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Behavioral Activation for Substance Use Among People Who Inject Drugs

Award Number: F31DA049457
ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: FELLOWSHIP/SCHOLARSHIP/STUDENT LOANS
PERIOD OF PERFORMANCE START DATE: 09/01/2019
PERIOD OF PERFORMANCE END DATE: 08/31/2022

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Behavioral Activation for Substance Use Among People Who Inject Drugs - PROJECT SUMMARY People who inject drugs (PWID) experience some of the greatest addiction-related harms and yet are under- represented in substance use treatment. A number of individual and structural barriers have been shown to prevent PWID from engaging in treatment. Many of these barriers can be reduced by low-threshold treatment approaches, but there has been very little research evaluating low-threshold treatments for PWID, especially treatments that target the mechanisms driving problematic drug use. The proposed study seeks to extend ongoing research of a behavioral addiction intervention, Behavioral Activation (BA) for substance use, by offering BA as a low-threshold intervention to non-treatment-seeking PWID. BA has demonstrated efficacy as a supplement to traditional substance use treatment, but it may also be a particularly appropriate therapy for non-treatment-seeking PWID because it targets environmental reward deficits, which are thought to be a driver of substance use, and it aims to bolster motivation for recovery by increasing engagement in value based substance-free activities. Additionally, it has high potential for cost-effective dissemination through support workers without formal training in psychotherapy, making it a very practical approach for reaching underserved substance users. The proposed study has three aims. Aim 1 will examine the feasibility and acceptability of BA for non-treatment-seeking PWID recruited from a syringe exchange program (SEP). Aim 2 will focus on developing and piloting the treatment manual through an iterative process. Aim 3 will examine the preliminary efficacy of the treatment from baseline to a 1 month follow-up using a small randomized controlled trial. This study would be the first to examine the use of this treatment in a sample of out-of-treatment substance users. If effective, this treatment approach could be implemented in community-based settings where PWID already access services, such as SEPs. This would fill an important gap in services for high-risk substance users, especially those who are interested in receiving help but are not ready to enroll in traditional substance use treatment.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = -$5,970 )
2023	2021	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Drug Use and Addiction Research Programs	000	3	6/20/2023	NON-COMPETING CONTINUATION	-$5,970
														Subtotal = -$5,970

Issue Date FY: 2021 ( Subtotal = $37,765 )
2021	2021	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Drug Use and Addiction Research Programs	000	3	8/18/2021	NON-COMPETING CONTINUATION	$37,765
														Subtotal = $37,765

Issue Date FY: 2020 ( Subtotal = $37,249 )
2020	2020	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Drug Use and Addiction Research Programs	000	2	8/11/2020	NON-COMPETING CONTINUATION	$37,249
														Subtotal = $37,249

Issue Date FY: 2019 ( Subtotal = $36,745 )
2019	2019	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Drug Use and Addiction Research Programs	000	1	7/24/2019	NEW	$36,745
2019	2019	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Drug Use and Addiction Research Programs	001	1	7/24/2019	NEW	$0
														Subtotal = $36,745

Grand Total All Awards = $105,789

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Behavioral Activation for Substance Use Among People Who Inject Drugs

Award Number: F31DA049457

ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: FELLOWSHIP/SCHOLARSHIP/STUDENT LOANS

PERIOD OF PERFORMANCE START DATE: 09/01/2019

PERIOD OF PERFORMANCE END DATE: 08/31/2022

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