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FAVOR Opioid Recovery Coaching Evaluation (FORCE)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03798470
Recruitment Status : Completed
First Posted : January 10, 2019
Last Update Posted : February 19, 2019
Sponsor:
Collaborators:
FAVOR (Faces and Voices of Recovery) OF GREENVILLE
South Carolina Department of Alcohol and Other Drug Abuse Services
Information provided by (Responsible Party):
Sarah Fabiano, Prisma Health-Upstate

Study Description
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Brief Summary:

The Emergency Department (ED) is an ideal location to identify patients in need of treatment for opioid addiction. A local non-profit community-based addiction recovery program, Faces and Voices of Recovery (FAVOR) utilizes a peer recovery coaching model applied to substance use disorders by identifying, training, credentialing and supervising individuals who have been in recovery for at least 2 years.

These peer recovery coaches become the primary workforce in this community-based model. FAVOR provides no-cost comprehensive services for addiction recovery. The investigators hypothesized that having FAVOR Recovery Coaches (FRC) evaluate patients during an ED visit for opioid overdose would result in a high degree of engagement from the patients and serve as an opportunity to begin treatment for addiction.


Condition or disease Intervention/treatment Phase
Opiate Abuse Opiate Overdose Opioid-use Disorder Behavioral: Peer Addiction Counseling Not Applicable

Detailed Description:
The Emergency Department (ED) is an ideal location to identify patients in need of treatment for opioid addiction. A local non-profit community-based addiction recovery program, Faces and Voices of Recovery (FAVOR) utilizes a peer recovery coaching model applied to substance use disorders by identifying, training, credentialing and supervising individuals who have been in recovery for at least 2 years.These peer recovery coaches become the primary workforce in this community-based model. FAVOR provides no-cost comprehensive services for addiction recovery. The investigators hypothesized that having FAVOR Recovery Coaches (FRC) evaluate patients during an ED visit for opioid overdose would result in a high degree of engagement from the patients and serve as an opportunity to begin treatment for addiction.
Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 150 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: FAVOR Opioid Recovery Coaching Evaluation
Actual Study Start Date : January 1, 2018
Actual Primary Completion Date : December 31, 2018
Actual Study Completion Date : December 31, 2018

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Opioid Overdose

Arms and Interventions
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Arm Intervention/treatment
Experimental: Cohort
Intervention with FAVOR peer recovery coaching. Patients identified in the ED as opioid overdose and enrolled in the current study.
 Behavioral: Peer Addiction Counseling
After identification, a 24/7 on-call FRC was paged and met with the patient in the ED. The patients were offered recovery services at the bedside by the FRC. The research team members offered voluntary participation and obtained informed consent to enrolling a longitudinal study looking into the success of his intervention. Patients did not need to participate to be eligible for counseling and resources from AVOR. The FRCs counselled and engaged the patient along with the family to offer a variety of services including active recovery coaching, group treatment modalities, family support services and transportation. After he initial encounter in the ED, the FAVOR team re-engaged the participant by phone or in person the next day and gradually increasing intervals thereafter.
Other Name: FAVOR counseling


Outcome Measures
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Primary Outcome Measures :
  1. Percentage of patients with active involvement in recovery [ Time Frame: One year ]
    Defined as: Patients who have had phone, email, or in-person contact with their FAVOR recovery coach after discharge from the Emergency Department.


Secondary Outcome Measures :
  1. All-cause Mortality [ Time Frame: One year ]
    Number of participants with death from any cause within the study period.


Eligibility Criteria
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Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients presenting to the ED with opioid overdose or withdrawal

Exclusion Criteria:

  • Age <18
  • Known pregnant female
  • Prisoners
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03798470


Locations
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United States, South Carolina
Greenville Health System
Greenville, South Carolina, United States, 29605
Sponsors and Collaborators
Prisma Health-Upstate
FAVOR (Faces and Voices of Recovery) OF GREENVILLE
South Carolina Department of Alcohol and Other Drug Abuse Services
Investigators
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Principal Investigator: Christopher Carey, MD Greenville Health System Emergency Medicine
More Information
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Responsible Party: Sarah Fabiano, Emergency Medicine Physician, Prisma Health-Upstate
ClinicalTrials.gov Identifier: NCT03798470    
Other Study ID Numbers: Pro00073004
First Posted: January 10, 2019    Key Record Dates
Last Update Posted: February 19, 2019
Last Verified: February 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Plan Description: The data would be de-identified if shared.

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Sarah Fabiano, Prisma Health-Upstate:
opioid
overdose
Additional relevant MeSH terms:
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Opioid-Related Disorders
Drug Overdose
Opiate Overdose
Narcotic-Related Disorders
 Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders