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Carolina Alcohol and Drug Resources (CADRE)

This study is currently recruiting participants. (see Contacts and Locations)
Verified April 2016 by Duke University
Information provided by (Responsible Party):
Duke University Identifier:
First received: February 12, 2013
Last updated: April 12, 2016
Last verified: April 2016

February 12, 2013
April 12, 2016
February 2013
September 2017   (Final data collection date for primary outcome measure)
Change in substance use [ Time Frame: 12 months ]
Substance use information will be collected at baseline, 6, and 12 months through surveys using standardized substance use measures including the Addiction Severity Index (ASI).
Same as current
Complete list of historical versions of study NCT01791179 on Archive Site
Change in medication adherence [ Time Frame: 12 months ]
HIV medication adherence data will be collected at baseline, 6, and 12 months through surveys using standardized adherence measures in the visual analog scale and CASE adherence measure.
Same as current
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Carolina Alcohol and Drug Resources
Carolina Alcohol and Drug Resources

Substance abuse is highly prevalent among individuals with HIV and associated with negative outcomes including poorer medication adherence and HIV risk behavior. The primary aim of this project is to address substance abuse among individuals with or at high-risk for HIV by enhancing and expanding the substance abuse services provided in the formerly Substance Abuse and Mental Health Services Administration (SAMHSA) funded Carolinas Alcohol and Drug Expansion Team (CADET) program, which offered comprehensive substance abuse care for individuals with HIV living primarily in the Durham NC area. Services will be enhanced by adding peer outreach and navigation services to improve treatment engagement and participation and expanded to replicate the enhanced CADET service model in Charlotte NC.

The target population for this project is minority individuals, primarily African-Americans, with HIV or at high-risk for HIV with a particular focus on minority men who have sex with men (MSM)s. The program will provide up to 18 months of comprehensive services for approximately 315 individuals and will include: 1) peer outreach to facilitate and enhance treatment engagement 2) individual and group substance abuse treatment using evidence-based models 3) ongoing recovery groups for individuals who have completed the intensive substance abuse treatment phase and 4) linkage to needed services such as case management, psychiatric care, and HIV/Hepatitis medical care. We will also target HIV and Hepatitis C testing and treatment services for minority MSM of unknown HIV status to increase access and utilization of substance use services and identify HIV and Hepatitis status.

The study evaluation will involve analysis of participant survey data gathered at baseline, 6, 12, 18 months of study participation to determine the effect of the comprehensive substance abuse care services on outcomes for individuals with HIV including substance use, mental health, HIV treatment adherence, HIV risk behavior, and access and utilization of HIV services. The study will also determine the effect of the comprehensive substance use program on substance abuse, mental health, and risk behavior outcomes for minority MSM who are not HIV-positive.

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Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Behavioral: Comprehensive substance abuse services
Experimental: Substance Abuse Treatment Group
Intervention: Behavioral: Comprehensive substance abuse services
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*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
September 2018
September 2017   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • HIV-positive or minority MSM
  • substance abuse
  • 18 or over

Exclusion Criteria:

  • Under 18
  • cognitive impairment that would preclude participation in substance abuse treatment
Sexes Eligible for Study: All
18 Years and older   (Adult, Senior)
Contact: Susan S Reif, PhD 704 258-7111
Contact: Sara LeGrand, PhD 919 438-0448
United States
1H79TI024350-01 ( US NIH Grant/Contract Award Number )
Not Provided
Not Provided
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Duke University
Duke University
Not Provided
Principal Investigator: Susan S. Reif, PhD Duke University
Duke University
April 2016

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP