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Completed

NCT Number: NCT04098601

Inpatient Link to Addiction Recovery

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.

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Key information

Conditions

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

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Greenville Memorial Hospital

Greenville, South Carolina, 29605, United States

About this study

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.

Who can participate

Healthy volunteers accepted: No

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

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

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 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 outcomes

  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.

Sponsors and collaborators

Lead sponsor

Prisma Health-Upstate

Other

Collaborators

  • Clemson University
  • University of South Carolina School of Medicine, Greenville

Registry information

Official study title

Inpatient Link to Addiction Recovery- a Pilot Program

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
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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