Contingency Management for Recovery Oriented Activities at Recovery Houses

Substance Use Disorders Clinical Trial

Official title:

Contingency Management for Recovery Oriented Activities at Recovery Houses

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05585203
• Other study ID #: IRB-21-08-3875
• Status: Recruiting
• Phase: N/A
• Start date: October 1, 2022
• Est. completion date: September 20, 2024

Study information

• Verified date: March 2024
• Source: Wayne State University
• Contact: David Ledgerwood, PhD
• Phone: 313-993-1380
• Email: dledgerw[@]med.wayne.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 120
• Est. completion date: September 20, 2024
• Est. primary completion date: September 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

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.

Related Conditions & MeSH terms

• Substance Use Disorders
• Substance-Related Disorders

Intervention

Behavioral:
• Contingency management
The investigators will implement a prize-based contingency management protocol in which residents will complete three pre-planned recovery-oriented activities each week for a period of up to 12 weeks. Upon verified completion of the activities each week, participants may earn prize incentives through drawing from a prize fishbowl or spinning a virtual prize wheel. Prizes will be money added to a debit card. On the first week and individual has completed pre-planned activities, s/he can receive up to 1 draw per activity completed (3 total), and each week the number of prize draws per activity will escalate by 1. If a participant fails to complete any activities, he/she will not receive the draws for the uncompleted activities, and the prize draws would be reset to 1 in the next week. Participants can earn up to $75 in incentives in total.
• Usual Care
Participants in this arm will receive usual care that they would normally receive at the recovery houses. 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.

Locations

Country	Name	City	State
United States	Wayne State University School of Medicine	Detroit	Michigan

Sponsors (1)

Lead Sponsor	Collaborator
Wayne State University

Country where clinical trial is conducted

United States, 

References & Publications (12)

Frisch, M.B., Cornell, J., Villanueva, M. & Retzlaff, P.J. (1992). Clinical validation of the quality of life inventory: A measure of life satisfaction for treatment planning and outcome assessment. Psychological Assessment, 4, 92-101.

Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001 Sep;16(9):606-13. doi: 10.1046/j.1525-1497.2001.016009606.x. — View Citation

Novy, D.M., Nelson, D.V., Goodwin, J. & Rowzee, R.D. (1993). Psychometric comparability of the State-Trait Anxiety Inventory for different ethnic subpopulations. Psychological Assessment, 5, 343-349.

Petry NM, Alessi SM, Ledgerwood DM, Sierra S. Psychometric properties of the contingency management competence scale. Drug Alcohol Depend. 2010 Jun 1;109(1-3):167-74. doi: 10.1016/j.drugalcdep.2009.12.027. Epub 2010 Feb 11. — View Citation

Petry NM, Alessi SM, Ledgerwood DM. A randomized trial of contingency management delivered by community therapists. J Consult Clin Psychol. 2012 Apr;80(2):286-98. doi: 10.1037/a0026826. Epub 2012 Jan 16. — View Citation

Petry NM, Alessi SM, Ledgerwood DM. Contingency management delivered by community therapists in outpatient settings. Drug Alcohol Depend. 2012 Apr 1;122(1-2):86-92. doi: 10.1016/j.drugalcdep.2011.09.015. Epub 2011 Oct 5. — View Citation

Petry NM, Martin B, Finocche C. Contingency management in group treatment: a demonstration project in an HIV drop-in center. J Subst Abuse Treat. 2001 Sep;21(2):89-96. doi: 10.1016/s0740-5472(01)00184-2. — View Citation

Rash CJ, Petry NM, Kirby KC, Martino S, Roll J, Stitzer ML. Identifying provider beliefs related to contingency management adoption using the contingency management beliefs questionnaire. Drug Alcohol Depend. 2012 Mar 1;121(3):205-12. doi: 10.1016/j.drugalcdep.2011.08.027. Epub 2011 Sep 16. — View Citation

Shapiro, S.S. & Wilk, M.B. (1965). An analysis of variance test for normality (complete samples). Biometrika, 52.3/4, 591-611.

Sobell, L.C., & Sobell, M.B. (1992). Timeline follow-back: A technique for assessing self-reported alcohol consumption. In R.Z. Litten and J.P. Allen (eds.), Measuring alcohol consumption: Psychosocial and biochemical methods (pp. 41-72). Totowa, NJ: Humana Press.

Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992 Jun;30(6):473-83. — View Citation

Yi R, Johnson MW, Giordano LA, Landes RD, Badger GJ, Bickel WK. THE EFFECTS OF REDUCED CIGARETTE SMOKING ON DISCOUNTING FUTURE REWARDS: AN INITIAL EVALUATION. Psychol Rec. 2008 Spring;58(2):163-174. doi: 10.1007/BF03395609. — View Citation

* Note: There are 12 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Treatment retention	Length of time (in days) a resident resides in the recovery house	Time until leaving the recovery home from study baseline up to one year
Primary	Engagement in recovery-oriented activities	Participants will engage in up to 3 planned recovery activities (noted on a tracking form)	up to 12 week treatment
Secondary	Treatment Satisfaction	Treatment Satisfaction Questionnaire (Scores range from 1 to 7 with higher scores reflecting greater satisfaction)	Post-treatment (Week 12)
Secondary	Quality of Life Assessment	Self-report Quality of Life inventory (scores range from -3 to 3 with higher scores reflecting greater quality of life)	Baseline, post-treatment (week 12) and 6-month follow up
Secondary	Self-Reported Health	Short Form 36 (SF-36) is a brief measure of overall self-reported health. Scores range from 0 (maximum disability) to 100 (no disability)	Baseline, post-treatment (week 12) and 6-month follow up
Secondary	Patient Health Questionnaire - 9	A measure of depression symptoms. Scores on the PHQ 9 range from 0 (no depression) to 27 (severe depression).	Baseline, post-treatment (week 12) and 6-month follow up
Secondary	Substance Use	Urine drug screen of metabolites for cocaine, methamphetamine, barbiturates, opioids, cannabis, alcohol and benzodiazepines	Baseline, weekly for 12 weeks, post-treatment (week 12) and 6-month follow up
Secondary	Timeline Follow-back for substance use	Timeline Follow-back (TLFB) is a self-report, calendar-based measure of the frequency of substance use	Baseline, weekly for 12 weeks, post-treatment (week 12) and 6-month follow up
Secondary	Treatment Feasibility	Treatment Feasibility will assessed as the proportion of eligible participants who are willing to participate after initial screening.	Baseline