Evidence map›Paper›PMID 37788617›Full record

Trial reportJournal of addiction medicine

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

Joji Suzuki, Bianca Martin, Frank Loguidice, David Smelson, Jane M Liebschutz, Jeffrey L Schnipper, Roger D Weiss

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of addiction medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Joji SuzukiFrom the Department of Psychiatry, Brigham and Women's Hospital, Boston, MA (JS, BM, FL); Harvard Medical School, Boston, MA (JS, JLS, RDW); Department of Psychiatry, University of Massachusetts Chan Medical School, Worcester, MA (DS); Division of General Internal Medicine, University of Pittsburgh, UPMC, Pittsburgh, PA (JML); Division of General Internal Medicine, Brigham and Women's Hospital, Boston MA (JLS); and McLean Hospital, Belmont, MA (RDW).
Bianca Martin
Frank Loguidice
David Smelson
Jane M Liebschutz
Jeffrey L Schnipper
Roger D Weiss

Funding

Initiating substance use disorder treatment in hospitalized opioid use disorder patientsK23DA042326 · NIDA · BRIGHAM AND WOMEN'S HOSPITAL · PI SUZUKI, JOJI · 2017 to 2021
$999k
NIDA NIH HHS K23 DA042326
6 · The paper itself

Abstract

objectivesPatients 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.

methodsAn 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.

resultsTwenty-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).

conclusionsThis pilot trial failed to demonstrate that a recovery coach intervention improved MOUD treatment retention compared with treatment-as-usual among hospitalized individuals with OUD.

Indexed as

BuprenorphineOpioid-Related DisordersAdultAmbulatory CareAnalgesics, OpioidCognitionHumansOpiate Substitution TreatmentPilot ProjectsSecondary PreventionAnalgesics, OpioidBuprenorphine

Identifiers

PMID37788617
PMCPMC10544697

What Socratic holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.