Linking Individuals Needing Care for Substance Use Disorders to Peer Coaches & Across INcarceration Settings (LINCS UP & IN)
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
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
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.
Type d'étude
Inscription (Estimé)
Phase
- N'est pas applicable
Contacts et emplacements
Coordonnées de l'étude
- Nom: Joseph Carpenter, MD
- Numéro de téléphone: 404-778-5975
- E-mail: jecarpe@emory.edu
Sauvegarde des contacts de l'étude
- Nom: Yan Li
- E-mail: yan.li@emory.edu
Lieux d'étude
-
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Georgia
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Atlanta, Georgia, États-Unis, 30303
- Recrutement
- Atlanta City Detention Center
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Atlanta, Georgia, États-Unis, 30318
- Recrutement
- Fulton County Jail
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Decatur, Georgia, États-Unis, 30032
- Recrutement
- Dekalb County Jail
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-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
La description
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
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Soins de soutien
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: 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.
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A telehealth session with a peer recovery coach who provides motivational interviewing and tailored linkage to addiction treatment and recovery resources.
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Comparateur actif: 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.
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Participants are provided information about community-based addiction treatment and recovery resources as part of routine jail processes.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Engagement With at Least One Recovery Resource
Délai: 30 days and 90 days after enrollment
|
Engagement with at least one recovery resource, defined as:
|
30 days and 90 days after enrollment
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Days Receiving Medications for Substance Use Disorders
Délai: 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
Délai: Baseline to 1 year
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New arrests, bookings, or jail stays documented through participant report or administrative data.
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Baseline to 1 year
|
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Healthcare Utilization
Délai: Baseline to 1 year
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Emergency department visits, hospitalizations, and other acute care encounters.
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Baseline to 1 year
|
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Recovery Capital (BARC-10)
Délai: 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.
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Baseline, 30, 90, 180 days, and 1 year
|
|
Number of Peer Recovery Coach Contacts
Délai: Baseline to 30 days, 90 days, 180 days, and 1 year
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Number of PRC interactions among participants assigned to the intervention arm.
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Baseline to 30 days, 90 days, 180 days, and 1 year
|
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Self-Reported Substance Use (TLFB)
Délai: Baseline, 30, 90, 180 days, and 1 year
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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
Délai: Baseline through 1 year
|
Overdose events identified through participant report, medical records, or community partner data.
|
Baseline through 1 year
|
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Nonfatal Overdose Events
Délai: Baseline through 1 year
|
Overdose events identified through participant report, medical records, or community partner data.
|
Baseline through 1 year
|
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Housing status
Délai: Baseline, 30, 90, 180 days, and 1 year
|
Current housing status (stable, unstable, homeless)
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Baseline, 30, 90, 180 days, and 1 year
|
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Employment status
Délai: Baseline, 30, 90, 180 days, and 1 year
|
Employment status (full-time, part-time, unemployed)
|
Baseline, 30, 90, 180 days, and 1 year
|
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Social connections and Isolation: PROMIS scale
Délai: Baseline, 30, 90, 180 days, and 1 year
|
A validated set of items assessing perceived social support, loneliness, and connectedness.
|
Baseline, 30, 90, 180 days, and 1 year
|
|
All-Cause Mortality
Délai: Baseline through 1 year
|
Death from any cause, confirmed through vital records or the National Death Index.
|
Baseline through 1 year
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Collaborateurs et enquêteurs
Parrainer
Collaborateurs
Les enquêteurs
- Chercheur principal: Joseph Carpenter, MD, Emory University
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- 2025P012936
- 1R01DA064519-01 (Subvention/contrat des NIH des États-Unis)
Informations sur les médicaments et les dispositifs, documents d'étude
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