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Employment-based Reinforcement to Motivate Drug Abstinence in the Treatment of Drug Addiction. - 2

Johns Hopkins University logo

Johns Hopkins University

Status

Completed

Conditions

Heroin Dependence
Cocaine Dependence
Cocaine Abuse
Behavior, Addictive
Opioid Dependence

Treatments

Behavioral: Contingency management

Study type

Interventional

Funder types

Other

Identifiers

NCT00249457
NIDA-13107-2

Details and patient eligibility

About

The purpose of this study is to determine whether long-term exposure to the Therapeutic Workplace intervention could sustain drug abstinence over an extended period of time in heroin- and cocaine-dependent, unemployed, treatment-resistant young mothers.

Full description

The current study is a continuation of the research into the development and evaluation of a novel treatment designed to address the chronic, persistent nature of drug addiction. This treatment, called the Therapeutic Workplace, integrates abstinence reinforcement contingencies of proven efficacy into a model supported work program. Participants were paid to work or to train in the Therapeutic Workplace but had to provide drug-free urine samples to gain daily access. Forty participants were randomly assigned to a Therapeutic Workplace or usual care control group. Therapeutic Workplace participants could work for about 5 years. This study reports the effects of the intervention over a follow-up period of 8 years after treatment initiation.

Enrollment

40 patients

Sex

Female

Ages

18 to 50 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • When originally enrolled in the study, participants were at least 18 years old, unemployed, and methadone maintenance patients of the Center for Addiction and Pregnancy (CAP) who continued to use opiates or cocaine during CAP treatment.

Exclusion criteria

  • Participants were excluded if they were at risk for suicide at the time of intake or if they had serious psychiatric illness (e.g., schizophrenia).

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

40 participants in 2 patient groups

Therapeutic Workplace
Experimental group
Description:
Contingency management. Invited to work in the Therapeutic Workplace. Completed monthly assessments.
Treatment:
Behavioral: Contingency management
Usual Care Control Group
No Intervention group
Description:
No intervention. Not invited to work int the Therapeutic Workplace. Completed monthly assessments.

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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