Behavioral Drug and HIV Risk Reduction Counseling in Methadone Patients in China

Study Overview
=================
Brief Summary
-----------------
A randomized clinical trial evaluating the reduction of HIV risk behaviors and drug use when providing integrated behavioral drug and HIV risk reduction counseling (BDRC) along with methadone maintenance treatment in Wuhan, China

Detailed Description
-----------------
This project is a supplement to a parent grant, Drug Counseling and Abstinence-Contingent Take-Home Buprenorphine in Malaysia. The specific aims of the parent grant include evaluating whether the relatively minimal counseling and other services provided with standard buprenorphine maintenance treatment (Standard BUP) is sufficient or whether one or a combination of two enhanced behavioral treatments--behavioral drug and HIV risk reduction counseling (BDRC) or abstinence-contingent take-home buprenorphine (ACB)-improve its efficacy (Specific Aim 1) and are cost-effective, with regard to the direct economic costs of providing the treatments (Specific Aim 2) and also to provide training and mentoring in drug abuse treatment and HIV prevention research to clinical researchers and clinical training for health professionals in Malaysia (Specific Aim 4). BDRC utilizes short-term behavioral contracts to promote abstinence and reduce drug- and sex-related HIV risk behaviors and can be provided by nurses and medical assistants available in medical settings in developing countries. The specific aims of the proposed study are consistent with the specific aims of the parent grant and include evaluating in a pilot, randomized clinical trial in a methadone treatment program in Wuhan, China, the feasibility and potential efficacy for reducing illicit drug use and HIV risk behaviors of BDRC when combined with standard methadone treatment services (Standard Methadone) compared to Standard Methadone only (Specific Aim 1 of the proposed study). Additional Specific Aims of the proposed study include developing estimates of the treatment costs and cost-effectiveness of Standard Methadone and BDRC (Specific Aim 2 of the proposes study), and providing training and mentoring in drug abuse treatment and HIV prevention research to clinical researchers an clinical training for health professionals in China (Specific Aim 3 of the proposed study). Specific aims of the China project: Conduct a preliminary evaluation of the feasibility, acceptability, and preliminary efficacy for increasing treatment retention and reducing drug use and HIV risk behaviors of Behavioral Drug and HIV Risk Reduction Counseling (BDRC) when combined with Standard Methadone, in comparison to Standard Methadone, among opiate dependent treatment seeking volunteers admitted to the Wuhan Methadone Clinic. Develop estimates of the costs and cost-effectiveness of Standard Methadone and BDRC. Train and provide ongoing clinical supervision to a core group of 10 drug counseling staff and provide additional mentoring in drug abuse and HIV risk reduction research to investigators in China.

Official Title
-----------------
Behavioral Drug and HIV Risk Reduction Counseling in Methadone Patients in China

Conditions
-----------------
Opiate Dependence, HIV Infections

Intervention / Treatment
-----------------
* Behavioral: Behavioral Drug and HIV Risk Reduction Counseling (BDRC)
* Behavioral: Drug counseling


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: opioid dependence Exclusion Criteria: current dependence on alcohol, benzodiazepines or sedatives current suicide or homicide risk current psychotic disorder or untreated major depression life-threatening or unstable medical problems

Ages Eligible for Study
-----------------
Minimum Age: 20 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: A<br>Methadone maintenance treatment with Behavioral Drug and HIV Risk Reduction Counseling (BDRC) | Behavioral: Behavioral Drug and HIV Risk Reduction Counseling (BDRC)<br>* once weekly individual counseling<br>|
| Active Comparator: B<br>Methadone maintenance treatment with standard drug counseling | Behavioral: Drug counseling<br>* individual drug counseling<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reductions of illicit opiate use |  | 6 months | 
| Reductions in HIV risk behaviors |  | 6 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
drug counseling, HIV risks, methadone maintenance, HIV Seronegativity