About this trial
The purpose of this study is to assess whether an integrated harm reduction intervention (IHRI), compared to harm reduction (HR) services as usual, will improve harm reduction service utilization among Black and Latinx people who use drugs (PWUD).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
at least 18 years of age
self-identified as misusing opioids +/- other substances (stimulants) in the past 30 days, confirmed by interview using DSM-5 criteria
English or Spanish speaking
able to provide informed consent.
Disqualifiers
inability to provide informed consent or participate in the study procedures as proposed in the consent
active suicidal or homicidal ideation or an unstable psychotic disorder (schizophrenia, schizoaffective disorder) or mood disorder (bipolar disorder, severe major depressive disorder)
an unwillingness to be randomized.
are prisoners
Trial design
Parallel
Treatments tested in this trial
Integrated Harm Reduction Intervention (IHRI)
Behavioral8-week program targeting areas rooted in the 8 principles of harm reduction. Includes weekly education lessons and informed referrals to social service organizations.
Treatment groups
Trial outcomes
Primary outcomes
Percentage of Participants who Attend At least 1 Harm Reduction (HR) Session after Introductory HR Session
Measure of engagement.
Percentage of Participants who Attend at least 3 HR Sessions in Total
Measure of engagement.
Secondary outcomes
Change from Baseline in Number of Days of Opioid/Other Stimulant Use
Number of days of opioid/other stimulant use will be calculated using the timeline follow back method, which asks participants to estimate how many days over the previous 30 days that they used opioids/other stimulants.
Change from Baseline in Overdose Risk Assessment Tool Score
20-item assessment of overdose risk. Each item prompts a "Yes" or "No" response. If the response is "Yes," a score is assigned for that item. If the answer is "No," no score is assigned for that item. The total score is the sum of responses and ranges from 0 to 42; lower scores indicate low risk, higher scores indicate higher risk. A decrease in scores indicates risk of overdose decreased during the observatioN period.
Change from Baseline in Brief Quality of Life Scale Score
12-item assessment of quality of life. Each item is ranked on a 5-point Likert scale ranging from 0 (do not agree at all) to 4 (agree completely). The total score is the sum of responses and ranges from 0 to 48; higher scores indicate higher quality of life. An increase in scores indicates quality of life increased during the observation period.
Sponsors and contacts
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NYU Langone Health
Lead sponsor
National Institute of General Medical Sciences (NIGMS)
Collaborator