About this trial
Buprenorphine, a medication for opioid use disorder (MOUD), is associated with decreased opioid overdose and all-cause mortality. Treatment outcomes improve if patients remain on MOUD for at least six months, a period recommended by expert guidelines, although most studies report retention on MOUD of 50-65% at 3-6 months. Psychosocial interventions have the potential to improve MOUD treatment retention particularly when applied in combination in efficient delivery systems.
The objective of this study is to develop an effective and efficient multicomponent intervention to increase buprenorphine retention at 6 months through an optimization trial.
Eligibility criteria
Qualifiers
18 years of age or older
Meet DSM V criteria for opioid use disorder during the past year
Be a patient in Office Based Addiction Treatment who has initiated buprenorphine in the last 30 days AND has had no use of prescribed buprenorphine in the 7 days before the current treatment episode AND has not received long-acting injectable buprenorphine in the 6 weeks before the current treatment episodes OR Be a person within the first 30 days of release from a carceral setting who is taking any formulation of buprenorphine for their OUD and who is within their first 30 days of intake at OBAT.
Be willing to provide informed consent, be randomized, and complete study materials
Disqualifiers
None
Trial design
Treatments tested in this trial
- Behavioral Activation (BA)
- Attendance Reinforcement (AR)
- Peer-Delivered Motivational Interviewing (PDMI)
Treatment groups
8
Treatment groupsSee each treatment group below.
Locations
Sponsors and collaborators
Boston University
Lead sponsor
National Institute on Drug Abuse (NIDA)
Collaborator