Evaluation of a community-based education, navigation, and support (CENS) intervention to reduce opioid-related harms among military veterans

Active Project Grant Awarded Last action

Award ID
R01DA052426
Recipient
Awarding agency
Obligated
$6,186,033

Award facts

Assistance listing
93.279 Drug Use and Addiction Research Programs
Completion date 87% complete
Originally
Funding
  • $5,470,188.00 Federal
  • $715,845.00 Non-federal
Place of performance
New York, NY 10012, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
Military veterans in the U.S. Represent one of the populations most disproportionately impacted by the current opioid crisis. With historically high rates of injury and opioid analgesic use to treat chronic pain, veterans were widely prescribed opioids (often in conjunction with benzodiazepines) during the early years of the epidemic, and have been at elevated risk of opioid-related overdose and HIV/HCV infection since. Further, current data on opioid-related harms affecting veterans are likely to understate the severity of the situation, as most studies of veterans focus on the less than 50% of veterans who use VA healthcare facilities. Veterans who use opioids and are not connected to the VA healthcare system have high rates of homelessness and experience higher prevalence of comorbid substance use disorder and mental health diagnoses than their "service-connected" counterparts. Due to these vulnerabilities and the observed barriers to testing and treatment among veterans- especially substance- and mental health-related stigma, drug naivete, and limited support networks-veterans who use opioids represent a critical target for interventions designed to mitigate overdose and HIV/HCV risk behaviors. For socially isolated veterans and veterans with limited access to healthcare, programs that work outside of formal healthcare institutions and agencies are desperately needed. This application proposes to advance scientific understanding of the most potent and efficient way to prevent opioid-related harms among veterans by achieving the following aims: 1) evaluate the effectiveness of a peer-delivered, community-based education, navigation and support (CENS) intervention to reduce opioid-related risk behaviors; 2) examine factors that mediate (e.g., knowledge, self-efficacy, self-stigma) and moderate (e.g., mental health, pain/OUD severity, age) intervention effectiveness; and 3) explore intervention participants' and peer outreach staff perspectives on implementation as well as barriers to and facilitators of intervention effectiveness. The proposed intervention will be delivered by three veteran peer outreach workers-one dedicated to each of the three main intervention components (education, navigation, and support). The study will recruit 300 veterans with opioid use disorder to participate in a randomized controlled trial. The CENS intervention will engage 150 participants in ongoing educational sessions, healthcare and treatment navigation, and social support (involving both one-on-one and group social integration protocols) designed to improve self-efficacy, reduce self-stigma, increase service and healthcare utilization, and bolster knowledge. This study stands to contribute a timely, culturally-tailored innovation to overdose and HIV/HCV prevention-as-usual that, informed by the theory of triadic influence, directly confronts the social, intrapersonal, and structural-level barriers to opioid- related risk reduction among veterans. Study findings will be of great interest to community-based and civic healthcare organizations that provide overdose and HIV/HCV risk reduction outreach, as well as to agencies committed to improving healthcare engagement among veterans.

Transactions

Action Federal Non-federal Date
Amendment $0 $0
Amendment $620,729 $0
Amendment $668,607 $0
Amendment $681,050 $0
Amendment $681,050 $0
Amendment $693,531 $0
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Amendment $693,531 $0
Amendment $0 $0
Amendment $715,845 $0
Original award $715,845 $715,845
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Subawards

Subrecipient Amount Awarded
Research Foundation Of The City University Of New York In her role as Co-Investigator on the proposed study, Dr. Guarino will advise the investigative team on intervention delivery and evaluation, including the… $85,145
Veterans Health Research Institute Of Central New York, Inc. Dr. Britton is a New York State-licensed clinical psychologist and a VA researcher with expertise in suicide and crisis management who has studied mental health… $113,352

Quick answers

Who received award R01DA052426?

R01DA052426 was awarded to New York University by National Institute on Drug Abuse (National Institutes of Health) on September 30, 2021.

How much is award R01DA052426 worth?

$6,186,033 has been obligated on R01DA052426: $5,470,188 in federal funding and $715,845 in non-federal funding.

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