Peer Support for Opioid Use Disorder

(BRIDGE-SC Trial)

This trial aims to help people with Opioid Use Disorder (OUD) begin and maintain their treatment while preventing overdose deaths. Participants will either receive the usual care or additional support from a Certified Peer Support Specialist (someone with recovery experience) for up to six months. The trial will determine if this extra support improves treatment success. This study suits individuals diagnosed with OUD who are new patients at mobile health clinics in South Carolina. As an unphased trial, it offers a unique opportunity to contribute to innovative approaches in OUD treatment and support.

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 healthcare provider.

Research has shown that Certified Peer Support Specialists (CPSS) are well-received by individuals with opioid use disorder (OUD). Past studies have demonstrated that involving peers in treatment yields positive results without negative effects. For instance, one small study found that including peers in the program was safe, as no harmful events occurred. This indicates that the treatment is generally safe for participants.

Researchers are excited about the Certified Peer Support Specialist (CPSS) Intervention because it adds a human element to the standard care for opioid use disorder, which typically includes medication-assisted treatments like buprenorphine. Unlike traditional treatments that focus on medical and pharmaceutical approaches, the CPSS intervention incorporates personal support from someone with lived experience of recovery. This peer support can provide emotional guidance and practical tips, potentially making the treatment process feel less isolating and more relatable for participants. By integrating this personal support into the early phases of treatment, the intervention aims to enhance engagement and adherence, which are crucial for successful long-term recovery.

This trial will compare the effectiveness of a Certified Peer Support Specialist (CPSS) intervention with standard care for individuals with opioid use disorder (OUD). Studies have shown that a CPSS can significantly aid people with OUD. Research indicates that those working with peer support specialists are more likely to remain in treatment. For example, one study found that 77% of patients attended their first medication appointment when supported by a peer specialist. Another study demonstrated that peer support can help with starting and continuing medication for OUD. Working with someone who has experienced similar challenges can greatly impact recovery. Participants in this trial may receive either standard care or the CPSS intervention.¹²⁶⁷⁸