Incentive-Based Intervention for Substance Abuse Disorders
Trial Summary
What is the purpose of this trial?
Combatting the rise of the opioid epidemic is a central challenge of U.S. health care policy. A promising approach for improving welfare and decreasing medical costs of people with substance abuse disorders is offering incentive payments for healthy behaviors. This approach, broadly known as "contingency management" in the medical literature, has repeatedly shown to be effective in treating substance abuse. However, the use of incentives by treatment facilities remains extremely low. Furthermore, it is not well understood how to design optimal incentives to treat opioid abuse. This project will conduct a randomized evaluation of two types of dynamically adjusting incentive schedules for people with opioid use disorders or cocaine use disorders: "escalating" schedules where incentive amounts increase with success to increase incentive power, and "de-escalating" schedules where incentive amounts decrease with success to improve incentive targeting. Both schemes are implemented with a novel "turnkey" mobile application, making them uniquely low-cost, low-hassle, and scalable. Effects will be measured on abstinence outcomes, including longest duration of abstinence and the percentage of negative drug tests. In combination with survey data, variation from the experiment will shed light on the barriers to abstinence more broadly and inform the understanding of optimal incentive design.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It focuses on using incentives to encourage abstinence from opioids, cocaine, or methamphetamine, but does not mention other medications.
What data supports the effectiveness of the treatment App-Based Contingency Management for Substance Abuse Disorders?
Research shows that contingency management (CM), which uses rewards to encourage positive behavior, is effective in promoting drug abstinence. A study found that using a smartphone-smartcard platform for CM led to higher rates of drug abstinence and better attendance at counseling appointments. Additionally, CM has been shown to be effective in treating various substance use disorders, including opioid and cocaine use.12345
Is incentive-based intervention for substance abuse disorders safe for humans?
The research on incentive-based interventions, like contingency management, shows they are generally safe for humans. These interventions use rewards to encourage positive behaviors, such as drug abstinence, and have been successfully implemented in various settings without significant safety concerns.12346
How is the app-based contingency management treatment different from other treatments for substance abuse disorders?
The app-based contingency management treatment is unique because it uses mobile technology to deliver rewards for positive behaviors, like staying drug-free, which can be especially helpful for people in remote areas. This approach makes it easier to provide immediate and personalized incentives, unlike traditional methods that may not be as accessible or adaptable.12357
Research Team
Ariel Zucker, PhD
Principal Investigator
University of California Santa Cruz
Eligibility Criteria
This trial is for adults over 18 who have used opioids, cocaine, or methamphetamine non-medically in the last 21 days. Participants must be currently receiving some form of substance abuse treatment and meet specific medical criteria for substance use disorders. They need to have a smartphone with a data plan, an email they can access on their phone, and be willing to download and use the DynamiCare app.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive incentives for drug-negative saliva tests using the DynamiCare app, with varying incentive schedules (escalating, de-escalating, constant).
Follow-up
Participants are monitored for safety and effectiveness after treatment
Treatment Details
Interventions
- App-Based Contingency Management
- Sham Control
Find a Clinic Near You
Who Is Running the Clinical Trial?
Aurora Health Care
Lead Sponsor
Wake Forest University Health Sciences
Lead Sponsor
University of California Santa Cruz
Lead Sponsor
University of Chicago
Collaborator
University of California, Santa Cruz
Collaborator
Rogers Behavioral Health
Collaborator