Kentucky Access to Recovery Evaluation

Completed

• Conditions: Substance Use Disorders; Treatment Adherence and Compliance
• Interventions: Behavioral: KATR Linkage Strategy

• Registration Number: NCT05889702
• Lead Sponsor: Terry Bunn

Brief Summary

Evaluate the long-term effectiveness of implementing vouchers as a linkage strategy in a population requiring recovery support services (RSS) when no other funding sources are available. A within-subjects study design will be used to test the effectiveness of the Kentucky Access to Recovery (KATR) last resort voucher linkage approach to reduce the risk of nonfatal and fatal overdoses by (a) increasing an individual's recovery capital; (b) reducing resumption of illicit substance use; and (c) promoting relinking to RSSs if illicit substance use is resumed.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-05-23
• Study First Submitted QC: 2023-06-01
• Study First Posted: 2023-06-05
• Study Start: 2023-07-03
• Primary Completion: 2025-02-24
• Study Completion: 2025-02-24
• Status Verified: 2025-04
• Last Update Submitted: 2025-04-11
• Last Update Posted: 2025-04-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 458

Inclusion Criteria

• be in SUD treatment or have completed within the past year SUD treatment for opioid use disorder or stimulant use disorder or have a history of overdose from opioid use
• be a first-time participant in KATR
• be in early stages of recovery (less than one year in recovery)
• be a resident of a KATR service county
• be at or below the 200% federal poverty level
• not have financial resources available through other funding mechanisms for RSSs
• be 18 years of age and older
• be in need of recovery supports that will enhance their likelihood of staying in recovery

Exclusion Criteria

• Under 18
• Participated in KATR previously

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
KATR Clients	KATR Linkage Strategy	participants in the early stages of recovery and in substance use disorder (SUD) treatment; or those that have completed within the past year SUD treatment for opioid use disorder or stimulant use disorder or have a history of overdose from opioid use.

Primary Outcome Measures

Name	Time	Method
Change in Recovery Capital per person	Enrollment, Up to 6 months, 3 months post discharge, and 12 months post enrollment	Recovery capital will be assessed using the Brief Assessment of Recovery Capital-10 (BARC-10); 10 item survey unidimensional measure of recovery capital, scores may range from 6-60 at any given time. Evaluation of the measure suggests that individuals who have a higher score are likely to reach or sustain a year or longer of recovery from substance use disorder.
Change in number of drug overdoses per person	Enrollment, Up to 6 months, 3 months post discharge, and 12 months post enrollment	Number of drug overdoses will be assessed with the following survey question: In the past 30 days, did you experience an overdose or take too much of a substance that resulted in needing supervision or medical attention?
Change in number of days of illicit substance use per person	Enrollment, Up to 6 months, 3 months post discharge, and 12 months post enrollment	Number of days illicit substance use will be assessed with the following survey question: During the past 30 days, how many days have you used any substance

Trial Locations

Locations (2)

FAHE; 🇺🇸 Berea, Kentucky, United States

University of Kentucky; 🇺🇸 Lexington, Kentucky, United States