[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"leadSponsorName\":\"Fairleigh Dickinson University\",\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:":44},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":30,"overallStatus":32,"whyStopped":4,"lastUpdateSubmitDate":33,"lastUpdatePostDateStruct":34,"startDateStruct":37,"completionDateStruct":39,"leadSponsor":41,"locationsCount":5},"100584476","worth-paths-intervention-100584476",false,"NCT06889831","WORTH Paths Intervention","Adaptation of a Digital Group-Based Intervention to Reduce Drug Use and Increase Contraceptive Use Among Reproductive-Aged Women Involved in Criminal Justice Systems","Inclusion Criteria:\n\n* Female sex at birth\n* Aged 18-44 years\n* Past year criminal legal involvement (e.g., incarceration or community supervision)\n* Meets criteria for current substance use disorder (SUD) as defined by DSM-5 and assessed by the Mini-International Neuropsychiatric Interview (MINI)\n* Meets criteria for unmet need for contraception (capable of pregnancy, sexually active, does not want to become pregnant within the next year, but is currently not using contraception)\n* Able to read, write, and speak English\n* Willing and able to provide informed consent\n\nExclusion Criteria:\n\n* Currently pregnant or actively trying to conceive\n* Diagnosed infertility (e.g., menopause, tubal ligation, hysterectomy)\n* Unable to provide informed consent due to significant cognitive impairment, mental health condition, or substance intoxication\n* Unable or unwilling to meet study requirements (e.g., attend sessions, complete assessments)","FEMALE","18 Years","44 Years",{"count":20,"type":21},50,"ESTIMATED","INTERVENTIONAL",[24],"NA","Women in the criminal legal system are more likely to experience substance use disorders and unintended pregnancy than women in the general public. However, they often face barriers to accessing substance use treatment and sexual and reproductive health services.\n\nThis study tests the feasibility and acceptability of Women on the Road to Health (WORTH) Promoting Access to Treatment, Health, and Support (Paths), a digital intervention adapted from the evidence-based CDC Best Practice HIV prevention intervention, Women on the Road to Health (WORTH), originally developed at Columbia University School of Social Work. WORTH Paths is designed to help reproductive-aged women in the criminal legal system with substance use disorders and unmet need for contraception reduce drug use and improve contraceptive use.\n\nParticipants (N=50) will be randomly assigned to one of two groups:\n\nWORTH Paths Intervention Group - Participants will attend three virtual group sessions with facilitated videoconference sessions and self-paced digital activities focused on reducing drug use and increasing contraceptive use. They will also receive guidance on how to access and navigate health services.\n\nControl Group - Participants will receive a virtual general wellness program that includes education on substance use and sexual and reproductive health but does not include skills-based training related to these topics. The focus will be on general wellness and stress reduction.\n\nBoth groups will receive resources for substance use treatment and sexual and reproductive health services.\n\nResearchers will track changes in drug use and contraceptive use over three months. Participants will complete surveys and provide urine samples to confirm changes in drug use.\n\nPrimary aims:\n\nFeasibility: Measured by session attendance, treatment completion, dropouts, and reasons for termination.\n\nAcceptability: Measured by participant ease of use, helpfulness, and satisfaction.\n\nPrimary behavioral outcomes:\n\nSelf-reported drug use confirmed by urine drug tests. Contraceptive use, including initiation and consistent use.\n\nSecondary behavioral outcome:\n\nLinkage to substance use disorder treatment (measured by appointments made and sessions attended).",[27,28,29],"Substance Use Disorder (SUD)","Sexual and Reproductive Health","Sexual Risk Behavior",[31],"substance use disorder","RECRUITING","2026-05-05",{"date":35,"type":36},"2026-05-06","ACTUAL",{"date":38,"type":36},"2025-08-12",{"date":40,"type":21},"2026-12-01",{"name":42,"class":43},"Fairleigh Dickinson University","OTHER",""]