Harm Reduction Services (HRS)
Culturally Response Integrated Harm Reduction Services for Black and Latinx People Who Use Drugs
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Ayana Jordan, MD, PhD
- Phone Number: (203) 787-8032
- Email: Ayana.Jordan@nyulangone.org
Study Locations
-
-
Connecticut
-
New Haven, Connecticut, United States, 06520
- Recruiting
- Yale University
-
Principal Investigator:
- Kimberly Sue, MD
-
-
New York
-
New York, New York, United States, 10016
- Not yet recruiting
- NYU Langone Health
-
Contact:
- Ayana Jordan, MD, PhD
- Email: Ayana.Jordan@nyulangone.org
-
Orangeburg, New York, United States, 10962
- Recruiting
- Nathan Kline Institute
-
Principal Investigator:
- Ayana Jordan, MD, PhD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 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.
Exclusion Criteria:
- 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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: IHRI
Integrated harm reduction intervention (IHRI) program tailored specifically for highly marginalized Black and Latinx people who use drugs (PWUDs).
The IHRI lasts 8 weeks in duration, with the first 4 weeks consisting of weekly education lessons provided by the IHRI care coordinator.
The subsequent 4 weeks will involve individualized identification of vulnerabilities in the social determinants of health (SDOH) for the purposes of making informed referrals to relevant partnering social service organizations.
Participants will also be exposed to service encounters through mobile vans in which staff offer information to PWUD on syringe exchange, clean user kits, naloxone use, and fentanyl strip distribution.
|
8-week program targeting areas rooted in the 8 principles of harm reduction.
Includes weekly education lessons and informed referrals to social service organizations.
|
|
No Intervention: HR SAU
Harm reduction services as usual (HR SAU).
Participants will be exposed to service encounters through the mobile vans in which staff offer information to PWUD on syringe exchange, clean user kits, naloxone use, and fentanyl strip distribution.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of Participants who Attend At least 1 Harm Reduction (HR) Session after Introductory HR Session
Time Frame: Up to Week 8
|
Measure of engagement.
|
Up to Week 8
|
|
Percentage of Participants who Attend at least 3 HR Sessions in Total
Time Frame: Up to Week 8
|
Measure of engagement.
|
Up to Week 8
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from Baseline in Number of Days of Opioid/Other Stimulant Use
Time Frame: Baseline, Week 8
|
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.
|
Baseline, Week 8
|
|
Change from Baseline in Overdose Risk Assessment Tool Score
Time Frame: Baseline, Week 8
|
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.
|
Baseline, Week 8
|
|
Change from Baseline in Brief Quality of Life Scale Score
Time Frame: Baseline, Week 8
|
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.
|
Baseline, Week 8
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Ayana Jordan, MD, PhD, NYU Langone Health
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 22-01089
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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