Abstract
Aims: Research on drug dependence often involves the administration of drugs of abuse to experienced drug users under controlled laboratory conditions. The primary objective of this study was to assess whether participation in such research alters the frequency of heroin use by non-treatment seeking opioid-dependent volunteers after study completion. Design: Data were examined from four inpatient studies involving controlled opioid administration. Setting: Substance Use Research Center at Columbia University, New York State Psychiatric Institute. Participants: Sixty-nine heroin dependent volunteers. Measurements: Participants’ self-reported heroin use prior to and one month after study participation was compared using a Wilcoxon test. Because a number of participants reported that they had stopped using heroin, a logistic regression was used to identify correlates of heroin cessation one month after study completion. Findings: One hundred one participants entered laboratory studies and 69 completed them. Self-reported heroin use significantly decreased one month after study participation [1.7 (+/- 2) bags per day] compared to baseline [6.8 (+/- 4.2) bags per day], p < 0.001 among the 69 completers. In addition, 42% of the completers were heroin abstinent one month after study completion. Being African American, having a history of opioid dependence treatment, reporting heavier heroin use at baseline, and a longer history of heroin use were correlated with cessation of heroin use. Conclusions: Participation in opioid administration studies does not increase subsequent heroin use and for some individuals leads to accessing opioid dependence treatment and cessation of heroin use in the short term.