Peer Engagement in Methamphetamine Harm-Reduction With Contingency Management (PEER-CM)
Trial Snapshot
- Phase
- Not Applicable
- Status
- Active, not recruiting
- Enrollment
- 1,283
- Locations
- 2
- Primary Endpoint
- Number of participants who engage in substance use disorder treatment
Study Overview
Brief Summary
The main goal of this study is to tests the effect of incentivizing achievement of self-identified, personal harm reduction goals (Contingency management or CM) compared with standard of care (peer harm reduction service with incentives for peer visits) to increase the reach and effectiveness of methamphetamine (MA) harm reduction services.
Detailed Description
Using a hybrid type 1 effectiveness-implementation framework and stepped-wedge design, this study will randomize eighteen community-based peer harm reduction sites to provide contingency management incentives for achieving self-identified harm reduction goals set with peer specialists using a participant-driven harm reduction goal-setting process (e.g. completing overdose prevention and supply training, daily life goals, treatment and care goals, relationship and social support goals) versus standard of care contingency management (i.e. incentives for peer encounter attendance).
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Sequential
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 105 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •This intervention is at the site level. Community-based organization sites are eligible if they:
- •Use peer support specialists to provide direct outreach and harm reduction services to people who use drugs
- •Are willing to be trained in the two strategies for peer-facilitated contingency management
- •Clients who:
- •Age 18 and older
- •Any stimulant (methamphetamine, cocaine) use in the past 30 days
- •Willing to accept peer services
- •Willing to complete initial and follow-up assessments with peer
- •Able to communicate in English or Spanish
Exclusion Criteria
- •Community-based organization sites who:
- •Do not use peer support specialists to provide direct outreach and harm reduction services to people who use drugs
- •Are not willing to be trained in the two strategies for peer-facilitated contingency management
- •Clients who:
- •Present any danger or threat of violence to peers
Outcomes
Primary Outcomes
Number of participants who engage in substance use disorder treatment
Time Frame: 6 months from baseline
Determine whether incentives for achieving self-identified, personal harm reduction goals increases engagement with treatment services at 6 months from enrollment identified through completed assessment.
Number of participants who overdose
Time Frame: 6 months from baseline
Test the impact of incentives for achieving self-identified, personal harm reduction goals on the likelihood of overdose among people using methamphetamine at 6 months from enrollment identified through completed assessment.
Number of participants who achieve self-identified goals
Time Frame: 6 months from baseline
Determine whether incentives for achieving self-identified, personal harm reduction goals increases engagement with harm reduction services at 6 months from enrollment identified through completed assessment.
Secondary Outcomes
No secondary outcomes reported
Investigators
P. Todd Korthuis, MD
Professor
Oregon Health and Science University