The study aims to adapt an existing Cultural Structural Humility (CSH) training into a video format for peer recovery coaches (PRCs) and refine an AI-driven texting tool to reinforce the training. After refining these tools using user-centered design, a pilot test will be conducted to assess their impact on the uptake of opioid treatment and social services. The study will also evaluate the feasibility and effectiveness of the intervention to inform future large-scale trials.
≥18 years of age
fluent in English
self-reported non-prescription opioid use <30 days prior to consent
provision of informed consent
inability to comprehend text content written at a 3rd grade reading level
physical or visual disability preventing mobile phone use
Parallel
PRC supported text + AI driven CSDH-enhanced text
BehavioralIn interventional Arm-1, PRC-supported text check-ins to participants (3x/week) will be provided by PRC study staff in addition to automated AI-driven texts. The PRC will personalize text "check-ins" to participants based on: (a) baseline CSDH needs (e.g., food insecurity, legal aid); (b) initial intake visit in primary care or challenges with service entry; and (c) content outlined in the CSH training addressing emerging participant challenges.
AI driven CSDH-enhanced text only
BehavioralIn interventional Arm-2, participants will receive the AI-driven CSDH-enhanced text messaging only. Participants in this arm will not receive text support from the PRC.
Treatment as Usual (TAU)
BehavioralIn Arm-3, the control group, individuals randomized to the control arm will receive treatment as usual (i.e., verbal instructions and NYC Dept of Health pamphlets detailing access to OUD and social services). No services will be provided except for social/clinical service referrals given at the end of each REDCap visit.
Estimated Rate of PRC-PWUO Contact
The number of contacts between Peer Recovery Coaches (PRC) and People Who Use Opioids (PWUO), measured through communication logs.
Rate of AI-Driven Texting Use Among PWUO
The frequency of AI-driven text interactions initiated by PWUO, captured through software logs.
Change in Felt and/or Anticipated Stigma
The change in felt and/or anticipated stigma pre- and post-intervention, measured by a validated stigma assessment questionnaire.
Amount of time to Initial Receipt of Buprenorphine (Self-Reported)
The time (in days) to the initial receipt of buprenorphine, as self-reported by participants.
The Amount of Participants That Retain in Treatment
The number of participants continuously retained in buprenorphine treatment over a 12-week period, assessed at the 12-week mark.
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Friends Research Institute, Inc.
Lead sponsor
Nathan Kline Institute for Psychiatric Research
Collaborator
NYU Langone Health
Collaborator
