Leveraging Social Determinants Via Artificial Intelligence and Peer Coaching to Address Racial Disparities in Primary Care Among People Who Use Opioids
Friends Research Institute, Inc.
Summary
Black and Latinx people who use opioids are disproportionately impacted by opioid overdose deaths. The proposed study assesses the efficacy of an open source, multimodal artificial intelligence-driven texting tool combined with peer recovery coach-supported text contact that delivers social services, stigma reduction, health habitus, and patient navigation content addressing social determinants of health to enhance receipt of buprenorphine in primary care among emergency department-enrolled Black / Latinx people who use opioids.
Description
The investigators have validated a theory-driven, artificial intelligence (AI)-driven texting tool using natural language processing to facilitate real-time text responses to patient queries combined with automated texts facilitating receipt of buprenorphine in office-based opioid treatment (OBOT) and social services that address social determinants of health (SDH). This open-source texting tool offers passive reminders, informational content, and interactive two-way response algorithms without personal staff contact. In addition, the investigators have adapted an efficacious cultural and stru…
Eligibility
- Age range
- 18–99 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: 1. ≥18 years of age; 2. fluent in English and/or Spanish; 3. self-reported non-prescription opioid use \<30 days prior to consent; 4. provision of informed consent; 5. planned stay in NYC ≥12 month; 6. self-identified Black and/or Latinx race/ethnicity; 7. positive urine toxicology for opioids per EMR records; 8. diagnosis of OUD per the Diagnostic and Statistical Manual of Mental Disorders-5 9. self-reported interest in initiating buprenorphine in primary care 10. must have a mobile phone data plan. Exclusion Criteria: 1. inability to comprehend text content written at…
Interventions
- BehavioralPRC supported text + AI driven SDH-enhanced text
This interventional study evaluates an AI-driven texting tool combined with peer recovery coach support to deliver social services, reduce stigma, and provide patient navigation content. The goal is to enhance the receipt of buprenorphine in primary care among emergency department-enrolled Black and Latinx individuals who use opioids, addressing the disproportionate impact of opioid overdose deaths on these communities.
- BehavioralAI driven SDH-enhanced text only
This interventional study evaluates an AI-driven SDH-enhanced texting tool to deliver social services, reduce stigma, and provide patient navigation content. The goal is to enhance the receipt of buprenorphine in primary care among emergency department-enrolled Black and Latinx individuals who use opioids, addressing the disproportionate impact of opioid overdose deaths on these communities.
- BehavioralTreatment as Usual (TAU)
Control Arm-3 will receive treatment as usual (i.e., verbal instructions, NYC Dept of Health pamphlets detailing access to OUD and social services, health system smartphone application EMR patient portal).
Location
- NYC Health + HospitalsThe Bronx, New York