Contingency Management for Recovery Oriented Activities at Recovery Houses

Wayne State University

Status: Enrolling

Conditions: Substance Use Disorders

Treatments: Behavioral: Usual Care; Behavioral: Contingency management

Study type: Interventional

Funder types: Other

Identifiers

NCT05585203

IRB-21-08-3875

Details and patient eligibility

About

In this study, the investigators will implement contingency management at rural recovery houses, where individuals with substance use disorders reside. Contingency management is a behavioral intervention in which participants receive incentives (rewards) when they complete planned tasks that are consistent with their recovery efforts. House staff members will also participate in this study and will be trained to provide contingency management to residents. The investigators will compare recovery houses that implement contingency management to matched houses that do not, and the main outcomes will be engagement in the planned activities and retention in the recovery houses. Participants will receive contingency management for up to 12 weeks and follow-up will occur 6 months post-treatment.

Enrollment: 120 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Age 18 or older;
2. a resident of the recovery house; and
3. able to provide informed consent.

Exclusion criteria

1. expected to be discharged from the recovery house in the next two months;
2. experiencing uncontrolled mania, psychosis or suicidality.

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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120 participants in 2 patient groups

Contingency management

Experimental group

Description:

In addition to receiving usual care at the recovery house, participants assigned to this arm will receive contingency management by trained recovery house staff in addition to their usual care. Contingency management sessions will be led by a trained recovery house staff member who is also a research participant in the study. Contingency management will occur once weekly for sessions of approximately 10-15 minute duration for up to 12 weeks. Participants will plan three recovery-oriented activities with the staff member each week, and upon verification of completion of the tasks, the resident participant can earn prize draws of varying monetary amounts.

Treatment:

Behavioral: Usual Care

Behavioral: Contingency management

Usual Care

Active Comparator group

Description:

Participants in this arm will receive usual care that they would normally receive at the recovery houses. Recovery houses are safe, healthy, family-like substance-free living environments that support individuals in recovery from addiction. Although recovery residences vary considerably, this form of housing benefits individuals in recovery by reinforcing a substance-free lifestyle and providing direct connections to other peers in recovery, mutual support groups and recovery support services.

Treatment:

Behavioral: Usual Care