Peer Engagement in Methamphetamine Harm-Reduction With Contingency Management (PEER-CM)

N/AActive Not RecruitingNCT05700994

Oregon Health and Science University1,283 enrolled

Overview

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.

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 Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

1,283

Conditions

Methamphetamine Abuse

Interventions

Peer Contingency ManagementBEHAVIORAL

Participants allocated to peer-facilitated contingency management will receive 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)

Standard of Care Contingency ManagementBEHAVIORAL

Participants allocated to standard of care contingency management will receive incentives for peer encounters.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 105 Years

Medical Language ↔ Plain English

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

Locations (2)

Comagine Health

Portland, Oregon, United States

Oregon Health & Science University

Portland, Oregon, United States

Outcomes

Primary Outcomes

Number of participants who overdose

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.

Time frame: 6 months from baseline

Number of participants who achieve self-identified goals

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.

Time frame: 6 months from baseline

Number of participants who engage in substance use disorder treatment

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.

Time frame: 6 months from baseline

Data from ClinicalTrials.gov

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