Substance Abuse
Conditions
Keywords
contingency management, substance abuse
Brief summary
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.
Interventions
BEHAVIORALContingency management
Sponsors
National Institute on Drug Abuse (NIDA)
UConn Health
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Drug use | baseline and each follow-up |
Countries
United States
Outcome results
None listed