Peer-Delivered Behavioral Activation Intervention to Improve Adherence to MAT Among Low-Income, Minority Individuals with OUD, Maryland, 2020-2022 (ICPSR 39305)
Version Date: Nov 10, 2025 View help for published
Principal Investigator(s): View help for Principal Investigator(s)
Jessica F. Magidson, University of Maryland
https://doi.org/10.3886/ICPSR39305.v1
Version V1
Summary View help for Summary
This study expands on the Behavioral Intervention to improve adherence to Medication for Opioid Use Disorder (MOUD) among low-income, marginalized individuals in Baltimore, Maryland. Based on Behavioral Activation principles, the "Peer Activate" intervention is specifically designed for implementation by trained peer recovery specialists.
Implementation outcomes included feasibility, acceptability, and fidelity. Feasibility, defined as the suitability and practicality of the approach, was quantitatively measured by the percentage of participants agreeing to participate in the intervention. Acceptability, defined as satisfaction with or tolerability of the approach, was measured quantitatively by session attendance. Fidelity was evaluated through independent ratings of a randomly selected 20% of sessions. The primary effectiveness measure was methadone retention at three months post-intervention, with secondary outcomes including methadone adherence, substance use frequency, and related problems.
Citation View help for Citation
Export Citation:
Funding View help for Funding
Subject Terms View help for Subject Terms
Geographic Coverage View help for Geographic Coverage
Smallest Geographic Unit View help for Smallest Geographic Unit
City
Restrictions View help for Restrictions
Access to these data is restricted. Users interested in obtaining these data must complete a Restricted Data Use Agreement, specify the reason for the request, and obtain IRB approval or notice of exemption for their research.
Distributor(s) View help for Distributor(s)
Time Period(s) View help for Time Period(s)
Date of Collection View help for Date of Collection
Data Collection Notes View help for Data Collection Notes
-
All dates have been date-shifted and do not reflect the actual dates in order to preserve data deidentification. Dates within records have been shifted by consistent intervals to protect internal consistency. Dates between records have been shifted by inconsistent intervals.
- For additional information on this study, please visit the Peer Delivered Behavioral Intervention website.
Study Purpose View help for Study Purpose
The purpose of this study is to examine the feasibility, acceptability, fidelity, and preliminary effectiveness of the Peer Activate intervention on methadone treatment retention over three months.
Study Design View help for Study Design
The study follows respondents over the course of three months. Every week respondents were asked questions about their background, substance use, and health. About every week the respondent would meet with a "peer", or someone that is there to help with respondents with their goals, to help give advice and support.
Sample View help for Sample
N=37 participants were consented and determined to be eligible upon completion of the baseline assessment. Recruitment took place at a community-based opioid treatment program (OTP) in Maryland between October 2020 and August 2021.
Time Method View help for Time Method
Universe View help for Universe
Adults ages 18 and older with drug history.
Unit(s) of Observation View help for Unit(s) of Observation
Data Type(s) View help for Data Type(s)
Mode of Data Collection View help for Mode of Data Collection
Description of Variables View help for Description of Variables
These datasets contain variables about various drug use and dosage, methadone treatment adherence, peer roles and their interactions with respondents, activity logs, and interpersonal reflections.
Response Rates View help for Response Rates
Thirty-seven individuals were enrolled in the open-label trial (intent-to-treat sample), with the goal of reaching a minimum of 30 Peer Activate initiators (i.e., defined as completing more than or equal to 1 Peer Activate session). Of the 37 intent-to-treat sample, 32 participants completed at least one Peer Activate session and were defined as the "treatment initiator "group.
Thirty-two individuals initiated the Peer Activate intervention, with the goal of reaching a minimum of 24 completers (i.e., defined as completing more than or equal to four Peer Activate sessions). Of the 32 "treatment initiators" group, 26 participants completed at least four Peer Activate sessions and were defined as the "treatment completer" group.
Twenty-six participants completed the post-treatment assessment. This includes three people who completed the post-treatment assessment prior to the 4th session and excludes three people who completed 4 Peer Activate sessions but did not complete a post-treatment assessment.
HideOriginal Release Date View help for Original Release Date
2025-11-10
Version History View help for Version History
2025-11-10 ICPSR data undergo a confidentiality review and are altered when necessary to limit the risk of disclosure. ICPSR also routinely creates ready-to-go data files along with setups in the major statistical software formats as well as standard codebooks to accompany the data. In addition to these procedures, ICPSR performed the following processing steps for this data collection:
- Created variable labels and/or value labels.
Notes
The public-use data files in this collection are available for access by the general public. Access does not require affiliation with an ICPSR member institution.
ICPSR usually offers files in multiple formats for researchers to be able to access data and documentation in formats that work well within their needs. If you have questions about the accessibility of materials distributed by ICPSR or require further assistance, please visit ICPSR’s Accessibility Center.
One or more files in this data collection have special restrictions. Restricted data files are not available for direct download from the website; click on the Restricted Data button to learn more.