Contingency Management for Recovery Oriented Activities at Recovery Houses

Not Applicable

Recruiting

• Conditions: Substance Use Disorders
• Interventions: Behavioral: Contingency management; Behavioral: Usual Care

• Registration Number: NCT05585203
• Lead Sponsor: Wayne State University

Brief Summary

In this study, the investigators will implement contingency management at rural recovery houses, where individuals with substance use disorders reside. Contingency management is a behavioral intervention in which participants receive incentives (rewards) when they complete planned tasks that are consistent with their recovery efforts. House staff members will also participate in this study and will be trained to provide contingency management to residents. The investigators will compare recovery houses that implement contingency management to matched houses that do not, and the main outcomes will be engagement in the planned activities and retention in the recovery houses. Participants will receive contingency management for up to 12 weeks and follow-up will occur 6 months post-treatment.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-10-01
• Study First Submitted: 2022-10-05
• Study First Submitted QC: 2022-10-17
• Study First Posted: 2022-10-18
• Status Verified: 2024-03
• Last Update Submitted: 2024-03-07
• Last Update Posted: 2024-03-08
• Primary Completion: 2024-09
• Study Completion: 2024-09-20

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

1. Age 18 or older;
2. a resident of the recovery house; and
3. able to provide informed consent.

Exclusion Criteria

1. expected to be discharged from the recovery house in the next two months;
2. experiencing uncontrolled mania, psychosis or suicidality.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Contingency management	Usual Care	In addition to receiving usual care at the recovery house, participants assigned to this arm will receive contingency management by trained recovery house staff in addition to their usual care. Contingency management sessions will be led by a trained recovery house staff member who is also a research participant in the study. Contingency management will occur once weekly for sessions of approximately 10-15 minute duration for up to 12 weeks. Participants will plan three recovery-oriented activities with the staff member each week, and upon verification of completion of the tasks, the resident participant can earn prize draws of varying monetary amounts.
Contingency management	Contingency management	In addition to receiving usual care at the recovery house, participants assigned to this arm will receive contingency management by trained recovery house staff in addition to their usual care. Contingency management sessions will be led by a trained recovery house staff member who is also a research participant in the study. Contingency management will occur once weekly for sessions of approximately 10-15 minute duration for up to 12 weeks. Participants will plan three recovery-oriented activities with the staff member each week, and upon verification of completion of the tasks, the resident participant can earn prize draws of varying monetary amounts.
Usual Care	Usual Care	Participants in this arm will receive usual care that they would normally receive at the recovery houses. Recovery houses are safe, healthy, family-like substance-free living environments that support individuals in recovery from addiction. Although recovery residences vary considerably, this form of housing benefits individuals in recovery by reinforcing a substance-free lifestyle and providing direct connections to other peers in recovery, mutual support groups and recovery support services.

Primary Outcome Measures

Name	Time	Method
Engagement in recovery-oriented activities	up to 12 week treatment	Participants will engage in up to 3 planned recovery activities (noted on a tracking form)
Treatment retention	Time until leaving the recovery home from study baseline up to one year	Length of time (in days) a resident resides in the recovery house

Secondary Outcome Measures

Name	Time	Method
Quality of Life Assessment	Baseline, post-treatment (week 12) and 6-month follow up	Self-report Quality of Life inventory (scores range from -3 to 3 with higher scores reflecting greater quality of life)
Substance Use	Baseline, weekly for 12 weeks, post-treatment (week 12) and 6-month follow up	Urine drug screen of metabolites for cocaine, methamphetamine, barbiturates, opioids, cannabis, alcohol and benzodiazepines
Timeline Follow-back for substance use	Baseline, weekly for 12 weeks, post-treatment (week 12) and 6-month follow up	Timeline Follow-back (TLFB) is a self-report, calendar-based measure of the frequency of substance use
Self-Reported Health	Baseline, post-treatment (week 12) and 6-month follow up	Short Form 36 (SF-36) is a brief measure of overall self-reported health. Scores range from 0 (maximum disability) to 100 (no disability)
Treatment Satisfaction	Post-treatment (Week 12)	Treatment Satisfaction Questionnaire (Scores range from 1 to 7 with higher scores reflecting greater satisfaction)
Patient Health Questionnaire - 9	Baseline, post-treatment (week 12) and 6-month follow up	A measure of depression symptoms. Scores on the PHQ 9 range from 0 (no depression) to 27 (severe depression).
Treatment Feasibility	Baseline	Treatment Feasibility will assessed as the proportion of eligible participants who are willing to participate after initial screening.

Trial Locations

Locations (1)

Wayne State University School of Medicine; 🇺🇸 Detroit, Michigan, United States