Feasibility and Acceptability of a Stigma Text Message Intervention for People Who Use Drugs
Project RESTART (Resisting STigma And Revaluating your Thoughts) is a theory-informed, 4-week automated text message intervention to address self-stigma in people who use drugs. The intervention delivers two daily messages to participants for four weeks (56 messages total). Messages are designed to address four components of Stigma Resistance Theory: Not believing stigma/catching and challenging stigmatizing thoughts; empowering oneself through learning about substance use and one's own recovery; maintaining one's recovery and proving stigma wrong; and developing a meaningful identity and purpose apart from one's substance use.

This study is a single-group pilot trial to determine whether the intervention is feasible and acceptable to participants. All participants will receive the intervention. The primary outcomes are changes in stigma resistance and self-stigma from baseline to 4-week follow-up using self-report. Implementation and process outcomes will be measured to inform future intervention refinement.
- EligibilityCriteria: Inclusion Criteria:  Ages 18 and older at enrollment Residing in Scioto County, Ohio at time of enrollment Able to speak and read English Reliable daily access to smart phone with a data plan capable of sending and receiving text messages during the intervention period (4 weeks) Self-reported past 30-day use of illicit opioids (e.g., heroin, fentanyl), prescription opioids not as prescribed (e.g., oxycodone, buprenorphine), methamphetamine, or cocaine Willing to provide informed consent  Exclusion Criteria:  Unable to be consented due to cognitive impairment Planning to move out of the study area during the study period Unwilling or unable to comply with protocol requirements Currently incarcerated in a correctional facility - HealthyVolunteers: No - Gender: All - MinimumAge: 18 Years - StdAgeList: Adult, Older Adult