Lower-Cost Contingency Management in a Group Setting - 1

UConn Health

Status

Completed

Conditions

Substance Abuse

Treatments

Behavioral: Contingency management

Study type

Interventional

Funder types

Other

NIH

Identifiers

NCT00249600

NIDA-14618-1

R01DA014618 (U.S. NIH Grant/Contract)

R01-14618-1

Details and patient eligibility

About

The purpose of this study is to evaluate the efficacy of prize contingency management (CM) in enhancing attendance, reducing drug use, and improving health among clients attending two HIV drop-in centers. Specifically, 172 clients are randomly assigned to one of two 6-month treatment conditions: standard 12-step oriented group treatment, or CM group treatment. In the CM group, clients earn the chance to win prizes for submitting clean urine specimens and for complying with steps toward their treatment goals. Activities related to improving health will be emphasized, such as attending medical appointments, recording daily medication consumption, getting prescriptions filled, and attending medication adherence support groups. Group attendance, drug use, medical problems, services received, and risky drug use and sexual behaviors will be measured pre-treatment and at months 1, 3, 6, 9 and 12.

Enrollment

172 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

HIV-positive and a member of The Living Center or the Manchester Area Network on AIDS
DSM-IV diagnosis of current opioid or cocaine abuse or dependence
willingness to accept random assignment to one of the two treatment groups

Exclusion criteria

inability to comprehend the study (Mini-mental status score <21; Folstein & Folstein, 1975; or inability to pass an informed consent quiz)
severely disruptive behavior
in recovery for pathological gambling (due to potential similarity between the CM procedure and gambling)
non-English speaking