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SIRI Checklist + Peer Coaching for HIV Prevention in Opioid Users (SHAPE Trial)

N/A

Recruiting

Research Sponsored by University of Alabama at Birmingham

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Be older than 18 years old

Timeline

Screening 3 weeks

Treatment Varies

Follow Up from enrollment to 3 month post-enrollment

Awards & highlights

No Placebo-Only Group

Summary

This trial will develop and test a checklist to increase evidence-based treatment for rural people who use drugs, including long-acting injectable agents. The hypothesis is that hospital-based care models can successfully engage rural people in effective addiction treatment and infection prevention, which is foundational to Ending the HIV epidemic in rural states.

Who is the study for?

This trial is for individuals over 18 with opioid use disorder who are HIV negative and have serious injection-related infections. They must be receiving care at UAB Hospital and able to give informed consent, not excluded due to acute illness or intoxication.

What is being tested?

The study is testing a SIRI Checklist alone, an Enhanced Peer Recovery Coach alone, and the combination of both interventions. The goal is to improve addiction treatment and prevent infections in rural drug users by using hospital-based care models.

What are the potential side effects?

Since this trial focuses on behavioral interventions rather than medications, traditional side effects are not applicable. However, participants may experience emotional discomfort or stress during recovery coaching sessions.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ enrollment until 3 months post-enrollment.

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~enrollment until 3 months post-enrollment.

This trial's timeline: 3 weeks for screening, Varies for treatment, and enrollment until 3 months post-enrollment. for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Acceptability Assessment

Feasibility Assessment

Secondary study objectives

Number of outpatient visit(s)attended related to HIV and/or addiction services following hospitalization.

Number of prescription for medications for opioid use disorder (MOUD)

Number of prescriptions for PrEP (pre-exposure prophylaxis)

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

4Treatment groups

Experimental Treatment

Active Control

Group I: SIRI Checklist + Enhanced Peer Recovery CoachExperimental Treatment1 Intervention

A standardized checklist of clinical items to review by the attending hospitalist with participants. Participants will receive the addiction medicine protocol plus peer recovery coaching beginning while hospitalized and continuing for up to 1 month after randomization. As part of this study, Peer recovery coaches will initiate contact with patients weekly in person during the hospitalization and at the time of hospital discharge. The enhanced part of the peer coach is the post-hospital follow-up. Following discharge, contact will continue weekly in person, by phone, and/or via text messaging based on the participant's preferences for 1 month.

Group II: SIRI ChecklistExperimental Treatment1 Intervention

A standardized checklist of clinical items to review by the attending hospitalist with participants.

Group III: Enhanced Peer Recovery CoachExperimental Treatment1 Intervention

Participants will receive the addiction medicine protocol plus peer recovery coaching beginning while hospitalized and continuing for up to 1 month after randomization. As part of this study, Peer recovery coaches will initiate contact with patients weekly in person during the hospitalization and at the time of hospital discharge. The enhanced part of the peer coach is the post-hospital follow-up. Following discharge, contact will continue weekly in person, by phone, and/or via text messaging based on the participant's preferences for 1 month.

Group IV: Standard of CareActive Control1 Intervention

Participants will receive the stand hospital care while in-patient.

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