Recovery Barrier Characterizations by Hospitalized Patients with Substance Use Disorders: Results from a Randomized Clinical Study on Inpatient Peer Recovery Coaching

Author:

Byrne Kaileigh A.1ORCID,Roth Prerana J.2,Cumby Sam3,Goodwin Eli3,Herbert Kristin3,Schmidt William Michael3,Worth Samantha3,Connolly Kyleigh3,Uzor Onye3,Eiff Brandi1,Black Dominique1

Affiliation:

1. Department of Psychology, Clemson University, Clemson, SC 29634, USA

2. Greenville Memorial Hospital, Prisma Health, Greenville, SC 29605, USA

3. Greenville Campus, University of South Carolina School of Medicine, Greenville, SC 29605, USA

Abstract

Patients hospitalized with medical complications from substance use disorder (SUD) encounter unique health problems that may complicate their recovery. Recovery barriers are not well understood in this population. The study objective is to characterize recovery barriers in this patient population. Participants (n = 96) in this six-month longitudinal study were randomized to a peer recovery coaching intervention or standard of care. The primary outcome measures were qualitative, open-ended questions addressing factors interfering with participants’ recovery. Data were analyzed using content analysis. Themes were identified a priori using past research on recovery capital domains; these seven barriers were (1) psychological health difficulties, (2) physical health challenges, (3) lack of social support, (4) insufficient treatment or recovery support to maintain sobriety, (5) environmental and housing concerns, (6) deficits in coping skills, and (7) lack of meaningful activities. At baseline, the most common recovery barriers were in the environment and housing (28.1%), psychological health (27.1%), and social support (22.9%) domains. At six-month follow-up, participants were asked to describe barriers they felt they had made improvement in over the last six months. The primary themes that participants reported improvements in were treatment and recovery support to maintain sobriety (52.1%), coping skills (35.4%), and social support (27.1%). Hospitalization and participation in a randomized controlled trial may be a turning point in which to address recovery barriers for patients hospitalized with complications from SUD.

Funder

Health Sciences Center at Prisma Health Transformative Research Seed Grant Award

Publisher

MDPI AG

Reference38 articles.

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3. “It’s been an experience, a life learning experience”: A qualitative study of hospitalized patients with Substance Use Disorders;Velez;J. Gen. Intern. Med.,2017

4. Peer-delivered recovery support services for addictions in the United States: A systematic review;Bassuk;J. Subst. Abus. Treat.,2016

5. Lived Eexperience in new models of care for Substance Use Disorder: A systematic review of peer recovery support services and recovery coaching;Eddie;Front. Psychol.,2019

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