Outcome
Type |
Measure |
Description |
Time frame |
Safety issue |
Primary |
Changes from baseline up to 30 months post-baseline in Paraprofessional Coach Urine Drug Screens (measured at 0, 6, 12, 18, 24, and 30 months). |
Number of positive drug screens from toxicology testing with paraprofessional coaches for amphetamines, barbiturates, buprenorphine, benzodiazepines, cocaine, fentanyl, methamphetamines, methylenedioxymethamphetamine (MDMA), methadone, oxycodone, phencyclidine (PCP), tetrahydrocannabinol (THC), and alcohol (ETG). |
Baseline to 30 months |
|
Primary |
Changes from baseline to 6 months post-baseline in Emerging Adult Client Urine Drug Screens (measured at 0, 4, and 6 months). |
Number of positive drug screens from toxicology testing with paraprofessional coaches for amphetamines, barbiturates, buprenorphine, benzodiazepines, cocaine, fentanyl, methamphetamines, methylenedioxymethamphetamine (MDMA), methadone, oxycodone, phencyclidine (PCP), tetrahydrocannabinol (THC), and alcohol (ETG). |
Baseline to 6 months |
|
Secondary |
Changes from baseline to 6 months post-baseline in Emerging Adult Client Abstinence Self Efficacy (measured at 0, 4, and 6 months). |
Levels of abstinence self-efficacy reported by emerging adult clients on the Abstinence Self Efficacy Scale. |
Baseline to 6 months |
|
Secondary |
Levels of services Emerging Adult Client Satisfaction with Treatment (measured at 4 and 6 months). |
Levels of satisfaction with the coaches' services reported by emerging adult clients on the Client Satisfaction Questionnaire. |
Baseline to 6 months |
|
Secondary |
Changes from baseline to 6 months post-baseline in Emerging Adult Client Vocational and Educational Attainment (measured at 0, 4, and 6 months). |
Advancement of vocational and educational attainment reported by emerging adult clients on the modified JCOIN Core Measures Demographics. |
Baseline to 6 months |
|
Secondary |
Changes from baseline to 6 months post-baseline in Emerging Adult Client Quality of Relationship with Paraprofessional Coach (measured at 0, 4, and 6 months). |
Levels of the quality of the relationship between the emerging adult client and the paraprofessional coach as reported by emerging adult clients on the Dual Role Relationship Inventory. |
Baseline to 6 months |
|
Secondary |
Changes from baseline to 6 months post-baseline in Emerging Adult Recovery Capital (measured at 0, 4, and 6 months). |
Levels of recovery capital as reported by emerging adult clients on the Emerging Adult Recovery Capital Scale. |
Baseline to 6 months |
|
Secondary |
Changes from baseline to 6 months post-baseline in Emerging Adult Substance Use and Problems (measured at 0, 4, and 6 months). |
Frequency of substance use and substance-related problems reported by emerging adult clients on the Global Appraisal of Individual Needs. |
Baseline to 6 months |
|
Secondary |
Changes from baseline to 6 months post-baseline in Emerging Adult Criminal Legal System Involvement (measured at 0, 4, and 6 months). |
Frequency of criminal legal system involvement reported by emerging adult clients on the Justice Community Opioid Innovation Network (JCOIN) Core Measures Justice Involvement Scale. |
Baseline to 6 months |
|
Secondary |
Changes from baseline to 6 months post-baseline in Emerging Adult Service Utilization (measured at 0, 4, and 6 months). |
Frequency of service utilization reported by emerging adult clients on the JCOIN Core Measures Service Utilization Scale. |
Baseline to 6 months |
|
Secondary |
Changes from client's 18th birthday to 6 months post-baseline in Emerging Adult Client Arrests. |
Number of emerging adult client arrests before and during service engagement measured via official arrest records. |
From client's 18th birthday to 6 months post-baseline |
|
Secondary |
Changes from client's 18th birthday to 6 months post-baseline in Emerging Adult Client Charges. |
Number of emerging adult client charges before and during service engagement measured via official arrest records. |
From client's 18th birthday to 6 months post-baseline |
|
Secondary |
Changes from client's 18th birthday to 6 months post-baseline in Emerging Adult Client Convictions. |
Number of emerging adult client convictions before and during service engagement measured via official arrest records. |
From client's 18th birthday to 6 months post-baseline |
|
Secondary |
Changes from client's 18th birthday to 6 months post-baseline in Emerging Adult Client Incarcerations. |
Number of emerging adult client incarcerations before and during service engagement measured via official arrest records. |
Client's 18th birthday to 6 months |
|
Secondary |
Attitudes at 6 months post-baseline in Emerging Adult Client Attitudes Toward the Services Provided (measured at 6 months). |
Emerging adult attitudes toward the services program as measured during qualitative interviews with emerging adult clients. |
6 months |
|
Secondary |
Changes from baseline to 6 months in Emerging Adult Client Session Attendance and Vocational/Educational Activity Completion (measured at 1, 2, 3, 4, 5, and 6 months). |
Frequency of emerging adult attendance at their paraprofessional coach sessions and completion of vocational/educational coaching activities reported by paraprofessional coaches on the Session Checklist and session tape coding. |
Baseline to 6 months |
|
Secondary |
Rates of post-services Services Completion. |
Rates of emerging adult client services completion reported by paraprofessional coaches using the Services Termination Form. |
Post-services, an average of 6 months |
|
Secondary |
Changes from baseline to up to 30 months post-baseline in Paraprofessional Coach Abstinence Self Efficacy (measured at 0, 6, 12, 18, 24, and 30 months). |
Levels of abstinence self-efficacy reported by paraprofessional coaches on the Abstinence Self Efficacy Scale. |
Baseline to 30 months |
|
Secondary |
Changes from baseline to up to 30 months post-baseline in Paraprofessional Coach Attitudes Toward Medications for Opioid Use Disorder (MOUD) (measured at 0, 6, 12, 18, 24, and 30 months). |
Levels of attitudes toward MOUD reported by paraprofessional coaches on the JCOIN Core Measures Attitudes Toward MOUD Scale. |
Baseline to 30 months |
|
Secondary |
Changes from Baseline scores compared to up to 30 months post-baseline in Paraprofessional Coach Contingency Management (CM) Adherence (measured monthly for 30 months). |
Adherence to CM practices by paraprofessional coaches as measured using the CM-Therapist Adherence Measure (CM-TAM) (Self-report version and Tape Coding version). |
Baseline to 30 months |
|
Secondary |
Changes from baseline up to 30 months post-baseline in Paraprofessional Coach Client Vocational and Educational Attainment (measured at 0, 6, 12, 18, 24, and 30 months). |
Advancement of vocational and educational attainment reported by paraprofessional coaches on the modified JCOIN Core Measures Demographics. |
Baseline to 30 months |
|
Secondary |
Changes from baseline up to 30 months post-baseline in Paraprofessional Coach Recovery Capital (measured at 0, 6, 12, 18, 24, and 30 months). |
Levels of recovery capital as reported by paraprofessional coaches on the Emerging Adult Recovery Capital Scale. |
Baseline to 30 months |
|
Secondary |
Changes from baseline up to 30 months post-baseline in Paraprofessional Coach Substance Use and Problems (measured at 0, 6, 12, 18, 24, and 30 months). |
Frequency of substance use and substance-related problems reported by paraprofessional coaches on the Global Appraisal of Individual Needs. |
Baseline to 30 months |
|
Secondary |
Changes from baseline up to 30 months post-baseline in Paraprofessional Coach Perceptions of Acceptability of the PEERS Intervention (measured at 0, 6, 12, 18, 24, and 30 months). |
Levels of acceptability of the PEERS intervention, such as if participants like the intervention, as reported by paraprofessional coaches on the Acceptability of Intervention Measure (Weiner et al., 2017). Scores range from 4-20. Higher scores indicate higher levels of intervention acceptability. |
Baseline to 30 months |
|
Secondary |
Changes from baseline up to 30 months post-baseline in Paraprofessional Coach Perceptions of PEERS Intervention Appropriateness (measured at 0, 6, 12, 18, 24, and 30 months). |
Levels of PEERS intervention appropriateness, such as if the intervention is a good match, as reported by paraprofessional coaches on the Intervention Appropriateness Measure (Weiner et al., 2017). Scores range from 4-20. Higher scores indicate higher levels of intervention appropriateness. |
Baseline to 30 months |
|
Secondary |
Changes from baseline up to 30 months post-baseline in Paraprofessional Coach Perceptions of Feasibility of the PEERS Intervention (measured at 0, 6, 12, 18, 24, and 30 months). |
Levels of PEERS intervention feasibility, such as if the intervention is easy to use, as reported by paraprofessional coaches on the Feasibility of Intervention Measure (Weiner et al., 2017). Scores range from 4-20. Higher scores indicate higher levels of intervention feasibility. |
Baseline to 30 months |
|
Secondary |
Changes from baseline up to 30 months post-baseline in Paraprofessional Coach Quality of Life (measured at 0, 6, 12, 18, 24, and 30 months). |
Levels of quality of life reported by paraprofessional coaches on the JCOIN Core Measures Quality of Life Scale from the Patient-Reported Outcomes Measurement Information System. |
Baseline to 30 months |
|
Secondary |
Changes from post-training to post-service delivery on attitudes towards the training, supervision, and implementation of the services delivery (measured at approximately 1, 6, and 12 months). |
Ratings on attitudes towards the training, supervision, and implementation of the services delivery as measured by qualitative interviews with paraprofessional coaches. |
Post-training, an average of one month, to post-service delivery of two more clients, an average of one year |
|
Secondary |
Differences in themes derived from 60 audio-recorded sessions tapes varied across paraprofessional coaches, emerging adult clients, session number, and project timeline from Paraprofessional Coaches With and Without Lived Experience (measured monthly). |
Sixty tapes from audio-recorded sessions of paraprofessional coaches with their emerging adult clients will be coded to determine themes that arise in the course of sessions to compare themes used in sessions by paraprofessional coach with and without lived experience. |
Across Services Delivery, an average of 6 months |
|