Opioid Treatment and Peer Recovery Support for Opioid-use Disorder

This study is looking at ways to improve care for people with opioid-use disorder (OUD) who are also involved with probation. It's testing two main approaches: a "Core Intervention" that helps probation agencies connect with local treatment providers, and "Peer Support Specialists (PSS)" who are people with lived experience of recovery. You could be eligible if you are 18 or older and are a front-line treatment provider at an agency supporting clients on Medication for Opioid Use Disorder (MOUD) who are on probation. The study wants to see if these interventions help more people get and stay on MOUD. The current recruitment status is unclear.

Study design
This study involves a pre-post design followed by a randomized trial of Peer Support Specialists. It aims to enroll 450 participants.
What's involved
If you are a Community Provider Staff member, you would commit to 12 months for the project. If randomized to PSS, you would meet with a PSS for 6 months, with flexible contact based on your needs.
Compensation
Not stated in the trial record.
Follow-up
The study measures engagement in MOUD at 26 weeks.

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NCT04978168

Opioid Treatment and Peer Recovery Support

Recruiting
NAAges 18+InterventionalHealth services
Brown University
~450 participants
Updated 2025-05-13 on ClinicalTrials.gov
What's tested:Core InterventionPeer Support Specialists (PSS)Treatment as Usual (TAU)

At a glance

Recruiting sites
3 of 3 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Individual-Level Experimental (Period 2) Outcome: Engagement in MOUD
Measured over 26 weeks
+1 more outcome measured
Opioid-use Disorder
3 sites across 3 states
North Carolina1
Pennsylvania1
Rhode Island1
  • Rosemarie A Martin, PhD · PRINCIPAL_INVESTIGATOR · Brown University
  • Damaris J Rohsenow, PhD · PRINCIPAL_INVESTIGATOR · Brown University
  • Lauren Brinkley-Rubinstein, PhD · PRINCIPAL_INVESTIGATOR · Duke University
  • Steven Belenko, PhD · PRINCIPAL_INVESTIGATOR · Temple University
  • Lynda Stein, PhD · PRINCIPAL_INVESTIGATOR · University of Rhode Island
  • Josiah Rich, MD · PRINCIPAL_INVESTIGATOR · The Miriam Hospital

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Eligibility criteria

Inclusion

Community Provider Staff: Any front-line treatment provider at an agency participating in this study who: (a) provides support to MOUD clients, (b) has an active caseload including some individuals on probation, and (c) willing to commit to 12 months to the project.
Probation/Parole Staff: Any probation officer (PO) at an agency participating in this study who (a) has an active caseload, and (b) is willing to commit to 12 months to the project.
Individuals on Probation: (a) 18 years or older, (b) committed to probation within 90 days prior to study enrollment, (c) English speaking, (d) diagnosed with OUD, (e) have stable method of contact in community

Exclusion

Individuals on Probation: Currently incarcerated or in a court-mandated inpatient treatment.
  • Individual-Level Experimental (Period 2) Outcome: Engagement in MOUD26 weeks

    Calculated from self-report survey of being enrolled in MOUD (yes or no) at each assessment.

  • Program-Level Implementation Outcome: Engagement in MOUD26 weeks

    MOUD engagement (primary implementation outcome) is defined as enrollment in MOUD treatment program, or filling a prescription for buprenorphine from a provider (in not on MOUD at time of recruitment), or remaining in MOUD treatment (if already on MOUD when recruited or at previous follow-up), coded dichotomously. Number of clients in probation enrolled in MOUD is tracked via medical and probation records.