Reentry Incentives for Opioid Use Disorder

(RISE-CM Trial)

CD
LP
Overseen ByLinda Peng, MD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Oregon Health and Science University
Must be taking: MOUD
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

People leaving jail face a very high risk of overdose, especially in the first few weeks after release. Staying on medication for opioid use disorder (MOUD) can greatly reduce this risk, but many people stop treatment during this transition. This study is testing whether a program that offers rewards, called contingency management (CM), can help people stay on MOUD after they return to the community.

In this study, people who are taking MOUD in jail can choose to participate. While still incarcerated, they complete one visit where they may receive a small incentive, such as commissary credit or snacks, for enrolling in the CM program. After they leave jail, participants can earn gift cards when they attend their MOUD appointments and counseling sessions.

Participants may take part in the study for up to three months after release. During this time, they can earn up to $600 in incentives based on their treatment engagement. Researchers will also ask participants to complete a baseline survey and a survey at 3 months. We will also review medical records to confirm whether they continued their MOUD.

The researchers want to learn whether this adapted contingency management program is feasible, acceptable to participants, and helpful for supporting treatment engagement after release from jail. The findings will help determine whether this approach should be tested in a larger study to reduce overdose risk and improve health during the post-release period.

Who Is on the Research Team?

LP

Linda Peng, MD

Principal Investigator

Oregon Health and Science University

Are You a Good Fit for This Trial?

This trial is for English-speaking adults over 18 who are currently in Clatsop County Jail, enrolled in the jail's medication program for opioid use disorder (MOUD), and plan to continue MOUD after release with Clatsop Behavioral Healthcare.

Inclusion Criteria

I am currently enrolled in the jail's medication-assisted treatment program.
I plan to continue my medication-assisted treatment after release.
I am an adult over 18 years old and currently incarcerated at Clatsop County Jail.
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1 visit
1 visit (in-person)

Incarceration Phase

Participants complete one visit while incarcerated, receiving a small incentive for enrolling in the CM program

Duration not specified
1 visit (in-person)

Post-Release Treatment

Participants earn gift cards for attending MOUD appointments and counseling sessions after release

3 months
Multiple visits (in-person and virtual)

Follow-up

Participants are monitored for treatment engagement and completion of surveys at baseline and 3 months

3 months
2 visits (in-person or virtual)

What Are the Treatments Tested in This Trial?

Interventions

  • Reentry Incentives and Support for Engagement with Contingency Management (RISE-CM) Intervention

Trial Overview

The study tests a contingency management program offering incentives like commissary credit or gift cards to encourage people on MOUD to attend their appointments and counseling sessions after leaving jail, aiming to reduce overdose risk.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: RISE-CM InterventionExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Oregon Health and Science University

Lead Sponsor

Trials
1,024
Recruited
7,420,000+

Clatsop Behavioral Healthcare

Collaborator

Oregon Health Authority

Collaborator

Trials
4
Recruited
24,100+

Clatsop County Corrections

Collaborator