Adaption of the stair-NT trauma intervention for polysubstance populations

Ended Project Grant Awarded Last action

Award ID
R34DA057678
Recipient
Awarding agency
Obligated
$1,446,310

Award facts

Assistance listing
93.279 Drug Use and Addiction Research Programs
Completion date
Originally
Place of performance
New York, USA

Award details come from USAspending.gov.

Description

Abstract
The purpose of this timely and significant R34 proposal is to adapt an evidence-based posttraumatic stress disorder (PTSD) intervention for use among a polysubstance population receiving treatment for opioid use disorder in a methadone maintenance treatment (MMT) program. Polysubstance use of high-risk combinations, such as illicit opioids and stimulants, is a critical public health issue. Individuals who engage in these high-risk combinations are more likely to have histories of childhood trauma, multiple traumas, PTSD, and greater PTSD severity as compared to mono-substance using individuals. Trauma, CO-morbid mental health disorders such as PTSD, and polysubstance use complicate treatment outcomes. This innovative pilot will use three aims to adapt an existing evidence-based PTSD intervention, skills training in affective and interpersonal regulation with narrative therapy (STAIR-NT), via a massed treatment model (i.e., condensed treatment schedule) for patients in MMT who are engaged in illicit opioid-stimulant polysubstance use. The following aims are proposed: (1) to adapt the evidence-based intervention STAIR-NT for polysubstance use populations informed by the adapt-ITT framework, (2) to assess the feasibility and acceptability of the provisionally adapted STAIR-NT via an open pilot (N=10) to inform further adaptations, and (3) to conduct a small-scale randomized control pilot using the adapted intervention to examine implementation (i.e., feasibility and acceptability) and short-term polysubstance use and PTSD symptomology outcomes among MMT patients who are engaged in illicit opioid-stimulant polysubstance use. Completion of study aims will result in a fully adapted protocol for use in a multi-site randomized trial of the adapted STAIR-NT approach. The long-term goal of this research is to improve the health and treatment outcomes of populations who engage in high-risk polysubstance use through complementary layering of trauma-informed evidence-based interventions in opioid treatment programs.

Transactions

Action Obligated Date
Amendment $0
Amendment $723,155
Original award $723,155

Subawards

Subrecipient Amount Awarded
Startcare, Inc. Adaption of the STAIR-NT Trauma Intervention for Polysubstance Populations $66,345
Florida State University $36,624
Startcare, Inc. $125,298
Florida State University $4,904
Startcare, Inc. To adapt an evidence-based posttraumatic stress disorder (PTSD) intervention for use among a polysubstance population receiving treatment for opioid use… $90,377
Florida State University $53,302

Quick answers

Who received award R34DA057678?

R34DA057678 was awarded to New York University by National Institute on Drug Abuse (National Institutes of Health) on September 30, 2022.

How much is award R34DA057678 worth?

$1,446,310 has been obligated on R34DA057678.

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