Alcohol Use Disorders, Peer Recovery Coaching, Recovery Support Services, Substance Use Disorders
Conditions
Keywords
Peer Recovery Support Services, Peer Recovery Coaching, Alcohol Use Disorders, Substance Use Disorders
Brief summary
The focus of this study is to assess the effect on Peer Recovery Support Service providers of the fully asynchronous training platform (TDPP) and the TDPP with live zoom sessions on skill and adherence compared with training-as-usual.
Detailed description
Thrive Digital Health (TDH) is developing a novel Peer Recovery Support Services (PRSS) training platform (the TDPP) to standardize and scale the training of Peer Recovery Supporters. TDH was founded by the principals of two successful existing companies at the forefront of advancing PRSS, and benefits from the expertise of its CEO, who in addition to serving on the board of the Peer Recovery Center of Excellence, is a nationally recognized thought leader on PRSS training and implementation. The overarching goal of this Fasttrack project is to develop and test an evidence-based platform that will extend standards-based and empirically-supported Peer Recovery Support Services training and implementation across the country. Success in this endeavor will expand access to support services for recovery from alcohol and other substance use disorders, and help to address critical care gaps stemming from the treatment provider shortage currently impacting the nation. We hypothesize that this scalable platform, used by PRSS Trainers and Trainees, will be acceptable, feasible and usable, and will deliver a positive effect in terms of knowledge gain, adherence and skill in Phase I. In Phase II of this Fasttrack effort, we hypothesize that this platform will deliver superior training results among PRSS trainees in terms of adherence and skill versus training-as-usual. Our priority commercial goal is to bring this solution to market with organizations around the country seeking to build PRSS capacity, and we will accomplish this through the following Phase II specific aims: (1) Assess the effect on PRSS providers of the fully asynchronous TDPP and the TDPP with live zoom sessions on skill and adherence compared with training-as-usual; (2) Assess the effect of adding three live, interactive group teleconferencing sessions to the TDPP asynchronous content; (3) Conduct a pre-post study with a pilot population of PRSS provider trainees from another state to assess fidelity of implementation when content is localized for another state. The expected impact of this project is to substantially enhance TDH's ability to deliver effective PRSS training at scale, expanding access to recovery support services across the country. This capability holds promise to reduce negative health impacts at both an individual and societal level while reducing the total cost of providing treatment services.
Interventions
BEHAVIORALTraining-as-Usual (TAU)
Participants receive the standard Peer Recovery Supporter (PRS) training currently offered by CCAR. This training follows existing certification requirements and does not include any digital modules or facilitated teleconferencing components.
BEHAVIORALTDPP-A (Asynchronous Platform)
Participants engage with the Thrive Digital Peer Platform (TDPP), a fully asynchronous, self-paced online training program. The content includes 11 interactive modules structured using the Connect → Grow → Apply (CGA) learning framework, featuring peer stories, behavioral exercises, and scenario-based assessments.
BEHAVIORALTDPP-Z (Asynchronous + Zoom)
Participants use the same asynchronous TDPP platform as the TDPP-A group, with the addition of three live, facilitator-led Zoom sessions. These synchronous group sessions provide opportunities for applied learning, discussion, and skill reinforcement.
Sponsors
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Thrive Digital Health, LLC
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Eligible participants will be prospective PRSS providers residing in the U.S., ages 18 and over, with at least one year of continuous sobriety. \-
Exclusion criteria
We will exclude individuals with eligibility questionnaire responses indicating: (a) an inability to read or speak English; (b) active suicidal ideation (PHQ-9, Item 9); (c) severe anxiety (GAD-7 \>15); (d) significant medical illnesses, and; (e) unable to complete the baseline assessment or unavailable for computer and telephone follow-ups over the approximately ten month study period. \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| YACS II Skill Adherence Score | Post-intervention (within 2 weeks of training completion) | Assessed using the adapted Yale Adherence and Competence Scale II (YACS II), which measures skill adherence during simulated peer recovery support interactions. Each participant is scored by blinded, trained raters using a standardized coding protocol. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| System Usability Scale (SUS) Score | Immediately post-training | Self-reported usability score using the System Usability Scale (SUS), a validated 10-item instrument that assesses the ease of use, satisfaction, and user experience of the TDPP platform. |
| Knowledge Gain (Knowledge Test) | Change from baseline to immediately post-training | Improvement in participant scores on a knowledge test derived from the PRSS curriculum, administered pre- and post-training. |
| Intention to Use (UTAUT-2 scale) | Immediately post-training | Assessed using the UTAUT-2 Intention to Use construct, scored on a 5-point Likert scale. Measures perceived likelihood of future platform use in practice. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Self-Reported Satisfaction | Immediately post-training | Participant-reported satisfaction with the training experience, assessed via a Likert-scale item (How satisfied were you with the training experience overall?). Scores range from 1 (not satisfied) to 5 (very satisfied). |
| Qualitative Feedback (Open-Ended Exit Interview) | Immediately post-training | Participant reflections on their training experience, collected through a structured exit interview or open-text response field. Thematic content analysis will be used to identify emergent themes related to learning impact, perceived professionalism, and platform usability. |
Countries
United States
Contacts
Primary ContactChristopher Pesce, JD/MBA
Outcome results
None listed