A Stepped-Wedge Cluster Randomized Trial of a Digital App to Support Medication-Assisted Treatment in Individuals With Opioid Use Disorder

The goal of this clinical trial is to learn if a mobile health app called Recovery Connect can help people stay in treatment for opioid use disorder. The study is being done with adults receiving medication-assisted treatment in outpatient opioid treatment programs. The main questions it aims to answer are: Does Recovery Connect increase the number of people who remain in treatment after 30 days? Does Recovery Connect improve continuity of care during the first month of treatment? Researchers are using a stepped-wedge design, which means that all participating clinics will eventually use the app, but they will begin at different time points in a randomized order. This allows researchers to compare outcomes before and after each clinic starts using Recovery Connect. Participants will: Use the Recovery Connect app for daily check-ins, coping strategies, and reminders to support their recovery Share progress and risk information through the app so counselors can provide timely, personalized support Work with treatment teams trained to use the app to guide care and reinforce accountability