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A Pilot Randomized Controlled Trial Evaluating Peer Recovery Coaches for Addiction Recovery Among Indigenous

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Culturally specific peer recovery coaches (PRCs) show promise for Indigenous Americans (IAs) with substance use disorders. This pilot study found IA PRCs were well-accepted and reduced early alcohol use days, suggesting potential for culturally tailored addiction support.

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Area of Science:

  • Addiction research
  • Public health
  • Indigenous health

Background:

  • Peer recovery coaches (PRCs) with lived addiction experience offer unique support.
  • Indigenous American (IA) PRCs may address culturally specific needs in addiction recovery.
  • Substance use disorders disproportionately affect IA communities, highlighting the need for tailored interventions.

Purpose of the Study:

  • To assess the feasibility and acceptability of a PRC intervention for IA adults with substance use disorders.
  • To compare relapse rates and secondary outcomes between IA adults receiving PRC support versus an attention control group.
  • To identify common PRC strategies and participant feedback on the intervention.

Main Methods:

  • A feasibility trial involving 120 adult IAs with substance use disorders.
  • Randomized controlled trial: 90 participants to PRC group, 30 to attention control (research nurse).
  • 12 weeks of weekly support, followed by 3 months of monthly follow-up surveys.

Main Results:

  • The PRC intervention was feasible and acceptable, with 79% positive feedback.
  • The PRC group showed fewer days of alcohol use in the initial 3 weeks (p=.04).
  • "Support and advocacy" emerged as the primary PRC strategy.

Conclusions:

  • Racially concordant PRC services appear highly acceptable for IA populations.
  • This pilot study supports the potential of IA PRCs in addiction recovery.
  • Future research should focus on in-person recruitment and support by trained IA coaches to enhance retention.