Contingency Management for Opioid and Stimulant Use Disorders in Primary Care

N/AActive Not RecruitingNCT05288751

University of Minnesota56 enrolled

Overview

Contingency management (CM) is a behavioral intervention that involves incentivizing participants for target behaviors in a clinical setting. When applied to the treatment of substance use disorders, it has demonstrated efficacy in reducing the number of urine toxicology screens positive for illicit substances and increased engagement in treatment programs. However, there is a need to translate CM treatment to primary care settings. This study will implement and assess a CM program for patients with opioid use disorder, with or without comorbid stimulant use disorder, initiating outpatient addiction medicine services at a family medicine residency clinic. Eligible patients will earn monetary incentives for attending addiction medicine appointments and abstaining from substances during outpatient treatment. Data gathered from this pilot program will be used to improve patient outcomes, treatment, and retention for persons receiving medications for opioid use disorder (MOUDs) in a primary care setting.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Opioid Use Disorder Stimulant Use Disorder

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * At least 18 years of age * Diagnosis of Opioid Use Disorder and/or Stimulant Use Disorder * Recently initiated medications for opioid use disorder (MOUDs) at Broadway Family Medicine (BFM), within 2 weeks of recruitment * Have an active prescription for buprenorphine-naloxone (Suboxone) Exclusion Criteria: * Prescription for an amphetamine would exclude patients from the abstinence-based CM, but they could participate in the attendance-only CM. * Dementia, development disabilities, or cognitive functioning that is too low to participate in study measures, as determined by chart review and consultation with overseeing physician.

Outcomes

Primary Outcomes

Preliminary efficacy of CM on clinical outcomes: Visit Frequency

Number of completed clinical visits per patient during the CM program.

Time frame: 30 days post-intervention

Preliminary efficacy of CM on clinical outcomes: Urine toxicology

Percentage of UDS results that are negative for stimulants during the CM intervention period.

Time frame: 30 days post-intervention

Feasibility of CM for OUD in primary care: Recruitment

percentage of patients invited to participate enroll in the treatment intervention.

Time frame: 30 days post-intervention

Feasibility of CM for OUD in primary care: Retention

Of those patients who enroll in the intervention study, the percent that complete the CM intervention period.

Time frame: 30 days post-intervention

Contingency Management for Opioid and Stimulant Use Disorders in Primary Care

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes