Prize Contingency Management for Cocaine-Dependent Methadone Patients

This study is currently recruiting participants.
Verified January 2013 by University of Connecticut Health Center
Sponsor:
Collaborator:
Information provided by (Responsible Party):
University of Connecticut Health Center
ClinicalTrials.gov Identifier:
NCT01401270
First received: July 22, 2011
Last updated: January 15, 2013
Last verified: January 2013

July 22, 2011
January 15, 2013
November 2011
July 2016   (final data collection date for primary outcome measure)
longest continuous period of cocaine abstinence [ Time Frame: three months ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT01401270 on ClinicalTrials.gov Archive Site
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Prize Contingency Management for Cocaine-Dependent Methadone Patients
Prize Contingency Management for Cocaine-Dependent Methadone Patients

The investigators will randomize 300 cocaine-dependent methadone patients to 1 of 6 conditions: (a) a control group, (b) a contingency management condition that arranges a 100% probability of winning a prize with each draw and has 3 prize categories, (c) a contingency management condition that arranges a 31% probability of winning and has 3 prize categories, (d) a contingency management condition that arranges a 100% probability of winning and has 7 prize categories, (e) a contingency management condition that arranges a 31% probability of winning and has 7 prize categories, or (f) usual prize contingency management with a 50% probability of winning from 3 prize categories. Magnitudes of reinforcement will be identical across conditions, but lower overall probability conditions arrange for greater chances of winning larger magnitude prizes. The investigators expect that the new contingency management conditions will reduce cocaine use relative to the control condition, that 31% probability conditions will decrease drug use relative to 100% conditions, and that 7-prize category conditions will reduce drug use compared to 3-prize category conditions. In addition, the 31%/7-category condition is expected to be most efficacious. Results will be instrumental for further developing prize contingency management to improve outcomes of cocaine-dependent methadone patients.

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Interventional
Phase 2
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Cocaine Abuse
Behavioral: prize contingency management
Participants earn the chance to win prizes for the targeted behavior, cocaine abstinence.
  • No Intervention: Treatment Group A
    Standard Care
  • Experimental: Treatment Group B
    100% probability of winning a prize with each draw and has 3 prize categories
    Intervention: Behavioral: prize contingency management
  • Experimental: Treatment Group C
    31% probability of winning and has 3 prize categories
    Intervention: Behavioral: prize contingency management
  • Experimental: Treatment Group D
    100% probability of winning and has 7 prize categories
    Intervention: Behavioral: prize contingency management
  • Experimental: Treatment Group E
    31% probability of winning and has 7 prize categories
    Intervention: Behavioral: prize contingency management
  • Experimental: Treatment Group F
    usual prize contingency management with a 50% probability of winning from 3 prize categories
    Intervention: Behavioral: prize contingency management
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
300
July 2016
July 2016   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • age > 18 years
  • current DSM-IV diagnosis of cocaine dependence
  • enrolled at the clinic for >3 months
  • on a stable dose of methadone (no changes) for >1 month and not requesting a dose alteration
  • submitted >1 clinic cocaine positive sample in the last 6 months
  • English speaking
  • pass a quiz related to understanding the informed consent form

Exclusion Criteria:

  • serious, uncontrolled psychiatric illness
  • significant cognitive impairment
  • in recovery from pathological gambling
Both
18 Years and older
No
Contact: Ellen M Ciesielski 860-679-4556 eciesielski@gmail.com
United States
 
NCT01401270
10-256-2, R01DA013444
No
University of Connecticut Health Center
University of Connecticut Health Center
National Institute on Drug Abuse (NIDA)
Principal Investigator: Sheila M Alessi, Ph.D. University of Connecticut Health Center
University of Connecticut Health Center
January 2013

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