Project MATLINK: Development and Evaluation of a Screening, Brief Intervention, & Referral to Treatment (SBIRT) Program for Opioid Dependent Prisoners and Probationers Transitioning to the Community
Study Details
Study Description
Brief Summary
The purpose of this study is to evaluate the efficacy a Screening, Brief Intervention, and Referral to Treatment (SBIRT) program for linking opioid dependent individuals currently incarcerated or in probation in Moldova, Kyrgyzstan, and Ukraine to opioid substitution therapy in the community after release or during their probation period.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Screening, Brief Intervention, & Referral to Treatment (SBIRT) Program There are two objectives to the Brief Intervention. First, the BI is designed to inform potential participants on the risks of substance misuse, abuse, and dependency by illustrating the potential hazards and adverse health consequences. Second, the BI aims to motivate potential participants to reduce risky behavior (e.g., continued drug use) and seek treatment for their substance dependence disorder. |
Behavioral: SBIRT
First, the BI is designed to inform potential participants on the risks of substance misuse, abuse, and dependency by illustrating the potential hazards and adverse health consequences. Second, the BI aims to motivate potential participants to reduce risky behavior (e.g., continued drug use) and seek treatment for their substance dependence disorder. In our BI, we will provide evidence-based information on Opioid Agonist Therapy (OAT) that is available to them in the community upon release or in the community. We will inform them of the risks and benefits of OAT and explain to them how OAT can be accessed in the community. OAT is provided at no cost to Ukrainian, Moldovan, and Kyrgyz citizens with opioid dependence. The BI will last approximately 20 minutes and time will be made available for them to ask questions. The BI will not be audio recorded.
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Outcome Measures
Primary Outcome Measures
- Enrollment on OAT [12 months]
Total number of participants who enroll on OAT divided by the number of participants who underwent study procedures, per country.
Secondary Outcome Measures
- OAT Knowledge [6 month]
Overall mean change in composite score of knowledge of OAT pre vs post intervention stratified by study groups (enrolled vs not en rolled on OAT) at the 6-month mark.
- OAT Attitudes [6 months]
Overall mean change in composite score of attitudes towards OAT pre vs post intervention stratified by study groups (enrolled vs not en rolled on OAT) at the 6-month mark.
- Interest in OAT [6 months]
Overall mean change in composite score of interest in initiating OAT pre vs post intervention stratified by study groups (enrolled vs not en rolled on OAT) at the 6-month mark.
- OAT Difficulty [6 months]
Overall mean change in composite score of difficulty in initiating OAT pre vs post intervention stratified by study groups (enrolled vs not en rolled on OAT) at the 6-month mark.
- OAT Importance [6 months]
Overall mean change in composite score of importance of initiating OAT pre vs post intervention stratified by study groups (enrolled vs not en rolled on OAT) at the 6-month mark.
Eligibility Criteria
Criteria
Inclusion Criteria:
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18 years of age or older
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Within 180 days of release or possible release (eligible for parole) to the community, but greater than 7 days to release to the community OR currently in probation.
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FOR THOSE IN PRISON: Relocating to a location within 30 km (approximately 60-minute commute) of the referred Narcology center. Each participant will be asked the address he/she is planning to reside under that will be immediately checked on the map to determine the travel time. A participant then will be asked if he/she would be willing to travel the distance to a particular OAT site. If a person does not meet this inclusion criterion, he/she will be referred to a local harm reduction center.
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Meets ICD-10 screening criteria for pre-incarceration opioid dependence
FOR THOSE IN PROBATION:
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Living within 30 km of an OAT delivery site
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Not having received OAT in the last 15 days.
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Positive for OUD
Exclusion Criteria:
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Pregnant or may become pregnant
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FOR THOSE IN PRISON: Will be released from prison in 7 days or less.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | AIDS Foundation East-West | Bishkek | Kyrgyzstan | ||
2 | AFI - Act for Involvement | Chisinau | Moldova, Republic of | ||
3 | Ukrainian Institute for Public Health Policy | Kyiv | Ukraine |
Sponsors and Collaborators
- Yale University
- Ukrainian Institute on Public Health Policy
- AFEW Kyrgyzstan
- AFI - Act For Involvement
- National Institute on Drug Abuse (NIDA)
Investigators
- Principal Investigator: Frederick L Altice, MD, Yale University
- Study Director: Natalya Shumskaya, AIDS Foundation East-West
- Study Director: Nataliia Saishuk, Ukrainian Institute for Public Health Policy
- Study Director: Svetlana Doltu, AFI - Act For Involvement
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 1407014374
- 2R01DA029910-06