이 페이지는 자동 번역되었으며 번역의 정확성을 보장하지 않습니다. 참조하십시오 영문판 원본 텍스트의 경우.

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

2026년 8월 13일 업데이트: 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

연구 개요

상태

모병

정황

개입 / 치료

상세 설명

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.

연구 유형

중재적

등록 (추정된)

550

단계

  • 해당 없음

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 연락처

  • 이름: Joseph Carpenter, MD
  • 전화번호: 404-778-5975
  • 이메일: jecarpe@emory.edu

연구 연락처 백업

연구 장소

  • 미국
    • Georgia
      • Atlanta, Georgia, 미국, 30303
        • 모병
        • Atlanta City Detention Center
      • Atlanta, Georgia, 미국, 30318
        • 모병
        • Fulton County Jail
      • Decatur, Georgia, 미국, 30032
        • 모병
        • Dekalb County Jail

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

  • 성인
  • 고령자

건강한 자원 봉사자를 받아들입니다

예

설명

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

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 지지 요법
  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 없음(오픈 라벨)

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: 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.
행동: 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.
활성 비교기: 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.
행동: Treatment as Usual
Participants are provided information about community-based addiction treatment and recovery resources as part of routine jail processes.

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Engagement With at Least One Recovery Resource
기간: 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

2차 결과 측정

결과 측정
측정값 설명
기간
Days Receiving Medications for Substance Use Disorders
기간: 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
기간: Baseline to 1 year
New arrests, bookings, or jail stays documented through participant report or administrative data.
Baseline to 1 year
Healthcare Utilization
기간: Baseline to 1 year
Emergency department visits, hospitalizations, and other acute care encounters.
Baseline to 1 year
Recovery Capital (BARC-10)
기간: 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
기간: 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)
기간: 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
기간: Baseline through 1 year
Overdose events identified through participant report, medical records, or community partner data.
Baseline through 1 year
Nonfatal Overdose Events
기간: Baseline through 1 year
Overdose events identified through participant report, medical records, or community partner data.
Baseline through 1 year
Housing status
기간: Baseline, 30, 90, 180 days, and 1 year
Current housing status (stable, unstable, homeless)
Baseline, 30, 90, 180 days, and 1 year
Employment status
기간: 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
기간: 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
기간: Baseline through 1 year
Death from any cause, confirmed through vital records or the National Death Index.
Baseline through 1 year

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

Emory University

협력자

National Institute on Drug Abuse (NIDA)

수사관

  • 수석 연구원: Joseph Carpenter, MD, Emory University

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (추정된)

2026년 9월 1일

기본 완료 (추정된)

2030년 3월 1일

연구 완료 (추정된)

2030년 3월 1일

연구 등록 날짜

최초 제출

2026년 4월 22일

QC 기준을 충족하는 최초 제출

2026년 4월 29일

처음 게시됨 (실제)

2026년 5월 4일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2026년 8월 17일

QC 기준을 충족하는 마지막 업데이트 제출

2026년 8월 13일

마지막으로 확인됨

2026년 8월 1일

추가 정보

이 연구와 관련된 용어

키워드

추가 관련 MeSH 약관

기타 연구 ID 번호

  • 2025P012936
  • 1R01DA064519-01 (미국 NIH 보조금/계약)

약물 및 장치 정보, 연구 문서

미국 FDA 규제 의약품 연구

아니

미국 FDA 규제 기기 제품 연구

아니

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .

구독하다