Substance Use Disorders
Conditions
Keywords
recovery coaching, substance abuse
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.
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.
Interventions
BEHAVIORALRecovery 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.
Sponsors
Clemson University
University of South Carolina School of Medicine, Greenville
Prisma Health-Upstate
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
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.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Engagement in Recovery Services | 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. |
| Change in Substance Use Frequency | 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
| Measure | Time frame | Description |
|---|---|---|
| Change in Self-Reported Quality of Life Assessment | 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. |
Countries
United States
Outcome results
None listed