Social Network Strategies + Screening for Substance Use Disorder

(SNSUS Trial)

BS
NC
Overseen ByNicole Carter, MPH
Age: 18+
Sex: Male
Trial Phase: Academic
Sponsor: University of California, San Diego
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

The trial aims to enhance healthcare for individuals who may have HIV or substance use disorders by introducing two new services at a large health center in Chicago. One service will provide routine substance use disorder screening, while the other will implement a social network intervention to help individuals identify friends or partners who might need support and connect them to care. The goal is to increase awareness of HIV status and reduce HIV levels in the community. The trial seeks participants who were assigned male at birth, have sex with men, and speak English or Spanish. As an unphased trial, this study offers a unique opportunity to contribute to innovative healthcare solutions and community well-being.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that these strategies are safe for improving healthcare in community settings?

Research shows that programs using social networks can safely help people with substance use disorders (SUD) engage more in their treatment. Studies have found that supportive social connections lead to better treatment outcomes. Individuals with positive social ties are more likely to adhere to their treatment plans and reduce substance use.

While no direct evidence from the sources highlights specific safety concerns with social network programs, these programs focus on building support and connecting people to care, which generally pose minimal health risks.

Screening for substance use disorders is a routine process involving questions to identify issues with substance use. This practice is common and generally safe.

Overall, both the social network program and SUD screening are well-tolerated. They aim to provide support and connect people to helpful resources without introducing significant risks.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores a new way to tackle substance use disorder by leveraging social connections. Unlike traditional approaches that mainly involve counseling or medication, the Social Network Intervention (SNI) encourages participants to recruit others from their social circles, creating a supportive network. This method aims to enhance treatment engagement and spread positive behaviors through community influence. By enhancing the standard screening with this network-based approach, researchers hope to discover if it can lead to more effective and sustainable recovery outcomes.

What evidence suggests that this trial's treatments could be effective for substance use disorder?

Research has shown that a strong social network is crucial for treating substance use disorder (SUD). Studies have found that positive support from friends and family can significantly enhance recovery for individuals with SUD. For instance, supportive loved ones can help maintain adherence to treatment. In this trial, one group will receive a Social Network Intervention (SNI) alongside routine SUD screening. Programs like SNI, which focus on building social connections, have demonstrated increased participation in SUD treatments and support recovery.15678

Who Is on the Research Team?

BS

Britt Skaathun

Principal Investigator

University of California, San Diego

Are You a Good Fit for This Trial?

This trial is for English or Spanish-speaking people who were assigned male at birth and have sex with men. It excludes non-Hispanic whites, women, and those living in institutions.

Inclusion Criteria

I can speak English or Spanish.
I have sex with men.
I was assigned male at birth.

Exclusion Criteria

Non-Hispanic whites
Institutionalized individuals
I am a woman.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Routine Substance Use Screening

Routine screening for substance use is introduced at clinics, offering help and referrals to those who screen positive

24 months
Regular visits (in-person)

Social Network Intervention (SNI)

Participants engage in a social network-based program to identify and connect peers to HIV and substance use services

24 months
Ongoing engagement

Follow-up

Participants are monitored for linkage to care and treatment outcomes

24 months
Follow-up assessments at Months 6, 12, 18, and 24

What Are the Treatments Tested in This Trial?

Interventions

  • Social network intervention
  • Substance use disorder screening

Trial Overview

The study tests routine substance use screening for all clinic patients plus a program that helps participants support friends or partners who may need help with HIV or substance use issues. The goal is to improve care access and reduce stigma.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Social Network Intervention (SNI)Experimental Treatment2 Interventions
Group II: Routine Substance Use disorder (SUD) screeningActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of California, San Diego

Lead Sponsor

Trials
1,215
Recruited
1,593,000+

Howard Brown Health Center

Collaborator

Trials
11
Recruited
8,200+

University of Chicago

Collaborator

Trials
1,086
Recruited
844,000+

National Institute on Drug Abuse (NIDA)

Collaborator

Trials
2,658
Recruited
3,409,000+

Citations

The impact of social network dynamics on engagement in ...

Cross-sectional studies have shown strong relationships between social network characteristics and substance use disorder (SUD) treatment engagement.

The role of social network support in treatment outcomes for ...

Conclusions: Social networks significantly shape effectiveness of opioid use disorder treatments. While negative social ties reinforce addiction, positive ...

Exploring social connections and mental well-being among ...

Research consistently shows that social support and social networks are key to the addiction recovery process (defined as a process of change through which ...

The role of social network support in treatment outcomes ...

While negative social ties reinforce addiction, positive social support networks can amplify the benefits of medication treatments. Targeted ...

Feasibility and acceptability of incorporating social network ...

Coupling social network visualizations with Motivational Interviewing in substance use interventions has been shown to be acceptable and ...

Digital interventions targeting excessive substance use and ...

Identifying substance use risk based on deep neural networks and Instagram social media data. Neuropsychopharmacology (2019) 44(3), 487–494 ...

A taxonomy of social support interventions for People ...

We introduce a new conceptual model of social support among people who use drugs (PWUD), people who experience criminal legal system involvement (PCLI), and ...

Changes to Personal Social Media Accounts and Use ...

This study examined changes in social media use among adults with past-year treatment for substance use disorder (SUD) in New England, ...