Treating Polysubstance Use Using a Novel Digital Technology (POLY)
Opioid Use, Opioid Use Disorder, Cocaine Use
About this trial
This is an interventional treatment trial for Opioid Use focused on measuring methadone, telehealth, mHealth, medications for opioid use disorder (MOUD)
Eligibility Criteria
Inclusion Criteria: Age 18 or older Cocaine use (self-reported in the past 30 days) Willing and able to provide informed consent Exclusion Criteria: Severe psychiatric disorders On home detention Visual impairment that would make the use of the phone app impractical Living arrangement that currently restricts phone access
Sites / Locations
- Friends Research Institute, Inc. Office Building
- Friends Research Institute, Inc. Central OfficeRecruiting
- Glenwood Life Counseling CenterRecruiting
- Institutes for Behavior ResourcesRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Methadone Treatment-as-Usual
DynamiCare Plus Methadone Treatment-as-Usual
Participants randomized to the Methadone Treatment-as-Usual (TAU) Condition will receive treatment-as-usual at the community methadone clinics, which will include daily medication, individual and group addiction counseling, and outpatient or intensive outpatient behavioral health services, depending on the clinic and the needs of the patient. After randomization into the TAU arm, participants will complete the program's psychosocial and medical intake, methadone dose induction and adjustment, and provide urine tests and receive medication take-homes per the program's policies and methadone treatment regulations.
DynamiCare Plus Methadone Treatment-as-Usual (DCM+TAU) participants will receive the same services as TAU participants, plus access to the DynamiCare Health smartphone app for 48 weeks. After randomization, the research assistant (RA) will download the DynamiCare Health app onto their smart phone (or provide them with a smartphone with the app already installed). Participants will get oral fluid testing kits and a Next Step debit card. Participants will be trained in use of the app and oral fluid test kits and will practice until they can produce two valid tests in a row without aid of the research staff. Participants will earn $40 for successful completion of the orientation and training. DCM+TAU participants will then use the app to complete remote random drug screenings, prove attendance to appointments and medication pickups, interact with modules designed to improve substance use reductions, and other treatment-related activities.