Shame and sexual violence in opioid treatment: daily mood and long-term effects on cravings, use, and care
Official title: Shame among Sexual Violence Survivors in Opioid Use Disorder Treatment: Event-level and longitudinal effects on Cravings, Substance Use, and Treatment Engagement
Funded at Rhode Island Hospital · NIH-11358447 · Data updated 2026-11-12
A research project is studying how feelings of shame and experiences of sexual violence affect cravings, drug use, and engagement in treatment for people undergoing opioid treatment.
Quick facts
| Grant type | NIH-funded research |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Rhode Island Hospital NIH-funded |
| Lab location | 1 site (Providence, United States) |
| Project start | July 1, 2023 |
| Project end | June 30, 2028 |
| Funding year | 2026 |
| Award (this year) | $248,396 |
| NIH project number | 5R00DA057993-04 |
| Project ID | NIH-11358447 on NIH RePORTER |
Who could benefit from this research
✓Could help
Adults with opioid use disorder who have a history of sexual violence and are currently in or entering treatment.
✕Less likely to help
Individuals without a history of sexual violence or not in treatment may not directly benefit from the findings.
What this research studies
This project follows people with opioid use disorder who have a history of sexual violence to understand how shame and daily triggers influence cravings and substance use in the moment, as well as long-term treatment attendance. It will use a diary-style EMA approach to gather real-time data on mood, social support, distress, and treatment factors. The study aims to refine an EMA protocol and train researchers while exploring how short-term experiences relate to long-term outcomes like missed appointments and dropout.
Why it matters
Potential benefit: If successful, findings could inform more supportive, trauma-informed care strategies to reduce cravings, improve adherence, and decrease dropout in OUD treatment.
How similar studies have gone: Previous work shows that psychosocial factors influence treatment outcomes in OUD, but this study adds real-time data on shame and SV in this specific population.
Where this research is happening
-
Rhode Island Hospital
Providence, United States Active
Researchers
- Principal investigator: Bhuptani, Prachi — Rhode Island Hospital
- Study coordinator: Bhuptani, Prachi
Related research
Other NIH-funded projects on the same topics.
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Understanding the impact of shame on opioid use disorder treatment for sexual violence survivors
This study is looking at how feelings of shame impact people with opioid use disorder who have gone through sexual violence, and it aims to understand how these feelings affect their cravings, substance use, and participation in treatment, so we can find better ways to support them on their recovery journey.
-
Digital toolkit to improve IPV screening and care in opioid use disorder
A digital toolkit helps clinics screen for intimate partner violence and connect people with IPV-related care for those being treated for opioid use disorder.
-
SHE-OUD: a quick, private screen-and-help program for women in opioid treatment
A brief, computer-based screening and intervention is tested to help women with opioid use disorder who have experienced sexual violence and PTSD, aiming to improve their treatment outcomes.
-
A digital toolkit to help address intimate partner violence in people with opioid use disorder
This study is creating a helpful digital tool to make it easier for clinics to spot and support people dealing with intimate partner violence while they’re getting treatment for opioid use, so they can receive better care and support.
-
How state policies on substance use treatment affect healthcare use and opioid overdoses in Medicaid patients
This study looks at how different Medicaid rules in each state affect the treatment and recovery of people with opioid use disorder, aiming to find out which policies help more people get the care they need and reduce overdose rates.
-
Systems analysis to improve opioid use disorder care after jail release (SAIA-MOUD)
A program to help people with opioid use disorder get better, faster, and safer care after they leave jail.
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.