Depression, Hepatitis B, Hepatitis C, HIV Infections, Opioid-use Disorder, Syphilis, Tuberculosis
Conditions
Keywords
HIV, OUD, Methadone, HCV, HBV, TB, Depression, Syphilis
Brief summary
The purpose of this study is to evaluate the efficacy a Screening, Brief Intervention, and Referral to Treatment (SBIRT) program for linking opioid dependent individuals currently incarcerated or in probation in Moldova, Kyrgyzstan, and Ukraine to opioid substitution therapy in the community after release or during their probation period.
Interventions
BEHAVIORALSBIRT
First, the BI is designed to inform potential participants on the risks of substance misuse, abuse, and dependency by illustrating the potential hazards and adverse health consequences. Second, the BI aims to motivate potential participants to reduce risky behavior (e.g., continued drug use) and seek treatment for their substance dependence disorder. In our BI, we will provide evidence-based information on Opioid Agonist Therapy (OAT) that is available to them in the community upon release or in the community. We will inform them of the risks and benefits of OAT and explain to them how OAT can be accessed in the community. OAT is provided at no cost to Ukrainian, Moldovan, and Kyrgyz citizens with opioid dependence. The BI will last approximately 20 minutes and time will be made available for them to ask questions. The BI will not be audio recorded.
Sponsors
Ukrainian Institute on Public Health Policy
AFEW Kyrgyzstan
AFI - Act For Involvement
National Institute on Drug Abuse (NIDA)
Yale University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. 18 years of age or older 2. Within 180 days of release or possible release (eligible for parole) to the community, but greater than 7 days to release to the community OR currently in probation. 3. FOR THOSE IN PRISON: Relocating to a location within 30 km (approximately 60-minute commute) of the referred Narcology center. Each participant will be asked the address he/she is planning to reside under that will be immediately checked on the map to determine the travel time. A participant then will be asked if he/she would be willing to travel the distance to a particular OAT site. If a person does not meet this inclusion criterion, he/she will be referred to a local harm reduction center. 4. Meets ICD-10 screening criteria for pre-incarceration opioid dependence FOR THOSE IN PROBATION: 5. Living within 30 km of an OAT delivery site 6. Not having received OAT in the last 15 days. 7. Positive for OUD
Exclusion criteria
1. Pregnant or may become pregnant 2. FOR THOSE IN PRISON: Will be released from prison in 7 days or less.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Enrollment on OAT | 12 months | Total number of participants who enroll on OAT divided by the number of participants who underwent study procedures, per country. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| OAT Difficulty | 6 months | Overall mean change in composite score of difficulty in initiating OAT pre vs post intervention stratified by study groups (enrolled vs not en rolled on OAT) at the 6-month mark. |
| OAT Knowledge | 6 month | Overall mean change in composite score of knowledge of OAT pre vs post intervention stratified by study groups (enrolled vs not en rolled on OAT) at the 6-month mark. |
| OAT Attitudes | 6 months | Overall mean change in composite score of attitudes towards OAT pre vs post intervention stratified by study groups (enrolled vs not en rolled on OAT) at the 6-month mark. |
| Interest in OAT | 6 months | Overall mean change in composite score of interest in initiating OAT pre vs post intervention stratified by study groups (enrolled vs not en rolled on OAT) at the 6-month mark. |
| OAT Importance | 6 months | Overall mean change in composite score of importance of initiating OAT pre vs post intervention stratified by study groups (enrolled vs not en rolled on OAT) at the 6-month mark. |
Countries
Kyrgyzstan, Moldova, Ukraine
Outcome results
None listed