Barriers to Substance Use Disorder Recovery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 99
- 试验地点
- 2
- 主要终点
- Change in Inhibitory Control
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
Change in Inhibitory Control
时间窗: 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.
Change in Risk-Taking
时间窗: 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.
Change in Social Support
时间窗: 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.
Change in Financial Barriers to SUD Recovery
时间窗: 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.
Change in Resting State EEG beta poewer
时间窗: 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.
Change in Striatal Dopaminergic Functioning
时间窗: 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.
Change in Situational Barriers to SUD Recovery
时间窗: 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.
Change in Emotion Regulation
时间窗: baseline and 6 months post-baseline assessment
The Emotion Regulation Questionnaire (ERQ-10) will be used to assess these emotion regulation strategies and skills.
Change in Goal-Related Activities
时间窗: 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.
次要结局
- Engagement in Recovery Services(intervals of 1, 2, 3, and 6 months post-baseline assessment)
- Hospital Visit Frequency(six months pre- and post-baseline assessment)
- Emotional Well-being(intervals of 1, 2, 3, and 6 months post-baseline assessment)
- Life Satisfaction(intervals of 1, 2, 3, and 6 months post-baseline assessment)
- Substance Use Severity(intervals of 1, 2, 3, and 6 months post-baseline assessment)
研究者
Prerana Roth
Clinical Assistant Professor
Prisma Health-Upstate