Reinforcing Therapist Performance

Conditions

Substance Use

Brief summary

The specific aims of the proposed study are to evaluate the effectiveness and cost-effectiveness of providing monetary incentives to therapists as a method to improve implementation of evidence-based treatments.

Garner BR, Lwin AK, Strickler GK, Hunter BD, Shepard DS.

2018-07-0422 citations

10.1186/s13012-018-0774-1

Using pay for performance to improve treatment implementation for adolescent substance use disorders: results from a cluster randomized trial.

Garner BR, Godley SH, Dennis ML, Hunter BD, Bair CM, Godley MD.

2012-10-0149 citations

10.1001/archpediatrics.2012.802

The Reinforcing Therapist Performance (RTP) experiment: study protocol for a cluster randomized trial.

Garner BR, Godley SH, Dennis ML, Godley MD, Shepard DS.

2010-01-2616 citations

10.1186/1748-5908-5-5

Interventions

BEHAVIORALIncentive

Participants assigned to the experimental condition are reinforced via monetary incentives for demonstrating superior delivery of an evidence treatment to clients

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Yes

Inclusion criteria

* Must work at one of the participating demonstration sites funded by the Center for Substance Abuse Treatment to deliver the Adolescent Community Reinforcement Approach and/or Assertive Continuing Care.

Design outcomes

Primary

Measure	Time frame	Description
Target A-CRA	14 weeks post intake	Based on a review of recordings of actual client sessions is an indicator of whether or not clients received 10 or more of 12 specified treatment procedures within no less than seven treatment sessions.
A-CRA Competence	Monthly	Based on review of a randomly selected session recording is an indicator of whether or not participants delivered at least one treatment procedure at or above the level of competence required as part of the certification process.

Secondary

Measure	Time frame	Description
Percent of days abstinent	6 months post-intake	Based on client self report is the percentage of days during the past 90 days that clients reported not using any alcohol or other drugs.
Pay-for-performance Cost-Effectiveness	First six months of study	The cost per unit of Target A-CRA, A-CRA Competene, and Percentage of Days Abstient in the experimental condition relative to the control condition.

Countries

United States

Outcome results

None listed