Peer Engagement in Methamphetamine Harm-Reduction With Contingency Management (PEER-CM)
Study Details
Study Description
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
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
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: PEER-CM Peer-facilitated contingency management (PEER-CM). |
Behavioral: Peer Contingency Management
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)
Other Names:
|
| Active Comparator: Standard of Care Standard of care contingency management. |
Behavioral: Standard of Care Contingency Management
Participants allocated to standard of care contingency management will receive incentives for peer encounters.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Number of participants who overdose [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 [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.
- Number of participants who engage in substance use disorder treatment [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.
Eligibility Criteria
Criteria
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 and if they are willing to be trained in the two strategies for peer-facilitated contingency management.
De-identified administrative data is used to identify an analytic sample of clients who reported past 30-day methamphetamine use at community-based organization intake. Client outcomes are assessed using de-identified administrative data.
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 or are not willing to be trained in the two strategies for peer-facilitated contingency management.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Oregon Health and Science University
- Comagine Health
- Oregon Health Authority
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- PEER-CM