Cultural Adaptation of Contingency Management for Black Adults With Stimulant Use Disorder

Yale University

Summary

The purpose of this study is to develop a culturally adapted contingency management (CM) protocol for Black adults with stimulant use disorder.

Description

This project seeks to develop a culturally adapted Contingency Management (CM) intervention for Black adults with stimulant use disorder (StUD). CM is grounded in behavioral economics and involves the use of tangible positive reinforcements to incentivize verifiable pro-health behaviors. There has been a recent surge in fatal stimulant related drug overdoses in the Black community. Black adults in the United States have been experiencing faster rates of overdose deaths, with a rate of 49.5/100,000 in 2022 (1.4 times the rate among White Americans). A resurgence in stimulant use, contamination…

Eligibility

Age range: 18–65 years
Sex: All
Healthy volunteers: No

Detailed criteria

Inclusion Criteria: * participants must self-identify as Black/African American * DSM-5 diagnosis of stimulant use disorder in the past month (30 days) Exclusion Criteria: * individuals who are intoxicated or otherwise unable to provide consent

Interventions

Behavioral
Cultually Adapted Contingency Management (CM)
Same protocol as basic CM with adaptations incorporated. The adaption will involve the ADAPT-ITT framework and PEN-3 cultural model.
Behavioral
Basic Contingency Management (CM)
An escalating schedule of reinforcement for submitting stimulant-negative urine at each clinic visit over the course of the 12 weeks

Location

Connecticut Mental Health Center (CMHC)
New Haven, Connecticut

Cultural Adaptation of Contingency Management for Black Adults With Stimulant Use Disorder

Summary

Description

Eligibility

Interventions

Location

Compensation

Run this study?

Details

Conditions