The Impact of Alternative Social Assistance Disbursement on Drug-related Harm

NCT ID: NCT02457949

Last Updated: 2020-11-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

194 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-10-27

Study Completion Date

2019-09-30

Brief Summary

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This study evaluates whether altering the timing and frequency of social assistance disbursement reduces drug related-harms that increase on the days surrounding monthly synchronized government social assistance cheque issue.

Detailed Description

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Coordinated monthly income assistance payments, while seeking to alleviate poverty, can also have negative and unintended impacts, particularly among people who use illicit drugs (PWUD). Observational research has identified escalations in drug-related harm coinciding with monthly assistance payments, such as overdose, treatment interruption, hospital admissions and public disorder. This project varies the timing and frequency of income assistance disbursement, and evaluates whether varying income assistance disbursement reduces drug-related harm coinciding with coordinated income assistance.

Conducted among 273 PWUD, participants will be allocated for 6 income assistance cycles to a control or one of two intervention arms. Participants in the control arm will receive payments according to the existing monthly government schedule. Participants in the intervention arm will receive their income assistance: (1) monthly on a day different from government cheque issue; or (2) semi-monthly on days different from government cheque issue. The intervention will be evaluated using qualitative and quantitative methods for its impact on drug use and related harms.

Conditions

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Drug Use

Keywords

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Social Assistance Drug Use Drug-Related harm

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Investigators

Study Groups

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Treatment As Usual (TAU)

Receipt of social assistance on government cheque issue days for 6 income assistance cycles (approx 26 weeks).

Group Type NO_INTERVENTION

No interventions assigned to this group

Staggered Arm

Receipt of social assistance once monthly on a randomly assigned day that does not fall during the week of government cheque issue (Non-synchronized social assistance receipt), for 6 income assistance cycles (approx 26 weeks).

Group Type EXPERIMENTAL

Non-synchronized social assistance receipt

Intervention Type OTHER

Social assistance disbursement outside government cheque issue week

Staggered and Split Arm

Receipt of social assistance twice monthly on equally spaced randomly assigned days that do not fall during the week of government cheque issue (Non-synchronized social assistance receipt, cheque divided into two equal disbursements), for 6 income assistance cycles (approx 26 weeks).

Group Type EXPERIMENTAL

Non-synchronized social assistance receipt

Intervention Type OTHER

Social assistance disbursement outside government cheque issue week

cheque divided into two equal disbursements

Intervention Type OTHER

Social assistance disbursement divided into two equal payments

Interventions

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Non-synchronized social assistance receipt

Social assistance disbursement outside government cheque issue week

Intervention Type OTHER

cheque divided into two equal disbursements

Social assistance disbursement divided into two equal payments

Intervention Type OTHER

Other Intervention Names

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Staggered Split

Eligibility Criteria

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Inclusion Criteria

* be ≥19 years of age or older
* reside in greater Vancouver, Canada
* report regular use of illicit drugs other than cannabis
* receive monthly provincial income assistance
* are not currently administered (where cheque issue/money is externally managed)
* be eligible and willing to be a client of the local credit union who will administer the intervention
* report intensified drug use around government cheque issue days
* provide written informed consent
* be willing to comply with study procedures

Exclusion Criteria

* plan to relocate outside Vancouver
* have plans to discontinue income assistance
Minimum Eligible Age

19 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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BC Centre on Substance Use

OTHER

Sponsor Role collaborator

University of British Columbia

OTHER

Sponsor Role lead

Responsible Party

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Lindsey Richardson

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lindsey Richardson, DPhil

Role: PRINCIPAL_INVESTIGATOR

University of British Columbia

Locations

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British Columbia Centre on Substance Use

Vancouver, British Columbia, Canada

Site Status

Countries

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Canada

References

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Richardson L, Laing A, Choi J, Nosova E, Milloy MJ, Marshall BD, Singer J, Wood E, Kerr T. Effect of alternative income assistance schedules on drug use and drug-related harm: a randomised controlled trial. Lancet Public Health. 2021 May;6(5):e324-e334. doi: 10.1016/S2468-2667(21)00023-2. Epub 2021 Apr 12.

Reference Type DERIVED
PMID: 33857455 (View on PubMed)

Mendell J, Richardson L. Integrated knowledge translation to strengthen public policy research: a case study from experimental research on income assistance receipt among people who use drugs. BMC Public Health. 2021 Jan 18;21(1):153. doi: 10.1186/s12889-020-10121-9.

Reference Type DERIVED
PMID: 33461522 (View on PubMed)

Richardson L, Laing A, Milloy MJ, Maynard R, Nosyk B, Marshall B, Grafstein E, Daly P, Wood E, Montaner J, Kerr T. Protocol of the impact of alternative social assistance disbursement on drug-related harm (TASA) study: a randomized controlled trial to evaluate changes to payment timing and frequency among people who use illicit drugs. BMC Public Health. 2016 Jul 29;16:668. doi: 10.1186/s12889-016-3304-6.

Reference Type DERIVED
PMID: 27473400 (View on PubMed)

Related Links

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http://www.bccsu.ca/cheque-day-study/

British Columbia Centre on Substance Use

Other Identifiers

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H14-02401

Identifier Type: -

Identifier Source: org_study_id