Effectiveness of peer recovery support services on stages of the opioid use disorder treatment cascade: A systematic review

Gormley, Mirinda Ann; Pericot‐Valverde, Irene; Diaz, Liam; Coleman, Ashley; Lancaster, J; Ortiz, Erik; Moschella, Phillip; Heo, Moonseong; Litwin, Alain H.

doi:10.1016/j.drugalcdep.2021.109123

Cited by 34 publications

(19 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although this study was designed to provide preliminary evidence for a larger study, there was not a suggestion that the intervention improved the target outcomes. These results add to the growing body of investigations demonstrating limited support for psychosocial interventions in improving MOUD-related outcomes 8,10 . Although evidence supports recovery coaches' impact on increasing MOUD initiation, few studies have examined their impact on MOUD treatment retention 11–15 .…”

Section: Discussionmentioning

confidence: 65%

“…These results add to the growing body of investigations demonstrating limited support for psychosocial interventions in improving MOUD-related outcomes. 8,10 Although evidence supports recovery coaches' impact on increasing MOUD initiation, few studies have examined their impact on MOUD treatment retention. [11][12][13][14][15] In an implementation study of an ED-based buprenorphine initiation program that included peer support, the majority (59%) of individuals with OUD who initiated buprenorphine in the ED remained in treatment at 30 days.…”

Section: Discussionmentioning

confidence: 99%

“…Peer recovery coaches are individuals in sustained recovery who help mentor and support individuals in recovery 6,7 . The evidence base in support of recovery coaches is growing, but research is limited on their impact on MOUD treatment retention 8 . Therefore, we conducted a pilot randomized controlled trial of a peer recovery coach intervention in improving MOUD treatment retention following hospitalization.…”

mentioning

confidence: 99%

See 2 more Smart Citations

A Peer Recovery Coach Intervention for Hospitalized Patients with Opioid Use Disorder: A Pilot Randomized Controlled Trial

et al. 2023

View full text Add to dashboard Cite

Objectives: Patients with opioid use disorder (OUD) are increasingly being hospitalized for acute medical illnesses. Despite initiation of medications for OUD (MOUDs), many discontinue treatment after discharge. To evaluate whether a psychosocial intervention can improve MOUD retention after hospitalization, we conducted a pilot randomized controlled trial of a peer recovery coach intervention. Methods: An existing peer recovery coach intervention was adapted for this trial. Hospitalized adults with OUD receiving MOUD treatment were randomized to receive either a recovery coach intervention or treatment-as-usual. For those in the intervention arm, the coach guided the participant to complete a relapse prevention plan, maintained contact throughout the 6-month follow-up period, encouraged MOUD continuation, and helped to identify community resources. Those receiving treatment-as-usual were discharged with a referral to outpatient treatment. Primary outcome was retention in MOUD treatment at 6 months. Secondary outcomes were the proportion of participants readmitted to the hospital and the number of days until treatment discontinuation and to hospital readmission. Results: Twenty-five individuals who provided consent and randomized to the recovery coach intervention (n = 13) or treatment-as-usual (n = 12) were included in the analysis. No significant differences were found in the proportion of participants retained in MOUD treatment at 6 months (38.5% vs 41.7%, P = 0.87), proportion of participants readmitted at 6 months (46.2% vs 41.2%, P = 0.82), or the time to treatment discontinuation (log-rank P = 0.92) or readmission (log-rank P = 0.85).Conclusions: This pilot trial failed to demonstrate that a recovery coach intervention improved MOUD treatment retention compared with treatment-as-usual among hospitalized individuals with OUD.

show abstract

Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

A Peer Recovery Coach Intervention for Hospitalized Patients with Opioid Use Disorder: A Pilot Randomized Controlled Trial

et al. 2023

View full text Add to dashboard Cite

show abstract

“…There has been suboptimal attention to developing, evaluating, and implementing interventions that foster social support and improve psychological resilience among PWUD ( Ferreira et al, 2021 ). While interventions with a social support-based component have been developed to address specific disease and health outcomes (e.g., treatment for opioid use disorder) among PWUD ( Gormley et al, 2021 , Wild et al, 2021 ), the impact of these interventions on perceived social support and psychological resilience often is not assessed. Interventions that effectively promote perceived social support and psychological resilience have the potential to improve the lives of PWUD more broadly, given their putative role on a myriad of health outcomes ( Rudzinski et al, 2017 , Uchino et al, 2018 ; J.…”

Section: Discussionmentioning

confidence: 99%

Temporal association of pre-pandemic perceived social support with psychological resilience and mental well-being during the COVID-19 pandemic among people with a history of injection drug use

Patel

Astemborski

Feder

et al. 2023

Drug and Alcohol Dependence

View full text Add to dashboard Cite

“…1). Recovery strategies vary from peer recovery support coaches, faith‐based approaches, 12‐step program, group and family therapy and navigators to assist with coping strategies, employment, housing and linkages to care (Gormley et al, 2021; SAMHSA, 2022b). Recovery support is an important aspect in sustaining engagement with OUD patients.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with counselling adherence in opioid treatment programs

Placide

Unruh

Atkins

et al. 2022

Health Social Care Comm

View full text Add to dashboard Cite

Federally certified opioid treatment programs (OTPs) provide psychosocial counselling in addition to medications for opioid use disorder (MOUDs) using a patient‐centered approach in providing substance use disorder treatment. This study explored factors associated with patients' adherence to counselling while receiving MOUD at an OTP. A retrospective cohort design using data on adult patients (n = 1151, 61% females, 39% males) admitted to an OTP from July 1, 2014, to June 30, 2016, was employed. The data were for single episodes of care up to 52 weeks. Survival analysis (cox proportional hazards regression) assessed the relationship of personal characteristics, socio‐economic status, payment for services, type of substance use, comprehensive care and social support with counselling for up to a year. Results indicated that age, having services paid for by public means, was associated with counselling adherence. Primary heroin use patients had a higher risk of counselling adherence failure than patients who primarily used non‐medicinal prescription substances. Treatment agencies may benefit from funding and using evidence‐based practices for primary heroin use patients and young adults to better engage and retain these populations in treatment.

show abstract

Effectiveness of peer recovery support services on stages of the opioid use disorder treatment cascade: A systematic review

Cited by 34 publications

References 41 publications

A Peer Recovery Coach Intervention for Hospitalized Patients with Opioid Use Disorder: A Pilot Randomized Controlled Trial

A Peer Recovery Coach Intervention for Hospitalized Patients with Opioid Use Disorder: A Pilot Randomized Controlled Trial

Temporal association of pre-pandemic perceived social support with psychological resilience and mental well-being during the COVID-19 pandemic among people with a history of injection drug use

Factors associated with counselling adherence in opioid treatment programs

Contact Info

Product

Resources

About