Training Therapists to Administer Contingency Management-Patient Phase - 3
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Purpose
The purpose of this study is to train therapists to administer contingency management (CM). This project will train up to 42 community-based treatment providers about the rationale for and the specifics of administering CM. Initial training will occur in 2-day workshops, followed by weekly supervision in delivery of CM with test cases. We expect that the majority of therapists will achieve high levels of competence and adherence in administering CM treatment within 3-5 test cases, as measured by ratings of audiotapes. To examine the efficacy of CM, each therapist who achieves adherence and competence in delivering CM will administer standard treatment alone or standard treatment plus CM to substance-abusing outpatients. In the CM condition, patients will have the opportunity to win prizes for submission of negative samples, and the treatment will be in effect for 12 weeks. In total, up to 200 patients will be randomly assigned to one of the two conditions. A research evaluator will conduct follow-up assessments, scheduled for 3, 6 and 9 months after treatment initiation.
| Condition | Intervention |
|---|---|
|
Substance Abuse |
Behavioral: Contingency management |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Training Therapists to Administer Contingency Management-Patient Phase |
- Drug use [ Time Frame: baseline and each follow-up ] [ Designated as safety issue: No ]
- Retention [ Time Frame: each follow-up ] [ Designated as safety issue: No ]
| Enrollment: | 180 |
| Study Start Date: | January 2004 |
| Study Completion Date: | September 2009 |
| Primary Completion Date: | September 2009 (Final data collection date for primary outcome measure) |
-
Behavioral: Contingency management
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion criteria:
- age 18 years or older
- meets DSM-IV criteria for cocaine abuse or dependence
- English speaking (est. >90% of patients)
For those in drug-free programs, they must have initiated treatment within the past week. For methadone patients, they must be stabilized on a dose of methadone, defined as being on the same dose for at least 30 days and not currently requesting or being considered for a dose modification. Methadone patients must also have submitted at least 30% cocaine positive urine samples in the past 3 months.
Exclusion criteria:
- acute uncontrolled psychiatric disorder (psychosis, suicidality) as determined by the SCID
- dementia (<23 on the Mini Mental State Exam; Folstein & Folstein, 1975)
- in recovery for pathological gambling
Contacts and Locations| United States, Connecticut | |
| University of Connecticut Health Center | |
| Farmington, Connecticut, United States, 06030 | |
| Principal Investigator: | Nancy Petry, Ph.D. | University of Connecticut Health Center |
More Information
No publications provided
| Responsible Party: | University of Connecticut Health Center |
| ClinicalTrials.gov Identifier: | NCT00249418 History of Changes |
| Other Study ID Numbers: | NIDA-16855-3, R01DA016855 |
| Study First Received: | November 3, 2005 |
| Last Updated: | November 17, 2011 |
| Health Authority: | United States: Federal Government United States: Institutional Review Board |
Keywords provided by University of Connecticut Health Center:
|
Contingency Management Substance Abuse Treatment |
Additional relevant MeSH terms:
|
Substance-Related Disorders Mental Disorders |
ClinicalTrials.gov processed this record on May 19, 2013