Michael Incze
The purpose of this study is to evaluate the feasibility and preliminary effectiveness of increasing control over stimulant use and physical health through incentivized rehabilitation (INSPIRE). INSPIRE is a 12-week remotely-delivered collaborative care intervention for rural patients with Methamphetamine-Associated Heart Failure (Me-HF) or Methamphetamine-Associated Pulmonary Arterial Hypertension (Me-PAH) featuring smartphone-based contingency management incentivizing participation in remote synchronous rehabilitation.
Inclusion Criteria: * Active methamphetamine use determined by positive urine drug testing within the past 3 months and/or self-reported current use * Current diagnosis of chronic heart failure or pulmonary hypertension documented in the electronic health record * Possession of a smartphone * Able to participate in virtual exercise rehabilitation Exclusion Criteria: * Currently incarcerated * Unable to interact with smartphone app and/or virtual health coaching sessions in English * Unstable arrhythmia, defined as any known arrhythmia that is associated with hemodynamic effects like syncope…
Standard medical care plus a 12-week program featuring collaborative care and app-based contingency management incentivizing participation in remotely-delivered synchronous exercise rehabilitation sessions
Standard care services routinely available at the University of Utah Health, including specialty cardiology, pulmonology and addiction care and in-person cardiac and pulmonary rehabilitation services
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