Peer recovery coaching for comprehensive HIV, hepatitis C, and opioid use disorder management: The CHORUS pilot study

Martin, Anna K.; PERRYMAN, Tyshaun; Bernstein, Judith; Taylor, Jessica; Cruz, Ricardo; Muroff, Jordana; Samet, Jeffrey H.; Assoumou, Sabrina A

doi:10.1016/j.dadr.2023.100156

Cited by 5 publications

(3 citation statements)

References 54 publications

(71 reference statements)

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“…From the provider perspective, the bridge clinic structure, where several providers might see the same patient while they await connection to longer-term care, also presented some barriers to PrEP delivery adherence support. Patient navigation, through peer or professional supports, has been shown to increase engagement in HIV and substance use treatment in other clinical settings and populations, including PrEP-specific navigation [ 47 – 52 ]. This is consistent with our participants’ experiences regarding the value of outreach services supporting PrEP adherence and follow-up in community settings [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

PrEP facilitators and barriers in substance use bridge clinics for women who engage in sex work and who use drugs

Harris,

Weinberger,

O’Brien

et al. 2024

Addict Sci Clin Pract

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Background Women who engage in sex work and use drugs (WSWUD) experience disproportionate HIV risks. Substance use treatment bridge clinics offer an opportunity to increase HIV pre-exposure prophylaxis (PrEP) delivery to WSWUD, but research on best practices is lacking. Therefore, we explored facilitators and barriers to PrEP across the PrEP care continuum in these settings. Methods Bridge clinic and affiliated harm reduction health service providers and WSWUD from Boston were recruited using passive and active outreach between December 2021 and August 2022. Participants were invited to take part in semi-structured phone or in-person interviews to explore HIV prevention and PrEP care experiences overall and within bridge clinic settings. Deductive codes were developed based on HIV risk environment frameworks and the Information-Motivation-Behavioral Skills model and inductive codes were added based on transcript review. Grounded content analysis was used to generate themes organized around the PrEP care continuum. Results The sample included 14 providers and 25 WSWUD. Most WSWUD were aware of PrEP and more than half had initiated PrEP at some point. However, most who initiated PrEP did not report success with daily oral adherence. Providers and WSWUD described facilitators and barriers to PrEP across the steps of the care continuum: Awareness, uptake, adherence, and retention. Facilitators for WSWUD included non-stigmatizing communication with providers, rapid wraparound substance use treatment and HIV services, having a PrEP routine, and service structures to support PrEP adherence. Barriers included low HIV risk perceptions and competing drug use and survival priorities. Provider facilitators included clinical note templates prompting HIV risk assessments and training. Barriers included discomfort discussing sex work risks, competing clinical priorities, and a lack of PrEP adherence infrastructure. Conclusion WSWUD and bridge clinic providers favored integrated HIV prevention and substance use services in harm reduction and bridge clinic settings. Harm reduction and bridge clinic programs played a key role in HIV prevention and PrEP education for WSWUD. Effective behavioral and structural interventions are still needed to improve PrEP adherence for WSWUD.

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Section: Discussionmentioning

confidence: 99%

PrEP facilitators and barriers in substance use bridge clinics for women who engage in sex work and who use drugs

Harris,

Weinberger,

O’Brien

et al. 2024

Addict Sci Clin Pract

Self Cite

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“…During satisfaction exit interviews, participants underscored that phones were either "helpful" or "very helpful" as part of the intervention, assisted with navigating the healthcare system, and provided access to substance use-related resources and treatment as well as social support during the pandemic. 7 Working phones became even more critical as nearly all peer groups and support systems migrated online in early 2020. 17,18 Phones allowed the research team to remain connected with participants and increase engagement while providing tangible benefits.…”

Section: Distribution Of Cell Phones For Sustained Contactmentioning

confidence: 99%

“…6 In this commentary we share critical lessons learned during the pandemic as we recruited from an urban population of people who use drugs for CHORUS, an NIHfunded pilot study focused on using peer recovery coaching to increase MOUD, HIV pre-exposure prophylaxis (PrEP) and hepatitis C virus treatment uptake and adherence. 7 We applied 2 key strategies to address barriers intensified by COVID: (1) digital compensation to track and enhance monetary transfers; and (2) multiple contacts and distributing cell phones to engage participants.…”

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confidence: 99%

Research Compensation and Enhanced Contacts in Studies With Persons Who Use Drugs: Lessons From the COVID-19 Pandemic Demand a Reset

Lemansky,

Martin,

Bernstein

et al. 2023

Subst�Abuse

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Policy changes resulting from the coronavirus 2019 (COVID-19) pandemic have had a substantial and positive impact on the clinical care of persons with opioid use disorder. These innovative paradigm shifts created a ripe environment for re-evaluating traditional approaches to recruiting and retaining persons who use drugs into research studies. For example, changes to methadone prescribing requirements and authorization of buprenorphine prescriptions via telehealth have both increased access to medications. In this commentary, we contribute to ongoing conversations about the ethics of compensation for participants in addiction-related clinical research and share methods of payment that proved successful in research performed during the pandemic. We also discuss approaches to enrollment and follow-up that were implemented during the height of COVID restrictions. These approaches may mutually benefit both participants and researchers in a post-pandemic era.

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‘We Need to Get Paid for Our Value’: Work-Place Experiences and Role Definitions of Peer Recovery Specialists/Community Health Workers

Alavi,

Nishar,

Morales

et al. 2023

Alcoholism Treatment Quarterly

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Peer recovery coaching for comprehensive HIV, hepatitis C, and opioid use disorder management: The CHORUS pilot study

Cited by 5 publications

References 54 publications

PrEP facilitators and barriers in substance use bridge clinics for women who engage in sex work and who use drugs

PrEP facilitators and barriers in substance use bridge clinics for women who engage in sex work and who use drugs

Research Compensation and Enhanced Contacts in Studies With Persons Who Use Drugs: Lessons From the COVID-19 Pandemic Demand a Reset

‘We Need to Get Paid for Our Value’: Work-Place Experiences and Role Definitions of Peer Recovery Specialists/Community Health Workers

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