. Engagement in Recovery Services

    Time frame: intervals of 1, 2, 3, and 6 months post-baseline assessment

    Active involvement in recovery programs. This is a binary response question. Participants are asked "Are you actively involved in a recovery program right now?". Response options are 'yes' or 'no'. We will measure the change over time in engagement for each participant and compare the percentage of those in the intervention and control arm that are actively involved in recovery services at each time point.

  2. Hospital Visit Frequency

    Time frame: six months pre- and post-baseline assessment

    number of readmissions and number of emergency department visits

  3. Substance Use Severity

    Time frame: intervals of 1, 2, 3, and 6 months post-baseline assessment

    Frequency of substance use in past 30 days measured using the Addiction Severity Index (ASI-Lite).

  4. Emotional Well-being

    Time frame: intervals of 1, 2, 3, and 6 months post-baseline assessment

    Participants will be asked to self-report two items about their emotion well-being on a scale of 0 (Not at all) to 9 (Severely). The questions are "In the past 30 days, how much have you been bothered by feeling sad, down, or uninterested in life?" and "In the past 30-days, have you felt anxious or nervous?".

  5. Life Satisfaction

    Time frame: intervals of 1, 2, 3, and 6 months post-baseline assessment

    Participants will be asked to self-report their life satisfaction using a single item question on a scale of 1 (Very Satisfied) to 4 (Very Dissatisfied). Change across time on this scale will be measured.

Sponsors and collaborators

Lead sponsor

Prisma Health-Upstate

Other

Collaborators

  • Clemson University
  • Medical University of South Carolina

Registry information

Important dates

Study start
2019
Primary completion
2020
Study completion
2020
First posted
Sep 23, 2019
Registry last updated
Nov 4, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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