reSET for the Treatment of Stimulant Use in HIV Clinics: Care Optimization Supporting Treatment Adherence (COSTA)
University of Miami
Summary
The purpose of this study is to find out if reSET, an FDA authorized mobile therapeutic, is effective in treating stimulant use disorder and helping keep HIV viral load suppression stable among men who have sex with men who are living with HIV and have a stimulant use disorder.
Eligibility
- Age range
- 18–90 years
- Sex
- Male
- Healthy volunteers
- No
Inclusion Criteria: 1. Identifies as male 2. Reports past year anal intercourse with a male 3. Age 18 or older (reSET is only approved for use with adults) 4. Person living with HIV who is an AIDS Healthcare Foundation (AHF) patient at one of the four metro areas: Atlanta, Dallas/Fort Worth, Fort Lauderdale, Los Angeles 5. Screens positive for a moderate or severe stimulant use disorder in the last 3-months using the MINI 6. Reports that he is not currently in drug treatment 7. Currently has an active antiretroviral therapy prescription and reports \< 90% HIV Tx adherence on the 3-item Wilson…
Interventions
- BehavioralreSET
Participants in this group will use a mobile application that delivers treatment for substance use disorder. 31 required and 30 optional modules. Among many topics covered in the modules, some are substance use management, communication, emotion management, relationship skills, HIV/Sexually Transmitted Infections and triggers for risky sex. In the reSET app you will get the chance to earn rewards for two activities: (1) completing a module and (2) providing a negative urine drug screen in exchange for a motivational or monetary prize. You will have 12 weeks to complete as many modules as you like, about 4 modules per week. Each module takes approximately 10-15 min. Every 3-4 days you will meet with the same study team member to provide a urine drug screen from a place comfortable for you (e.g. home) which will be observed and read via Zoom.
- OtherStandard of care
Participants in this group will receive assistance connecting to an in person community-based outpatient treatment program.
Location
- University of MiamiMiami, Florida