Peer PLUS: A Client-Centered Digital Intervention for Addressing the Needs of Individuals with Substance Use Disorder

Peer PLUS：以客户为中心的数字干预措施，用于满足药物使用障碍患者的需求

• 批准号: 10666162
• 负责人: Tammy R Toscos
• 金额: $ 14.26万
• 依托单位: PARKVIEW HOSPITAL, INC.
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-01 至 2028-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10666162
• 关键词: Peer; PLUS; Client; Centered; Digital

PROJECT SUMMARY/ABSTRACT Over the past three decades, substance use disorder (SUD) has emerged as a major public health crisis. More than 70% of overdose deaths in the U.S. involve a synthetic opioid, which makes successful treatment critical to those with SUD. However, the relapse rate is estimated at 40-60%, and those with SUD are also at risk for long-term medical issues. Thus, SUDs are often chronic conditions that require early and consistent engagement in treatment to achieve long-term recovery. One effective method of engagement that health care systems have implemented is matching recoverees with peer recovery coaches (PRCs) to help navigate them through treatment. These at-elbow support coaches provide consistent, non-judgmental communication and referral to various treatment and wraparound services, including medication assisted therapy (MAT), which is considered the most effective treatment for opioid use disorder. In this project, we propose a randomized controlled trial to evaluate a novel technology tool: Peer PLUS (People Leveraging Urgent Support). Peer PLUS is a standalone, HIPAA-compliant mobile app that facilitates and tracks secure communication between PRCs and their clients, referrals to community resources, and other recovery activities. The companion website allows a team of PRCs to collectively manage a pool of clients, offering more comprehensive coverage. We expect this point-of-care app to enhance communication between recoverees and their PRCs and improve self-reported recovery outcomes. Additionally, Peer PLUS will provide a source of data to help capture the care coordination efforts associated with peer coaching. Through our strategic clinical trial and dissemination plan, we anticipate this intervention to be scaled for support of recovery across different types of community partners with eventual extension to PRCs supporting other types of mental health crises (e.g., post-suicide attempt). Implementation science constructs infused with user-centered design strategies will be used to scaffold our Peer PLUS evaluation and implementation toolkit development in the first phase of this project (R21), which will provide a critical foundation for the randomized controlled trial and second site pilot proposed in the second phase (R33). Because both the app and companion website are not tied to any specific organization and the modular software is adaptable, this will be a low-cost, easily- implementable option for any group that offers peer recovery support services.

项目摘要/摘要 在过去的三十年里，物质使用障碍（SUD）已成为一个主要的公共卫生问题。 危机在美国，超过70%的过量死亡涉及合成阿片类药物， 成功治疗对SUD患者至关重要。然而，复发率估计为40- 60%， SUD患者也有长期医疗问题的风险。因此，SUD通常是慢性的， 需要早期和持续参与治疗以实现长期目标的疾病 复苏卫生保健系统实施的一种有效的参与方法是 将康复者与同伴康复教练（PRC）配对，帮助他们通过 治疗这些肘部支持教练提供一致的，非判断性的沟通 以及转诊到各种治疗和综合服务，包括药物辅助治疗 (MAT)，这被认为是阿片类药物使用障碍的最有效治疗方法。在这个项目中， 我们提出了一个随机对照试验，以评估一种新的技术工具：同行加（人 紧急支援）。Peer PLUS是一个独立的、符合HIPAA标准的移动的应用程序， 促进和跟踪PRC与其客户之间的安全通信， 社区资源和其他恢复活动。配套网站允许一个团队， PRC将共同管理一批客户，提供更全面的覆盖面。我们预计 这个即时保健应用程序，以加强康复者和他们的PRC之间的沟通， 改善自我报告的恢复结果。此外，Peer PLUS将提供数据来源 以帮助捕捉与同伴指导相关的护理协调工作。通过我们的战略 临床试验和传播计划，我们预计这种干预措施将扩大规模，以支持 在不同类型的社区合作伙伴之间恢复，最终扩展到PRC 支持其他类型的心理健康危机（例如，自杀未遂）。执行 科学结构注入以用户为中心的设计策略将用于支架我们的同行 在本项目的第一阶段（R21），加上评价和实施工具包的开发， 这将为随机对照试验和第二个试点提供关键基础 第二阶段（R33）。因为应用程序和配套网站都没有绑定 任何特定的组织和模块化软件是适应性强，这将是一个低成本，容易- 任何提供对等恢复支持服务的团体都可以使用。