Peer Engagement in Methamphetamine Harm-Reduction With Contingency Management (PEER-CM)
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 1,800
- 试验地点
- 2
- 主要终点
- Number of participants who engage in substance use disorder treatment
研究概览
简要总结
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.
详细描述
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).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 105 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
PEER-CM
Peer-facilitated contingency management (PEER-CM).
干预措施: Peer Contingency Management (Behavioral)
Standard of Care
Standard of care contingency management.
干预措施: Standard of Care Contingency Management (Behavioral)
结局指标
主要结局
Number of participants who engage in substance use disorder treatment
时间窗: 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
时间窗: 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
时间窗: 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.
次要结局
未报告次要终点
研究者
P. Todd Korthuis, MD
Professor
Oregon Health and Science University