SMART Trial: Intrapersonal and Interpersonal Stigma Reduction

Sponsor

University of Tennessee (Other)

Overall Status

Completed

CT.gov ID

NCT04693416

Collaborator

National Center for Complementary and Integrative Health (NCCIH) (NIH), National Institutes of Health (NIH) (NIH)

Enrollment

Location

Arms

5.7

Actual Duration (Months)

12.3

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The goal of this project is to develop a multicomponent stigma reduction intervention to address intrapersonal (individual) stigma regarding Opioid Use Disorder (OUD). The intervention will address this cost/benefit evaluation among individuals known to face intersecting stigma of OUD and African American race, with treatment elements chosen explicitly to increase the value of treatment using salient forms of reward, and to ease perceived costs through explicit services in an effort to encourage the occurrence of the first treatment visit for OUD.

Condition or Disease	Intervention/Treatment	Phase
Stigma, Social Opioid Use Opioid-use Disorder Substance Use Disorders	Other: Intrapersonal Stigma Reduction Other: Interpersonal Stigma Reduction	Phase 2

Study Design

Study Type:

Interventional

Actual Enrollment :

71 participants

Allocation:

Non-Randomized

Intervention Model:

Single Group Assignment

Masking:

None (Open Label)

Primary Purpose:

Supportive Care

Official Title:

SMART Trial: Reducing Stigma Towards Opioid Use Disorder on the Intrapersonal and Interpersonal Levels

Actual Study Start Date :

Mar 8, 2021

Actual Primary Completion Date :

Aug 30, 2021

Actual Study Completion Date :

Aug 30, 2021

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Intrapersonal Stigma Reduction The intervention will include education about substance use disorders (diagnosis, prognosis, and treatment), goal setting to assist the individual in preparing for change, and decisional balance to assist the individual in measuring the costs and benefits about disclosure of mental health problems and exercises to practice how to disclose. Facilitation of an intake assessment for treatment will be offered (with assistance in making the appointment, getting transportation and childcare, and securing a pro-bono status at a outpatient treatment facility).	Other: Intrapersonal Stigma Reduction Brief intervention for stigma reduction
Experimental: Interpersonal Stigma Reduction The intervention for family members and support persons of enrolled intrapersonal participants will include education about substance use disorders (diagnosis, prognosis, and treatment), stigma reduction, and how to provide support for someone with substance use disorder.	Other: Interpersonal Stigma Reduction Brief intervention for support persons of intrapersonal intervention participants.

Arm

Intervention/Treatment

Experimental: Intrapersonal Stigma Reduction

The intervention will include education about substance use disorders (diagnosis, prognosis, and treatment), goal setting to assist the individual in preparing for change, and decisional balance to assist the individual in measuring the costs and benefits about disclosure of mental health problems and exercises to practice how to disclose. Facilitation of an intake assessment for treatment will be offered (with assistance in making the appointment, getting transportation and childcare, and securing a pro-bono status at a outpatient treatment facility).

Other: Intrapersonal Stigma Reduction

Brief intervention for stigma reduction

Experimental: Interpersonal Stigma Reduction

The intervention for family members and support persons of enrolled intrapersonal participants will include education about substance use disorders (diagnosis, prognosis, and treatment), stigma reduction, and how to provide support for someone with substance use disorder.

Other: Interpersonal Stigma Reduction

Brief intervention for support persons of intrapersonal intervention participants.

Outcome Measures

Primary Outcome Measures

Stigma reduction [Immediately before and after intervention delivery (week 0)]
Change in Substance Use Stigma Mechanisms Scale score pre- and post-intervention

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

18 years of age or older
Identify as African American, Black, or mixed race
Identify as someone with a substance use disorder who is not currently in treatment OR a support person of someone enrolled
Access to a telephone for follow-up assessment
Reside in the Memphis, TN area