Using AI and Peer Coaching to Address Racial Disparities Among People Who Use Opioids

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.

Conditions

• Opioid Use Disorder

Interventions

BEHAVIORAL

PRC 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.

BEHAVIORAL

AI 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.

BEHAVIORAL

Treatment 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).

Sponsors & Collaborators

• Nathan Kline Institute for Psychiatric Research

  collaborator OTHER

• NYU Langone Health

  collaborator OTHER

• Weill Medical College of Cornell University

  collaborator OTHER

• Friends Research Institute, Inc.

  lead OTHER

Principal Investigators

• Babak Tofighi, MSc, MD · Friends Research Institute, Inc.

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

99 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2025-03-28

Primary Completion

2025-08-31

Completion

2026-08-31

Countries

• United States

Study Locations