Project FIRST - Financial Incentives to Reduce Substance Use and Improve Treatment

Completed · Not applicable

Conditions studied: HIV, Opiate Dependence

In brief

This study will test whether contingency management (monetary vouchers contingent on abstinence from drugs) that reinforces one behavior (achieving abstinence from drugs) leads to improved outcomes in other related behaviors (achieving HIV viral load suppression). In a randomized controlled trial, the investigators propose to test whether an abstinence-reinforcing contingency management intervention improves viral load suppression in HIV-infected drug users.

Key facts

Study ID

NCT01376570

Run by

Albert Einstein College of Medicine

People needed

242

Starts

2012-06-01

Expected to finish

2017-08-10

Last updated by the study team

2020-12-03

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• at least 18 years old
• English or Spanish fluency
• HIV-infected
• Currently taking highly active antiretroviral therapy
• a) opioid use disorder and receiving opioid agonist treatment with methadone or buprenorphine, or b) cocaine use disorder
• urine toxicology positive for cocaine, oxycodone, or opioids during the run-in period
• detectable viral load while prescribed highly active antiretroviral therapy in the prior 6 months
• self-reported adherence to HAART <100%

You may not qualify if…

• inability to give informed consent
• inability to follow the research protocol (e.g., visits twice weekly)
• frequent hospitalizations (>2) in the prior 6 months
• currently with a chronic pain condition in which the participant has been prescribed opioid analgesics for longer than the past month

Where it is running

• Montefiore's Community Clinics (Montefiore Medical Group) — The Bronx, New York, United States
• Albert Einstein College of Medicine Division of Substance Abuse clinics — The Bronx, New York, United States
• Montefiore Infectious Disease Clinic — The Bronx, New York, United States

Full record on ClinicalTrials.gov

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