A Peer Recovery Coaching Intervention for Hospitalized Alcohol Use Disorder Patients

Part of paid clinical trials in Greenville, South Carolina.

Sponsor
Clemson University
Study ID
NCT06479681
Status
Recruiting

Conditions

Eligibility Criteria

Sex
ALL
Age
18 Years - 75 Years
Healthy Volunteers
Not accepted

Interventions

  • Peer recovery coaching (PRC) — BEHAVIORAL
    The RC-Link peer recovery coaching intervention provides participants with an introduction to an RC-Link coach during their hospitalization. The RC-Link coach delivers coaching and support services for a 6-month period using a standardized PRC Checklist. During the baseline visit, the RC-Link coach first develops a personalized recovery plan with the participant that emphasizes multiple pathways to recovery, including different types of mutual aid groups, counseling, and alternative recovery tools. The approach empowers the participant with an actionable recovery plan that can be initiated upon discharge, but the plan can be modified as changes arise. After the initial baseline encounter, the RC-Link coach initiates phone, virtual, and/or in-person contact with the participant a minimum of twice weekly using the PRC Checklist to standardize service delivery.
  • Brief Intervention (SBIRT) — BEHAVIORAL
    The control will receive a brief intervention, usual care (a referral list), contact information for the study team and hospital case management, and a follow-up contact at the end of the study period. The brief intervention entails (a) using motivational interviewing to gauge the individual's perspective of drinking, how it influences their life, and readiness for change; (b) provide information about the risks of hazardous drinking and potential ways to reduce drinking; (c) elicit their feedback; listen to their concerns; offer encouragement; encourage them to establish goals for behavior change; and (d) provide resources for change (e.g., the referral list). The referral list includes contact information for no-cost peer recovery coach through FAVOR that the participant could choose to call via self-referral. Thus, control participants are able to be linked to PRC, but they must initiate the call and initial visit outside the hospital setting.

Study Details

The project objective is to rigorously evaluate the effectiveness of a peer recovery coaching intervention (called RC-Link) in patients hospitalized with medical complications from alcohol use on recovery outcomes guided by the new NIAAA definition of recovery, examine mechanisms of heavy drinking using daily ecological momentary assessment (EMA), and determine the program's cost-effectiveness using an randomized controlled trial (RCT) design. The primary outcomes are frequency of heavy drinking, biopsychosocial functioning, and remission from AUD.

Key Dates

Start date
Apr 25, 2024
Status verified
Aug 2025
Primary completion
Feb 1, 2028
Completion
Jun 2, 2028

Study Design

Enrollment
750 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: Long-term peer recovery coaching intervention
    bedside peer recovery coaching + 6-months long-term engagement
  • Active Comparator: SBIRT Intervention
    The control will receive a brief intervention, usual care (a referral list), contact information for the study team and hospital case management, and a follow-up contact at the end of the study period.

Primary Outcome Measure

Change in Percentage of Heavy Drinking Days Per Month [ Time Frame: one-month, 3-months, 6-months ]

Central Contacts

Locations (2)

FacilityCityStateZIPSite coordinators
Greenville Memorial HospitalGreenvilleSouth Carolina29605
Kaileigh Byrne, PhD
864-656-3935
Alain Litwin, MD
864-430-0911
Oconee Memorial HospitalSenecaSouth Carolina29672
Kaileigh Byrne, PhD
3153504368

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