Performance Coaching for Addiction

Overseen By Sueun Hong

Age: 18 - 65

Sex: Any

Trial Phase: Academic

Sponsor: NYU Langone Health

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

35 Participants Needed

Trial Summary

What is the purpose of this trial?

The goal of this study is to implement Opioid Use Disorder Quality Measurement and Management (OUD-QM2) strategy by the Office of Addiction Services and Supports (OASAS) to drive change and improve treatment practices. Through a concurrent mixed methods approach that iteratively examines quantitative and qualitative data to inform the process, the investigators will examine the effects of the strategy on stakeholders-PWUD/patients, families, and providers-and outcomes. This comprehensive approach will allow for a "global" view of the perceived effects of the OUD-QM2 strategy for all stakeholders while allowing us to use administrative data to test the effects of the strategy on patient outcomes. Through qualitative interviews and focus groups conducted in years 1, 3, and 5 of the phase, the investigators will derive information from stakeholders about their perceptions and use of the quality measures. Through surveys conducted with all clinics, the investigators will elicit data on changes in provider use of quality measures, clinical practice, and use of measures for incentive-based contracting. Finally, the investigators will conduct a stepped wedge trial to examine the effects of performance coaching that guides clinics on use of the quality measures for clinical practice improvement. The trial will also benefit from a treatment as usual (TAU) condition of clinics not participating in the trial to examine secular trends in patient outcomes across the period of the OASAS QM2 strategy rollout. The overall aim is to build and test a science-based OUD-QM2 strategy for person-centered treatment.

Do I need to stop my current medications to join the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What data supports the effectiveness of the treatment Performance Coaching for addiction?

The research suggests that increasing the availability of counseling sessions and engaging clients early in their treatment can lead to better outcomes, such as abstinence or reduced drug use. This implies that performance coaching, which may involve similar engagement and support strategies, could be effective in addiction treatment. ^{1 2 3 4 5}

How does the Performance Coaching for Addiction treatment differ from other treatments for addiction?

This treatment is unique because it incorporates an interactive and experiential training program that enhances motivation, coping skills, and social support by having participants create and act out 'movies' of challenging situations in their lives. This approach focuses on empowering communication and self-esteem, which is different from traditional addiction treatments that may not emphasize these interpersonal and experiential elements. ^{6 7 8 9 10}

Research Team

Charles Neighbors, PhD

Principal Investigator

NYU Langone Health

Eligibility Criteria

This trial is for stakeholders in the New York State addiction treatment system, including people with opioid use disorder (PWUD), their families, and providers. It aims to assess a quality management strategy's impact on treatment practices and patient outcomes.

Inclusion Criteria

Clients and clinicians of people attending substance use treatment programs in New York State with Opioid Use Disorder in the time interval 2020-2027

I am 18 years old or older.

Exclusion Criteria

My gender does not affect my eligibility for this trial.

I am an adult.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Implementation

Implementation of the OUD-QM2 strategy with performance coaching for clinics

3 years

Annual visits for data collection and feedback

Follow-up

Participants are monitored for safety and effectiveness after treatment

1 year

Treatment Details

Interventions

• Performance Coaching

Trial Overview The study tests an Opioid Use Disorder Quality Measurement and Management (OUD-QM2) strategy using performance coaching. The goal is to improve clinical practices in addiction services by guiding clinics through the use of quality measures.

Participant Groups

Group I: Performance coaching Experimental Treatment 1 Intervention

All clinics will receive the performance coaching intervention. There is only one arm to this study.

Who Is Running the Clinical Trial?

NYU Langone Health

Lead Sponsor

Trials

1,431

Recruited

838,000+

National Institute on Drug Abuse (NIDA)

Collaborator

Trials

2,658

Recruited

3,409,000+

Findings from Research

In a study involving 118 clinicians across 20 outpatient substance abuse treatment clinics, a semiautomated patient feedback system was tested over 12 weeks, but it did not show any significant impact on reducing drug and alcohol use among over 1,500 patients.

The intervention also failed to improve secondary outcomes related to therapeutic alliance and clinician job satisfaction, suggesting that the feedback system may need alternative approaches to enhance clinical effectiveness.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A randomized controlled study of a web-based performance improvement system for substance abuse treatment providers. Crits-Christoph, P., Ring-Kurtz, S., McClure, B., et al.[2021]

References

1. United States pubmed.ncbi.nlm.nih.gov

Inside the black box: measuring addiction treatment services and their relation to outcomes. [2019]

2. United States pubmed.ncbi.nlm.nih.gov

Randomized trial of enhanced profiling in substance abuse treatment. [2021]

3. United States pubmed.ncbi.nlm.nih.gov

Outcomes, performance, and quality: what's the difference? [2019]

4. United States pubmed.ncbi.nlm.nih.gov

A randomized controlled study of a web-based performance improvement system for substance abuse treatment providers. [2021]

5. United States pubmed.ncbi.nlm.nih.gov

Measuring program performance in methadone treatment using in-treatment outcomes: an illustration. [2019]

6. Australia pubmed.ncbi.nlm.nih.gov

Improving addictions treatment outcomes by empowering self and others. [2019]

7. United States pubmed.ncbi.nlm.nih.gov

Addiction training and multiple treatments for all clinical psychologists: Reply to Freimuth (2018). [2020]

8. England pubmed.ncbi.nlm.nih.gov

Psychological approaches for the treatment of cocaine dependence--a neurobehavioral approach. [2019]

9. France pubmed.ncbi.nlm.nih.gov

[The coaching, a posture of the caregiver in addictology]. [2020]

10. England pubmed.ncbi.nlm.nih.gov

Alcoholics also dependent on cocaine in treatment: do they differ from "pure" alcoholics? [2019]