Drug Overdose
Conditions
Brief summary
The purpose of this study is to test a social intervention focused on overdose prevention and care. In the investigators prior work, the investigators have shown that people who use opioids (PWUO) can be effective peer educators (PEs).
Detailed description
The purpose of this study is to test a social intervention focused on overdose prevention and care. In the investigators prior work, the investigators have shown that people who use opioids (PWUO) can be effective peer educators (PEs). The investigators have utilized PEs for overdose prevention in interventions that have focused on training network members who use drugs to respond to an overdose. Yet, many overdoses are witnessed by people who do not use drugs. Additionally, many PWUO report using drugs at home and living with someone who does not use drugs, which highlights the importance of training non-using network members on overdose response. Based on pilot data, the investigators propose expanding an overdose peer education intervention to focus on non-using network members. The intervention seeks to prepare network members to respond to an overdose and normalize discussions about overdose prevention planning between index PWUO and non-using network members. The intervention condition consists of 3 individual sessions focused on overdose prevention and response. This condition is designed to train index study participants to be Peer Educators. In addition to the three sessions, the non-drug using network member will be offered one session. The control condition is only 1 session focused on overdose prevention and response. Both intervention and control participants will invite social network members to take part in data collection activities
Interventions
BEHAVIORALNetwork overdose prevention
Participants are taught overdose prevention methods with network members.
BEHAVIORALStandard of care health education
Participants will receive the standard of care for overdose prevention.
Sponsors
Johns Hopkins Bloomberg School of Public Health
National Institute on Drug Abuse (NIDA)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Masking description
Both groups receive overdose prevention training
Intervention model description
a standard two-group clinical trial, one group is the experimental, the other the control
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* self-reported illicit opioid use at least 2 times in the past two weeks; * age 18 and older; * living in the Baltimore metropolitan region; * willing to engage in peer education; and * having and willing to recruit at least one non-using network member.
Exclusion criteria
Participants without the cognitive ability to provide informed consent and have the physical ability to participate in in-person intervention sessions.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of drug overdoses | 3-months | Number of drug overdoses in prior three months |
| Participant drug use | 3-months | Proportion of times participants tested positive for drugs of fentanyl and xylazine using test strips in the prior 3 months. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Network member contacts | 3-months | Number of network members talked to about overdose prevention in prior 3 months |
Countries
United States
Contacts
CONTACTCarl Latkin, PhD
PRINCIPAL_INVESTIGATORCarl Latkin, PhD
Johns Hopkins University
Outcome results
None listed