Increasing access to needle-and-syringe programs in Canadian federal prisons
Official title: Enhancing Uptake of Needle and Syringe Programs in Canadian Federal Prisons
Run by McGill University Health Centre/Research Institute of the McGill University Health Centre · NCT07122219 · Data updated 2026-11-12
This project will try a package of implementation strategies to increase use of needle-and-syringe programs by people who inject drugs in nine Canadian federal prisons.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 548 (estimated) |
| Sponsor | McGill University Health Centre/Research Institute of the McGill University Health Centre Academic / other |
| Locations | 9 sites (Edmonton, Alberta and 8 other locations) |
| Status | Recruiting |
| Started | October 1, 2024 |
| Main results expected | February 29, 2028 |
| Study ends | September 30, 2029 |
| Registry record updated | December 29, 2025 |
| Trial ID | NCT07122219 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
People who are incarcerated and present at one of the nine participating federal prisons during the intervention period are the intended beneficiaries.
✕Probably not a fit
People who do not inject drugs, those incarcerated in non-participating facilities, or individuals released before PNEP implementation is in place are unlikely to benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Type 2 hybrid implementation trial uses a stepped-wedge design to introduce the NIATx implementation strategy bundle across nine federal prisons over a 24-month period, followed by a 12-month sustainability assessment. Prisons were non-randomly allocated to three groups that receive the intervention at staggered six-month intervals. The trial will identify barriers and facilitators to Prison Needle Exchange Program (PNEP) uptake and apply evidence-based implementation strategies to increase engagement. Five of the participating sites are women's prisons, reflecting higher reported histories of injection drug use in those facilities.
Why it matters
Potential benefit: If successful, more incarcerated people who inject drugs could access sterile needles and syringes, lowering risk of HIV and HCV transmission in prison.
How similar studies have gone: Needle-and-syringe programs have reduced blood-borne virus risk in some correctional settings and NIATx has improved addiction-service delivery in other contexts, but combining NIATx with PNEP rollout in Canadian federal prisons is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * All people incarcerated at a study site during the intervention period Exclusion Criteria: \- None (site level intervention)
Where it's running
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Dorchester Medium
Dorchester, New Brunswick, Canada Recruiting -
Atlantic Institution
Smiths Crossing, New Brunswick, Canada Recruiting -
Nova Institution for Women
Truro, Nova Scotia, Canada Recruiting -
Edmonton Institution for Women
Edmonton, Alberta, Canada Not yet recruiting -
Fraser Valley Institution for Women
Abbotsford British Columbia, British Columbia, Canada Not yet recruiting -
Mission Institution
Mission, British Columbia, Canada Not yet recruiting
Show 3 more locations
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Joyceville Institution
Kingston, Ontario, Canada Not yet recruiting -
Grand Valley Institution for Women
Kitchener, Ontario, Canada Not yet recruiting -
Joliette Institution for Women
Joliette, Quebec, Canada Not yet recruiting
Study contacts
- Principal investigator: Nadine Kronfli — Research Institute of the McGill University Health Centre
- Study coordinator: Nadine Kronfli
- Email: nadine.kronfli@mcgill.ca
- Phone: 514-934-1934
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.