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
調査の概要
詳細な説明
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.
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Joseph Carpenter, MD
- 電話番号：404-778-5975
- メール：jecarpe@emory.edu
研究連絡先のバックアップ
- 名前：Yan Li
- メール：yan.li@emory.edu
研究場所
-
-
Georgia
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Atlanta、Georgia、アメリカ、30303
- 募集
- Atlanta City Detention Center
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Atlanta、Georgia、アメリカ、30318
- 募集
- Fulton County Jail
-
Decatur、Georgia、アメリカ、30032
- 募集
- Dekalb County Jail
-
-
参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
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
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：支持療法
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：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.
|
A telehealth session with a peer recovery coach who provides motivational interviewing and tailored linkage to addiction treatment and recovery resources.
|
|
アクティブコンパレータ：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.
|
Participants are provided information about community-based addiction treatment and recovery resources as part of routine jail processes.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Engagement With at Least One Recovery Resource
時間枠：30 days and 90 days after enrollment
|
Engagement with at least one recovery resource, defined as:
|
30 days and 90 days after enrollment
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Days Receiving Medications for Substance Use Disorders
時間枠：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
時間枠：Baseline to 1 year
|
New arrests, bookings, or jail stays documented through participant report or administrative data.
|
Baseline to 1 year
|
|
Healthcare Utilization
時間枠：Baseline to 1 year
|
Emergency department visits, hospitalizations, and other acute care encounters.
|
Baseline to 1 year
|
|
Recovery Capital (BARC-10)
時間枠：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.
|
Baseline, 30, 90, 180 days, and 1 year
|
|
Number of Peer Recovery Coach Contacts
時間枠：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)
時間枠：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
時間枠：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
時間枠：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
時間枠：Baseline, 30, 90, 180 days, and 1 year
|
Current housing status (stable, unstable, homeless)
|
Baseline, 30, 90, 180 days, and 1 year
|
|
Employment status
時間枠：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
時間枠：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
時間枠：Baseline through 1 year
|
Death from any cause, confirmed through vital records or the National Death Index.
|
Baseline through 1 year
|
協力者と研究者
スポンサー
捜査官
- 主任研究者：Joseph Carpenter, MD、Emory University
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。