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Peer Support for Liver Transplant Recipients With History of ALD

Sponsor: Johns Hopkins University • ClinicalTrials.gov ID: NCT07397598

Registry updated: 2026-10-06

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Description

Liver transplant (LT) recipients with a history of alcohol-related liver disease (ALD) may encounter various psychosocial and medical challenges during post-LT recovery, even beyond the initial post-transplant period. Effective and sustainable interventions will be crucial for improving patient outcomes. This clinical trial will examine the impact of peer support specialists (PSS) on the recovery experience of individuals who received LT for ALD. The trial seeks to answer two main questions: * Are LT recipients who work with PSS less likely to resume alcohol use or tend to drink less overall? * Do LT recipients who work with PSS engage more with recommended medical care and have better overall survival?

Interventions

Peer Support (Behavioral)
The study will recruit PSS based on lived experiences with ALD/LT and interpersonal skills. The PSS will receive tailored skills training from the study team in areas such as delivering brief counseling, active listening, and maintaining confidentiality. Participants will meet regularly with a PSS between standard clinic visits throughout a one-year study period. The PSS will deliver brief counseling interventions at each session. Study investigators will meet with the PSS at scheduled intervals to review progress. Study investigators will also review up to 20% of the audio recordings of sessions between PSS and study participants to assess fidelity to the intervention protocol.

Eligibility criteria

Inclusion Criteria: * English speakers * Received a liver transplant for alcohol-associated liver disease * Has 1 to 3 years of continuous alcohol abstinence at the time of trial entry Exclusion Criteria: * Liver transplant recipients without a history of alcohol-associated liver disease * Inability to provide informed consent * Active participation in a separate intervention trial for alcohol use disorder

Conditions

Alcohol Use Disorder Alcohol Related Liver Disease Liver Transplant Recipient

Locations

Johns Hopkins University School of Medicine — Baltimore, Maryland, United States

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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

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