WORTH Paths: digital support for women with substance use and contraception needs

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

WORTH Paths is a digital adaptation of the evidence-based WORTH intervention, expanded to address a full range of contraceptive options alongside strategies to reduce substance use. In a randomized design, 50 participants will be assigned to the WORTH Paths intervention (three facilitated virtual group sessions) or an active wellness group, with feasibility, acceptability, and preliminary behavioral outcomes tracked over follow-up. Eligibility focuses on English-speaking people assigned female at birth, ages 18–44, with past-year criminal legal involvement, current DSM-5 substance use disorder, and an unmet need for contraception. The study measures changes in drug use and contraceptive uptake as well as participant engagement and satisfaction.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Female sex at birth
* Aged 18-44 years
* Past year criminal legal involvement (e.g., incarceration or community supervision)
* Meets criteria for current substance use disorder (SUD) as defined by DSM-5 and assessed by the Mini-International Neuropsychiatric Interview (MINI)
* Meets criteria for unmet need for contraception (capable of pregnancy, sexually active, does not want to become pregnant within the next year, but is currently not using contraception)
* Able to read, write, and speak English
* Willing and able to provide informed consent

Exclusion Criteria:

* Currently pregnant or actively trying to conceive
* Diagnosed infertility (e.g., menopause, tubal ligation, hysterectomy)
* Unable to provide informed consent due to significant cognitive impairment, mental health condition, or substance intoxication
* Unable or unwilling to meet study requirements (e.g., attend sessions, complete assessments)

Where it's running

• Fairleigh Dickinson University
  Teaneck, New Jersey, United States Recruiting

Study contacts

• Principal investigator: Melissa N Slavin, PhD — Fairleigh Dickinson University
• Study coordinator: Melissa N Slavin, PhD
• Email: m.slavin@fdu.edu
• Phone: 201-692-2301

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.