Peer Engagement in Methamphetamine Harm-Reduction With Contingency Management (PEER-CM)

Last updated: January 13, 2025
Sponsor: Oregon Health and Science University
Overall Status: Active - Recruiting

Phase

N/A

Condition

Stimulant Use Disorder

Treatment

Peer Contingency Management

Standard of Care Contingency Management

Clinical Study ID

NCT05700994
PEER-CM
  • Ages 18-105
  • All Genders

Study Summary

The main goal of this study is to tests the effect of incentivizing achievement of self-identified, personal harm reduction goals (Contingency management or CM) compared with standard of care (peer harm reduction service with incentives for peer visits) to increase the reach and effectiveness of methamphetamine (MA) harm reduction services.

Eligibility Criteria

Inclusion

Inclusion Criteria:

This intervention is at the site level. Community-based organization sites are eligible if they:

  • Use peer support specialists to provide direct outreach and harm reduction servicesto people who use drugs

  • Are willing to be trained in the two strategies for peer-facilitated contingencymanagement

Clients who:

  • Age 18 and older

  • Any stimulant (methamphetamine, cocaine) use in the past 30 days

  • Willing to accept peer services

  • Willing to complete initial and follow-up assessments with peer

  • Able to communicate in English or Spanish

Exclusion

Exclusion Criteria:

Community-based organization sites who:

  • Do not use peer support specialists to provide direct outreach and harm reductionservices to people who use drugs

  • Are not willing to be trained in the two strategies for peer-facilitated contingencymanagement

Clients who:

• Present any danger or threat of violence to peers

Study Design

Total Participants: 1800
Treatment Group(s): 2
Primary Treatment: Peer Contingency Management
Phase:
Study Start date:
November 13, 2023
Estimated Completion Date:
September 30, 2026

Study Description

Using a hybrid type 1 effectiveness-implementation framework and stepped-wedge design, this study will randomize eighteen community-based peer harm reduction sites to provide contingency management incentives for achieving self-identified harm reduction goals set with peer specialists using a participant-driven harm reduction goal-setting process (e.g. completing overdose prevention and supply training, daily life goals, treatment and care goals, relationship and social support goals) versus standard of care contingency management (i.e. incentives for peer encounter attendance).

Connect with a study center

  • Comagine Health

    Portland, Oregon 97232
    United States

    Active - Recruiting

  • Oregon Health & Science University

    Portland, Oregon 97239
    United States

    Active - Recruiting

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