Performance Coaching for Addiction

Overseen By Sueun Hong

Age: 18 - 65

Sex: Any

Trial Phase: Academic

Sponsor: NYU Langone Health

Disqualifiers: Children

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

Compensation: Varies

Number of Visits: Unknown

35 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to improve opioid addiction treatment by testing a strategy called Opioid Use Disorder Quality Measurement and Management (OUD-QM2). It focuses on performance coaching, a supportive guidance method, to help clinics enhance treatment practices for people with opioid use disorder. Researchers will examine the strategy's impact on patients, families, and healthcare providers through surveys, interviews, and data analysis. The trial includes clients and clinicians involved in opioid addiction treatment programs in New York State from 2020 to 2027. As an unphased trial, it offers participants the chance to contribute to innovative strategies that could transform opioid addiction treatment practices.

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 prior data suggests that this performance coaching is safe for addiction treatment?

Research has shown that performance coaching is generally well-tolerated and often aids individuals with substance use issues, such as addiction, in improving their recovery. Although detailed information about side effects from performance coaching is limited, it typically does not cause serious problems.

As this study does not involve testing a new drug or medical device, the risks remain low. Participants will engage in coaching sessions aimed at enhancing their treatment methods. This approach emphasizes behavior and support, which is generally safe for most people. For any concerns, discussing them with the study team can provide reassurance. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Performance coaching for addiction is unique because it focuses on enhancing personal motivation and resilience, rather than relying on medication or traditional therapy alone. Unlike standard treatments like medication-assisted therapy or cognitive-behavioral therapy, performance coaching uses techniques that emphasize goal-setting, accountability, and personal development. Researchers are excited because this approach could offer a more personalized and empowering path to recovery, potentially leading to better long-term outcomes for individuals struggling with addiction.

What evidence suggests that performance coaching is effective for improving treatment practices in opioid use disorder?

Research has shown that performance coaching can help treat addiction. Studies suggest that offering more counseling sessions and involving clients early in their treatment lead to better results. Specifically, clients who receive planned long-term support are more likely to stop using substances. Additionally, performance coaching has shown promise in improving client satisfaction with their treatment and their relationship with their therapist, both of which are important for recovery. These findings highlight the potential of performance coaching to effectively support people with opioid use disorder. ^{1 2 6 7 8}

Who Is on the Research Team?

Charles Neighbors, PhD

Principal Investigator

NYU Langone Health

Are You a Good Fit for This Trial?

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

Exclusion Criteria

My gender does not affect my eligibility for this trial.

Timeline for a Trial Participant

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

What Are the Treatments Tested in This Trial?

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.

How Is the Trial Designed?

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+

Published Research Related to This Trial

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]

Citations

1. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC2835840/

A Randomized Controlled Study of a Web Based ... Over 1500 patients provided anonymous ratings of therapeutic alliance, treatment satisfaction, and drug/alcohol use. There was no evidence of an intervention ...

2. sciencedirect.com sciencedirect.com/science/article/pii/S2772724625000150

Real-world effectiveness of Motivational Enhancement for ... This study tests the real-world effectiveness of MEET for individuals transitioning between SUD treatment settings.

3. withpower.com withpower.com/trial/phase-behavior-addictive-6-2024-2cb48

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 ...

4. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC11201577/

Enhancing Substance Use Disorder Recovery through ... Recent research underscores the efficacy of exercise in reducing substance cravings, promoting abstinence, and improving overall well-being.

5. sciencedirect.com sciencedirect.com/science/article/abs/pii/S0277953621006213

A systematic review and meta-analysis of the efficacy ... The main results suggest that the people who received a planned long-term treatment or support had a 23.9 % greater chance of abstaining or consuming ...

6. ncbi.nlm.nih.gov ncbi.nlm.nih.gov/books/NBK565474/

Substance Use Screening, Risk Assessment, and ... - NCBI - NIH This guideline on screening and risk assessment for substance use in adults (≥18 years old) was developed by the New York State Department of Health AIDS ...

7. researchgate.net researchgate.net/publication/351387241_Substance_use_disorder_evaluating_the_effectiveness_of_the_Addiction_Recovery_Coaching_exercise_programme

Substance use disorder: evaluating the effectiveness of ... This narrative inquiry research explored the experiences of recovery coaches working with employed professionals in recovery from alcohol misuse ...

8. ascpjournal.biomedcentral.com ascpjournal.biomedcentral.com/articles/10.1186/1940-0640-7-18

Performance measures for substance use disorders This article presents recommendations in three areas: development of new performance measures; methodological and other considerations in using performance ...