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
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
- BehavioralCultually 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.
- BehavioralBasic 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