Pilot Test of a Community-based Buprenorphine Treatment Intervention
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Purpose
The main goal of this study is to pilot test the community-based buprenorphine treatment (CBBT) intervention, examining buprenorphine treatment initiation, opioid use, and HIV risk behaviors. Two groups of participants will be followed for 60 days, with 3 research visits. One group will be enrolled prior to the CBBT intervention (pre-intervention), and one group after the CBBT intervention (post-intervention). Data sources will include questionnaires, urine toxicology tests, and medical record data. We hypothesize that compared to the participants in the pre-intervention group, participants in the post-intervention group will be more likely to initiate buprenorphine treatment, reduce opioid use, and reduce high-risk HIV risk behaviors.
| Condition | Intervention |
|---|---|
|
Opioid Dependence Injection Drug Use |
Behavioral: Community-based buprenorphine treatment (CBBT) intervention |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Development of a Community-based Buprenorphine Treatment Intervention |
- initiation of buprenorphine treatment [ Time Frame: 60 days ] [ Designated as safety issue: No ]Medical record information will be extracted to determine initiation of buprenorphine treatment, which will be defined as a visit with a medical provider in which buprenorphine is prescribed.
- opioid use [ Time Frame: 60 days ] [ Designated as safety issue: No ]Opioid use will be determined via self-report using the Addiction Severity Index and via urine specimens (e.g., urine toxicology testing).
- HIV risk behaviors [ Time Frame: 60 days ] [ Designated as safety issue: No ]Drug- and sex-related HIV risk behaviors will be assessed using a standardized risk assessment tool used in NIDA's Clinical Trials Network.
| Estimated Enrollment: | 80 |
| Study Start Date: | December 2012 |
| Estimated Study Completion Date: | February 2014 |
| Estimated Primary Completion Date: | February 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
No Intervention: Pre-intervention
Participants will be enrolled prior to the implementation of the community-based buprenorphine treatment (CBBT) intervention.
|
|
|
Experimental: Post-intervention
Participants will be enrolled after implementing the community-based buprenorphine treatment (CBBT) intervention
|
Behavioral: Community-based buprenorphine treatment (CBBT) intervention
Community-based buprenorphine treatment (CBBT) intervention consists of three components which are delivered to staff of syringe exchange programs, including: 1) providing buprenorphine education, 2) facilitating access to buprenorphine treatment, and 3) providing support to individuals who initiate buprenorphine treatment.
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- at least 18 years old
- English or Spanish fluency
- ever injected drugs
- not receiving buprenorphine treatment (no prescribed buprenorphine in the previous 6 months)
- clients of our collaborating community-based organization
- interested in buprenorphine treatment
Exclusion Criteria:
- pregnant
- taking more than 60mg of methadone daily in the previous 30 days
Contacts and Locations| Contact: Chinazo Cunningham, MD.MS | 718-944-3860 | ccunning@montefiore.org |
| Contact: Mia Brisbane, MPH | 718-944-3840 | mbrisban@montefiore.org |
| United States, New York | |
| Washington Heights Corner Project | Recruiting |
| New York, New York, United States, 10033 | |
| Contact: Taeko Frost, MPH 212-923-7600 | |
| Principal Investigator: Taeko Frost, MPH | |
| Principal Investigator: | Chinazo Cunningham, MD, MS | Albert Einstein College of Medicine of Yeshiva University |
More Information
No publications provided
| Responsible Party: | Albert Einstein College of Medicine of Yeshiva University |
| ClinicalTrials.gov Identifier: | NCT01761110 History of Changes |
| Other Study ID Numbers: | R34DA031066 |
| Study First Received: | January 2, 2013 |
| Last Updated: | January 2, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Albert Einstein College of Medicine of Yeshiva University:
|
Opioid dependence Injection drug use Buprenorphine Opioid agonist treatment |
Access to care HIV risk behaviors Opioids |
Additional relevant MeSH terms:
|
Opioid-Related Disorders Substance-Related Disorders Mental Disorders Buprenorphine Analgesics, Opioid Analgesics Sensory System Agents Peripheral Nervous System Agents |
Physiological Effects of Drugs Pharmacologic Actions Central Nervous System Agents Therapeutic Uses Central Nervous System Depressants Narcotic Antagonists Narcotics |
ClinicalTrials.gov processed this record on June 18, 2013