Contingency Management for Chronic Recidivist Alcohol-Dependent Patients

UConn Health

Status: Completed

Conditions: Alcohol Dependence

Treatments: Behavioral: standard case management treatment; Behavioral: Contingency Management

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT00408161

NIH Grant P50-AA03510

NIAAA-PET03510

Details and patient eligibility

About

The purpose of this study is to evaluate the efficacy of prize contingency management (CM) in reducing in-patient detoxification services for chronic recidivist alcohol-dependent patients.

Full description

This study evaluates the efficacy of prize contingency management (CM) in reducing in-patient detoxification services for chronic recidivist alcohol-dependent patients. 116 alcohol-dependent patients who have received 4 or more alcohol detoxifications in a calendar year will be randomly assigned to one of two 6-month treatment conditions: standard case management treatment, or standard case management treatment plus CM. In the CM condition, patients earn the chance to win prizes by submitting negative breath samples and by complying with steps toward treatment goals, such as attending outpatient substance abuse treatment services, attending appointments with low income housing programs, or complying with outpatient psychiatric treatment. Treatment services received, alcohol and drug use, psychosocial functioning, and HIV risk behaviors will be measured pre-treatment and at months 1, 3, and 6 (post-treatment), and at follow-ups scheduled for 9, 12, and 18 months after intake.

Enrollment: 104 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• age 18 years or older
• Four or more inpatient alcohol detoxifications in the previous 12 months
• current diagnosis of DSM-IV alcohol dependence

Exclusion criteria

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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104 participants in 2 patient groups

1

Active Comparator group

Description:

prize contingency management (CM) plus standard case management treatment -- patients earn the chance to win prizes by submitting negative breath samples and by complying with steps toward treatment goals

Treatment:

Behavioral: Contingency Management

2

Active Comparator group

Description:

standard case management treatment

Treatment:

Behavioral: standard case management treatment