Substance Use Disorders Clinical Trial
Official title:
Cardiac Surgery Peer Recovery Support Program
Develop and implementation an addiction recovery support program for cardiac surgery patients admitted with a diagnosis of infective endocarditis secondary to IV drug addiction.
Status | Recruiting |
Enrollment | 30 |
Est. completion date | September 10, 2019 |
Est. primary completion date | September 10, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: All patients considered for this program must meet the following criteria: 1. Must be at least 18 years of age and able to provide consent 2. Must speak/read/understand English 3. Currently hospitalized and physically located on 7-3600 unit 4. Followed by or on the Cardiac Surgery service 5. Have a diagnosis of Endocarditis associated with recent or remote intravenous drug use (IVDU) 6. Alert and oriented to person, place, time, and events leading up to hospitalization 7. Able to carry on a coherent conversation 8. Clinical Opiate Withdrawal (COW) score of less than or equal to 5 with no adjunctive (opioids) medication use within past 24 hours a. If COW score is greater than five or adjunctive medications have been used within the previous 24 hours, the patient will be re-evaluate every 24 hours until score is less than or equal to five and no adjunctive medications used within the previous 24 hours Exclusion Criteria: 1. Under the age of 18 years old 2. Unable to speak/read/understand English 3. Hospitalized but not on 7-3600 4. Does not have a diagnosis of endocarditis associated with IVDU 5. Not followed by or on the Cardiac Surgery service 6. Not Alert or oriented or unable to carry on a coherent conversation 7. COW score that is greater than five or adjunctive medications have been used within the previous 24 hours (see inclusion criteria) |
Country | Name | City | State |
---|---|---|---|
United States | University of Rochester Medical Center Strong Memorial Hospital | Rochester | New York |
Lead Sponsor | Collaborator |
---|---|
University of Rochester |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Abstinence from drug use based on negative drug screen | Demonstrate negative drug screens done randomly by urine testing during their hospitalization. | Enrollment up to 60 days post-discharge | |
Other | Engagement in the Peer Recovery Support Program | Actively engage in the program as defined by meeting with a Peer Support Volunteer at least two times prior to discharge, and or use of resilience journal, and or review of Narcotics Anonymous book | Count of number of meetings in 2 weeks | |
Other | Planning for outpatient recovery program | Actively contact at least one outpatient recovery program that they might enroll in by study completion (information about recovery programs to be provided by unit SW). | 1 week prior to discharge | |
Primary | Readiness to change | Personal Drug Use Questionnaire SOCRATES 8D survey scores from admission to program to post discharge. A 19 item scale that measures 3 domains, Recognition of a drug problem, Ambivalence to change, and Taking Steps towards recovery. Each item is measured on a 5 point Likert scale. Scoring on the domains indicates the individual readiness to pursue sobriety. Score range for Recognition is 7-35. High score (35) correlates that they do identify they have a problem related to substance use while a low score (<30) indicates denial of a problem. The Ambivalence score range is between 4-20. A high score (>17) on this domain indicates ambivalence or uncertainty of change while a low score (<8) indicates that they do know that they have a drinking problem. Taking Steps score range is between 8-40. High scores (>36) in this domain indicate that the individual is taking steps on to change their behavior while low scores (<30) indicate that they are not currently doing things to change | Change in scores from end of intervention (2 weeks) to 30, 60, and 90 days post-intervention | |
Secondary | Participation in peer recovery support program | Participate in follow up phone call with completion of SOCRATES 8D survey at 30, 60 and 90 days post discharge | Change in scores from end of intervention (2 weeks) to 30, 60, 90 days post-intervention |
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