Reinforcing Therapist Performance (RTP)

This study has been completed.
Information provided by:
Chestnut Health Systems Identifier:
First received: November 18, 2009
Last updated: July 26, 2011
Last verified: July 2011

November 18, 2009
July 26, 2011
November 2008
June 2011   (final data collection date for primary outcome measure)
  • Target A-CRA [ Time Frame: 14 weeks post intake ] [ Designated as safety issue: No ]
    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 [ Time Frame: Monthly ] [ Designated as safety issue: No ]
    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.
  • proportion of clients who receive targeted level of treatment [ Time Frame: 14 weeks post intake ] [ Designated as safety issue: No ]
  • proportion of months therapists demonstrate competency [ Time Frame: monthly ] [ Designated as safety issue: No ]
  • proportion of clients who are in recovery post intake [ Time Frame: 3, 6, and 12 months post intake ] [ Designated as safety issue: No ]
Complete list of historical versions of study NCT01016704 on Archive Site
  • Percent of days abstinent [ Time Frame: 6 months post-intake ] [ Designated as safety issue: No ]
    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 [ Time Frame: First six months of study ] [ Designated as safety issue: No ]
    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.
  • cost per client receiving targeted level of treatment [ Time Frame: 14 weeks post intake ] [ Designated as safety issue: No ]
  • cost per month therapists demonstrate competency [ Time Frame: monthly ] [ Designated as safety issue: No ]
  • cost per client in recovery [ Time Frame: 3, 6, and 12 months post intake ] [ Designated as safety issue: No ]
Not Provided
Not Provided
Reinforcing Therapist Performance
Reinforcing Therapist Performance

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.

Not Provided
Not Provided
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Substance Use
Behavioral: Incentive
Participants assigned to the experimental condition are reinforced via monetary incentives for demonstrating superior delivery of an evidence treatment to clients
  • No Intervention: Control
  • Experimental: Incentive
    Intervention: Behavioral: Incentive

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
June 2011
June 2011   (final data collection date for primary outcome measure)

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.
18 Years and older
Contact information is only displayed when the study is recruiting subjects
United States
RTP-1, 1R01AA017625-01
Bryan R. Garner, Chestnut Health Systems
Chestnut Health Systems
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Principal Investigator: Bryan R Garner, Ph.D. Chestnut Health Systems
Chestnut Health Systems
July 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP