Contingency management for opioid use disorder

  • Research type

    Research Study

  • Full title

    Mobile telephone-delivered Contingency Management (mCM) to reduce heroin use in individuals with opioid use disorder (CM4OUD)

  • IRAS ID

    343349

  • Contact name

    Carol-Ann Getty

  • Contact email

    carol-ann.getty@kcl.ac.uk

  • Sponsor organisation

    King's College London

  • Clinicaltrials.gov Identifier

    N/A, N/A

  • Duration of Study in the UK

    1 years, 11 months, 14 days

  • Research summary

    RESEARCH AIM
    This project aims to (1) develop and test a mobile telephone-delivered Contingency Management (mCM) intervention to reduce opioid use in individuals with opioid use disorder; (2) undertake a trial to determine the feasibility of a larger confirmatory trial of clinical effectiveness, and (3) investigate the dynamic interplay of psychological, environmental, contextual factors and the mCM intervention on influencing heroin use in real-time.

    BACKGROUND
    Opioid use disorder is a major public health issue. Deaths globally from opioid overdose continue to rise, exceeding 100,000 annually. Recovery from opioid use disorder is a long-term and complex process, with the average time in treatment for opiate problems around 2 years longer than for other substances. Contingency Management (CM), where positive reinforcement (i.e., rewards or incentives) is delivered upon evidence of positive behaviour change, is among the most efficacious psychosocial interventions for substance use disorder (SUD). Working alongside a digital health company, a smartphone app will be developed to remotely monitor heroin use and provide positive reinforcement for abstinence.

    DESIGN
    The study will consist of three interlinked workstreams to (1) design, develop and test a new mCM intervention, investigating the usability and functioning of the intervention (2) determine the feasibility of conducting a future confirmatory trial, and (3) investigate the dynamic interplay of psychological, environmental, contextual factors and the mCM intervention on influencing heroin use in real-time.
    We aim to recruit service users (approximately 40) undergoing opioid agonist treatment in drug treatment services. Over a 12-week period, participants will receive either (a) treatment as usual or (b) mobile telephone-delivered contingency management.

    The study is funded by The Society for the Study of Addiction (SSA), as part of the CIs Academic Fellowship.

  • REC name

    West Midlands - South Birmingham Research Ethics Committee

  • REC reference

    24/WM/0216

  • Date of REC Opinion

    24 Oct 2024

  • REC opinion

    Favourable Opinion