Contingency Management for Chronic Recidivist Alcohol-Dependent Patients

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the efficacy of prize contingency management (CM) in reducing in-patient detoxification services for chronic recidivist alcohol-dependent patients.

Detailed Description
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This study evaluates the efficacy of prize contingency management (CM) in reducing in-patient detoxification services for chronic recidivist alcohol-dependent patients. 116 alcohol-dependent patients who have received 4 or more alcohol detoxifications in a calendar year will be randomly assigned to one of two 6-month treatment conditions: standard case management treatment, or standard case management treatment plus CM. In the CM condition, patients earn the chance to win prizes by submitting negative breath samples and by complying with steps toward treatment goals, such as attending outpatient substance abuse treatment services, attending appointments with low income housing programs, or complying with outpatient psychiatric treatment. Treatment services received, alcohol and drug use, psychosocial functioning, and HIV risk behaviors will be measured pre-treatment and at months 1, 3, and 6 (post-treatment), and at follow-ups scheduled for 9, 12, and 18 months after intake.

Official Title
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Contingency Management for Chronic Recidivist Alcohol-Dependent Patients

Conditions
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Alcohol Dependence

Intervention / Treatment
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* Behavioral: Contingency Management
* Behavioral: standard case management treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: age 18 years or older Four or more inpatient alcohol detoxifications in the previous 12 months current diagnosis of DSM-IV alcohol dependence Exclusion Criteria: -

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: 1<br>prize contingency management (CM) plus standard case management treatment -- patients earn the chance to win prizes by submitting negative breath samples and by complying with steps toward treatment goals | Behavioral: Contingency Management<br>* prize contingency management (CM) -- 6-month treatment plus standard case management treatment and follow-ups at 9, 12, and 18 months after intake<br>* Other names: CM;|
| Active Comparator: 2<br>standard case management treatment | Behavioral: standard case management treatment<br>* 6-month treatment standard case management treatment, and follow-ups scheduled at 9, 12, and 18 months after intake.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| number of detoxifications |  | 9, 12, and 18 months after intake | 
| objective alcohol use |  | 9, 12, and 18 months after intake | 
| self-reported alcohol use |  | 9, 12, and 18 months after intake | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| ASI composite scores |  | 9, 12, and 18 months after intake | 
| BSI scores |  | 9, 12, and 18 months after intake | 
| HRBS scores |  | 9, 12, and 18 months after intake | 
| objective drug use |  | 9, 12, and 18 months after intake | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Contingency Management, Alcohol Dependence