PIPages
Labs

Michael Stein

Boston University, MA·Medicine & Clinical Research

Opioid use disorder (OUD), the medical condition of compulsive opioid use, and unhealthy drinking among people living with HIV are both cases where good treatments exist but many people do not benefit fully. Patients often stop medication early, and alcohol can worsen other health problems.

Fields

Medicine & Clinical Research

Public Health & Epidemiology

Psychology

Topics

opioid use disorder

buprenorphine

treatment retention

Grants
2 known grants, through May 2030

What they work on

  1. Test whether Behavioral Activation, Attendance Reinforcement and Peer Motivational Interviewing improve six-month buprenorphine retention, using a factorial randomized trial of 240 patients in office-based addiction care.
  2. Use the Multiphase Optimization Strategy (MOST), a framework for testing intervention parts separately, to choose which psychosocial components, alone or combined, belong in an optimized package to keep patients on buprenorphine.
  3. Apply mediation analyses to test whether each buprenorphine-support component changes its hypothesized mechanism and whether those mechanisms explain differences in treatment retention.
  4. Conduct online randomized trials of scalable approaches to chronic pain and physical inactivity in people living with HIV who have unhealthy alcohol use, as part of the Boston ARCH Comorbidity Center.
  5. Support secondary analyses of the nearly ten-year Boston ARCH cohort of people living with HIV with substance use, and mentor early-stage investigators studying pain, physical activity and functioning.

More about the research

The two projects here test practical, scalable behavioral approaches to keep people in treatment and to address conditions linked to drinking.

Why it matters

People with opioid use disorder could benefit from an efficient, ready-to-share package of behavioral supports that keeps more of them on buprenorphine. Staying on treatment is linked to fewer overdoses and deaths. For people living with HIV who drink, online, scalable treatments for chronic pain and physical inactivity may improve physical and mental functioning and fit more easily into the care of complex patients.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

BUP - BOOSTeR: Behavioral Optimization for Overcoming Suboptimal Treatment Retention

NIH · Sep 2025 – May 2030

Boston Alcohol Research Collaboration on HIV/AIDS - Comorbidity Center (Boston ARCH CC)

NIH · Sep 2021 – Aug 2027

Closest labs

Omeid Heidari

University of Washington, WA·Public Health & Epidemiology·Early-career

Design the Community-Based Opioid Treatment (CBOT) strategy and its implementation plan through interviews with patients, providers, nurses and other stakeholders, then pilot and refine it with 10 participants over three months.

Rebecca Harris

University of Pennsylvania, PA·Medicine & Clinical Research·Early-career

Identify the structures, practices, and resources of primary care Peer Recovery Specialist programs, using a program survey, direct observation at 7–10 sites, and interviews with patients, peers, and clinicians.

Rebecca Krukowski

University of Virginia, VA·Public Health & Epidemiology

Test the effect of five lifestyle components on 12-month weight loss in 608 adults taking second-generation anti-obesity medications, using a 2x2x2x2x2 factorial trial. The components are an education session, phone coaching, and digital diet, activity and weight self-monitoring.

The school

Boston University: 26 labs on PI Pages, $784M a year on research, 630 research doctorates a year.

More about Boston University

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