Evidence map›Paper›PMID 31719087›Full record

ArticleBMJ open2019

Randomised clinical trial of an emergency department-based peer recovery support intervention to increase treatment uptake and reduce recurrent overdose among individuals at high risk for opioid overdose: study protocol for the navigator trial.

William C Goedel, Brandon D L Marshall, Elizabeth A Samuels, Mark G Brinkman, Debra Dettor, Kirsten J Langdon, Linda A Mahoney, Roland C Merchant, Tarek Nizami, George A O'Toole and 3 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03684681 (The Navigator Trial), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03684681 nacompletednot on this map

The Navigator Trial

TypeinterventionalSponsorRhode Island HospitalRan2018 to 2022Enrolled650ConditionsOpioid Use, Opioid Dependence, Opioid Abuse, Opioid-Related DisordersArmsPeer Navigator Intervention, Social Work Intervention
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 36 citations in OpenAlex.

  1. Trial
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  6. Article
  7. Navigating Substance Use Care in the Emergency Department: A Scoping Review.Journal of the American College of Emergency Physicians open · 2026
    Review
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  15. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

William C GoedelDepartment of Epidemiology, Brown University School of Public Health, Providence, Rhode Island, USA.ORCID 0000-0002-2869-1048
Brandon D L MarshallDepartment of Epidemiology, Brown University School of Public Health, Providence, Rhode Island, USA.
Elizabeth A SamuelsDepartment of Emergency Medicine, Brown University Warren Alpert Medical School, Providence, Rhode Island, USA.
Mark G BrinkmanDepartment of Emergency Medicine, Rhode Island Hospital, Providence, Rhode Island, USA.
Debra DettorAnchor Recovery Community Center, Pawtucket, Rhode Island, USA.
Kirsten J LangdonDepartment of Psychiatry and Human Behavior, Brown University Warren Alpert Medical School, Providence, Rhode Island, USA.
Linda A MahoneyRhode Island Department of Behavioral Healthcare Developmental Disabilities and Hospitals, Cranston, Rhode Island, USA.
Roland C MerchantDepartment of Epidemiology, Brown University School of Public Health, Providence, Rhode Island, USA.
Tarek NizamiDepartment of Emergency Medicine, Rhode Island Hospital, Providence, Rhode Island, USA.
George A O'TooleAnchor Recovery Community Center, Pawtucket, Rhode Island, USA.
Susan E RamseyDepartment of Psychiatry and Human Behavior, Brown University Warren Alpert Medical School, Providence, Rhode Island, USA.
Jesse L YedinakDepartment of Epidemiology, Brown University School of Public Health, Providence, Rhode Island, USA.
Francesca L BeaudoinDepartment of Emergency Medicine, Brown University Warren Alpert Medical School, Providence, Rhode Island, USA Francesca_Beaudoin@brown.edu.
Brown University · USRhode Island Hospital · USRhode Island Department of Behavioral Healthcare, Developmental Disabilities and Hospitals · US

Funding

Project 4: Neonatal Abstinence Syndrome (NAS): Fetus to First YearsP20GM125507 · NIGMS · RHODE ISLAND HOSPITAL · PI Ju Nyeong Park · 2018 to 2026
$23.4M
The Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7M
NIGMS NIH HHS P20 GM125507NIMH NIH HHS R25 MH083620
6 · The paper itself

Abstract

introductionEffective approaches to increase engagement in treatment for opioid use disorder (OUD) and reduce the risk of recurrent overdose and death following emergency department (ED) presentation for opioid overdose remain unknown. As such, we aim to compare the effectiveness of behavioural interventions delivered in the ED by certified peer recovery support specialists relative to those delivered by licensed clinical social workers (LCSWs) in promoting OUD treatment uptake and reducing recurrent ED visits for opioid overdose. METHODS AND ANALYSIS: Adult ED patients who are at high risk for opioid overdose (ie, are being treated for an opioid overdose or identified by the treating physician as having OUD) (n=650) will be recruited from two EDs in a single healthcare system in Providence, Rhode Island into a two-arm randomised trial with 18 months of follow-up postrandomisation. Eligible participants will be randomly assigned (1:1) in the ED to receive a behavioural intervention from a certified peer recovery support specialist or a behavioural intervention from an LCSW. The primary outcomes are engagement in formal OUD treatment within 30 days of the initial ED visit and recurrent ED visits for opioid overdose within 18 months of the initial ED visit, as measured through statewide administrative records. ETHICS AND DISSEMINATION: This protocol was approved by the Rhode Island Hospital institutional review board (Approval Number: 212418). Data will be presented at national and international conferences and published in peer-reviewed journals. TRIAL REGISTRATION NUMBER: NCT03684681.

Indexed as

Emergency Service, HospitalSelf-Help GroupsAdultAnalgesics, OpioidDrug OverdoseFemaleHumansMaleOpioid-Related DisordersRandomized Controlled Trials as TopicAnalgesics, OpioidEmergency DepartmentOpioid OverdosePeer SupportRandomisedTrialRecovery

Identifiers

PMID31719087
PMCPMC6858243
OpenAlexW2987887102

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.