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Linking Individuals Needing Care for Substance Use Disorders to Peer Coaches & Across INcarceration Settings (LINCS UP & IN)

13. august 2026 opdateret af: Joseph Carpenter, Emory University

The goal of this study is to learn whether a virtual peer recovery coach (PRC) intervention can improve engagement in addiction treatment among incarcerated adults with substance use disorders.

The main questions it aims to answer are:

  • Does the PRC intervention increase engagement with at least one recovery resource at 30 and 90 days?
  • Does it improve secondary outcomes such as substance use, recovery capital, overdose events, and recidivism?

Researchers will compare Treatment-as-Usual with the PRC telehealth intervention to see if PRC support improves engagement in addiction care.

Participants will:

  • Complete baseline and follow-up assessments
  • Receive either Treatment-as-Usual or a virtual PRC session focused on motivational interviewing and linkage to recovery resources

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

This study evaluates a virtual peer recovery coach (PRC) intervention designed to support adults with substance use disorders during incarceration and the transition back to the community. The trial is conducted across multiple jail facilities in Metro Atlanta, where individuals experience high rates of substance use disorders and limited access to treatment services. Peer recovery coaches-individuals with lived experience who are trained in motivational interviewing and linkage to care-have demonstrated benefit in healthcare settings, but their effectiveness within jail environments has not been rigorously tested.

The intervention adapts an existing virtual PRC model for use in jail settings. PRCs meet with participants through a secure telehealth platform and provide individualized support focused on motivation, readiness for change, and connection to recovery resources. The model is designed to be scalable, flexible, and responsive to the needs of individuals with diverse substance use profiles, including those for whom no FDA-approved medications exist.

The study uses a phased implementation approach in which participating jail sites transition from usual care to the PRC intervention over time. This structure allows the program to be integrated into each facility's workflow while enabling evaluation of the intervention's impact. Participants are followed for one year to assess engagement with recovery resources and other indicators of health, stability, and community reintegration.

The findings will inform whether virtual PRC services can be effectively delivered in jail settings and whether they improve connection to treatment and recovery supports during a period of heightened vulnerability. Results may guide future implementation of peer-based models in correctional systems and other high-risk environments.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

550

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

  • Forenede Stater
    • Georgia
      • Atlanta, Georgia, Forenede Stater, 30303
        • Rekruttering
        • Atlanta City Detention Center
      • Atlanta, Georgia, Forenede Stater, 30318
        • Rekruttering
        • Fulton County Jail
      • Decatur, Georgia, Forenede Stater, 30032
        • Rekruttering
        • Dekalb County Jail

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ja

Beskrivelse

Inclusion Criteria:

  • Incarcerated at participating jail
  • Able to speak and understand English
  • Score of 3 or greater - "moderate level", "substantial level", or "severe level" of problems related to drug abuse - on DAST-10.
  • Willing to follow study procedures and complete research follow-up calls
  • Have at least two reliable contact numbers, e.g. participant and one or more relatives or close friends

Exclusion Criteria:

  • Cognitive impairment (inability to comprehend the informed consent document as assessed by study staff during enrollment)
  • Prior participation in the study
  • Awaiting transfer to prison or jail outside the state of Georgia

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Støttende pleje
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: PRC group
Participants meet virtually with a trained peer recovery coach using a secure telehealth platform. PRCs use motivational interviewing, assess readiness to change, and provide individualized linkage to recovery resources. Support may include connection to medications for opioid use disorder, residential treatment, detoxification centers, harm reduction services, mutual support groups, sober living, or recovery community organizations. PRCs may also conduct post-release check-ins to support ongoing engagement.
Adfærdsmæssigt: Virtual Peer Recovery Coaching
A telehealth session with a peer recovery coach who provides motivational interviewing and tailored linkage to addiction treatment and recovery resources.
Aktiv komparator: Standard of Care
Participants receive the jail's standard approach to substance use support. This includes a review of available community treatment and recovery resources consistent with existing facility practices. No peer recovery coach is involved, and no additional study-driven services are provided.
Adfærdsmæssigt: Treatment as Usual
Participants are provided information about community-based addiction treatment and recovery resources as part of routine jail processes.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Engagement With at Least One Recovery Resource
Tidsramme: 30 days and 90 days after enrollment

Engagement with at least one recovery resource, defined as:

  • Formal addiction treatment (visit with a physician, psychologist, or licensed substance use counselor; or ≥1 night in detoxification or residential treatment), or
  • Recovery Community Organization (RCO) participation (contact, intake, and participation in ≥1 evidence-based recovery activity), or
  • Harm reduction organization engagement. Engagement may occur during incarceration or in the community after release.
30 days and 90 days after enrollment

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Days Receiving Medications for Substance Use Disorders
Tidsramme: Baseline to 30 days, 90 days, 180 days, and 1 year
Number of days participants receive medications for opioid use disorder (MOUD), stimulant use disorder, or alcohol use disorder.
Baseline to 30 days, 90 days, 180 days, and 1 year
Recidivism and Justice Involvement
Tidsramme: Baseline to 1 year
New arrests, bookings, or jail stays documented through participant report or administrative data.
Baseline to 1 year
Healthcare Utilization
Tidsramme: Baseline to 1 year
Emergency department visits, hospitalizations, and other acute care encounters.
Baseline to 1 year
Recovery Capital (BARC-10)
Tidsramme: Baseline, 30, 90, 180 days, and 1 year

Brief Assessment of Recovery Capital (BARC-10) A 10-item validated scale that measures a person's internal and external resources that support recovery from substance use. Items assess domains such as social support, coping skills, housing stability, and personal motivation.

  • Scores range from 10 to 60.
  • Higher scores indicate greater recovery capital and stronger readiness to sustain recovery.
Baseline, 30, 90, 180 days, and 1 year
Number of Peer Recovery Coach Contacts
Tidsramme: Baseline to 30 days, 90 days, 180 days, and 1 year
Number of PRC interactions among participants assigned to the intervention arm.
Baseline to 30 days, 90 days, 180 days, and 1 year
Self-Reported Substance Use (TLFB)
Tidsramme: Baseline, 30, 90, 180 days, and 1 year
Days of substance use in the past 30 days using the Timeline Follow-Back method. A structured calendar-based interview used to measure self-reported substance use over the past 30 days. Participants recall days of use using memory anchors (events, routines).
Baseline, 30, 90, 180 days, and 1 year
Fatal Overdose Events
Tidsramme: Baseline through 1 year
Overdose events identified through participant report, medical records, or community partner data.
Baseline through 1 year
Nonfatal Overdose Events
Tidsramme: Baseline through 1 year
Overdose events identified through participant report, medical records, or community partner data.
Baseline through 1 year
Housing status
Tidsramme: Baseline, 30, 90, 180 days, and 1 year
Current housing status (stable, unstable, homeless)
Baseline, 30, 90, 180 days, and 1 year
Employment status
Tidsramme: Baseline, 30, 90, 180 days, and 1 year
Employment status (full-time, part-time, unemployed)
Baseline, 30, 90, 180 days, and 1 year
Social connections and Isolation: PROMIS scale
Tidsramme: Baseline, 30, 90, 180 days, and 1 year

A validated set of items assessing perceived social support, loneliness, and connectedness.

  • Generates T-scores standardized to the U.S. population (mean = 50, SD = 10).
  • Higher scores on Social Support = more support.
  • Used to evaluate social determinants of recovery.
Baseline, 30, 90, 180 days, and 1 year
All-Cause Mortality
Tidsramme: Baseline through 1 year
Death from any cause, confirmed through vital records or the National Death Index.
Baseline through 1 year

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Emory University

Samarbejdspartnere

National Institute on Drug Abuse (NIDA)

Efterforskere

  • Ledende efterforsker: Joseph Carpenter, MD, Emory University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. september 2026

Primær færdiggørelse (Anslået)

1. marts 2030

Studieafslutning (Anslået)

1. marts 2030

Datoer for studieregistrering

Først indsendt

22. april 2026

Først indsendt, der opfyldte QC-kriterier

29. april 2026

Først opslået (Faktiske)

4. maj 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

17. august 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

13. august 2026

Sidst verificeret

1. august 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 2025P012936
  • 1R01DA064519-01 (U.S. NIH-bevilling/kontrakt)

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

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