SMART Trial: Intrapersonal and Interpersonal Stigma Reduction

University of Tennessee

Status and phase: Completed; Phase 2

Conditions: Opioid-use Disorder; Substance Use Disorders; Opioid Use; Stigma, Social

Treatments: Other: Interpersonal Stigma Reduction; Other: Intrapersonal Stigma Reduction

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT04693416

3R61AT010604-01S1 (U.S. NIH Grant/Contract)

20-07852

Details and patient eligibility

About

The goal of this project is to develop a multicomponent stigma reduction intervention to address intrapersonal (individual) stigma regarding Opioid Use Disorder (OUD). The intervention will address this cost/benefit evaluation among individuals known to face intersecting stigma of OUD and African American race, with treatment elements chosen explicitly to increase the value of treatment using salient forms of reward, and to ease perceived costs through explicit services in an effort to encourage the occurrence of the first treatment visit for OUD.

Enrollment: 71 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 18 years of age or older
• Identify as African American, Black, or mixed race
• Identify as someone with a substance use disorder who is not currently in treatment OR a support person of someone enrolled
• Access to a telephone for follow-up assessment
• Reside in the Memphis, TN area

Exclusion criteria

• Unable to understand consent procedures

Trial design

Primary purpose: Supportive Care

Allocation: Non-Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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71 participants in 2 patient groups

Intrapersonal Stigma Reduction

Experimental group

Description:

The intervention will include education about substance use disorders (diagnosis, prognosis, and treatment), goal setting to assist the individual in preparing for change, and decisional balance to assist the individual in measuring the costs and benefits about disclosure of mental health problems and exercises to practice how to disclose. Facilitation of an intake assessment for treatment will be offered (with assistance in making the appointment, getting transportation and childcare, and securing a pro-bono status at a outpatient treatment facility).

Treatment:

Other: Intrapersonal Stigma Reduction

Interpersonal Stigma Reduction

Experimental group

Description:

The intervention for family members and support persons of enrolled intrapersonal participants will include education about substance use disorders (diagnosis, prognosis, and treatment), stigma reduction, and how to provide support for someone with substance use disorder.

Treatment:

Other: Interpersonal Stigma Reduction