Performance-Based Strategy for Substance Abuse Intervention

(SAT2HIV-II Trial)

Recruiting at 1 trial location

Overseen By Bryan R. Garner, PhD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: RTI International

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

449 Participants Needed

Trial Summary

What is the purpose of this trial?

An experiment to test the effectiveness of providing monetary bonuses to staff for achieving pre-defined performance targets regarding the implementation of a motivational interviewing-based brief intervention for substance use.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the Performance-Based Strategy for Substance Abuse Intervention treatment?

Research shows that offering financial incentives to counselors can improve client retention in substance abuse programs, with a significant increase in clients completing treatment sessions. Additionally, performance-based management systems have been linked to better client outcomes and longer treatment retention. ^{1 2 3 4 5}

How does the Performance-Based Strategy for Substance Abuse Intervention differ from other treatments?

This treatment is unique because it uses performance-based strategies, such as linking treatment sessions and client outcomes, to improve substance abuse intervention. It emphasizes early engagement and increased availability of counseling sessions in the first 30 days, which has been shown to lead to better outcomes and longer treatment retention. ^{1 3 4 5 6}

Research Team

Bryan R Garner, PhD

Principal Investigator

Ohio State University

Eligibility Criteria

This trial is for adults over the age of 18 who have been diagnosed with HIV and are dealing with substance use disorders or substance abuse.

Inclusion Criteria

I am 18 years old or older.

I am over 18 and have been diagnosed with HIV.

Exclusion Criteria

No specific exclusion criteria for staff participants

No specific exclusion criteria for client participants.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Implementation

Implementation of motivational interviewing-based brief intervention for substance use with a pay-for-performance strategy

12 months

Follow-up

Participants are monitored for substance use and anxiety disorder outcomes

4 weeks

Treatment Details

Interventions

• The facilitation, training, feedback, and consultation (FTFC) Strategy
• The facilitation, training, feedback, consultation, and pay-for-performance (FTFC+PFP) Strategy

Trial Overview The study tests two strategies to improve substance abuse treatment in HIV care. One includes facilitation, training, feedback, and consultation (FTFC), while the other adds pay-for-performance bonuses (FTFC+PFP).

Participant Groups

Group I: Training, Feedback, Consultation, Facilitation, and P4P Experimental Treatment 1 Intervention

An enhanced version of the multilevel implementation strategy

Group II: Training, Feedback, Consultation, and Facilitation Active Control 1 Intervention

A multilevel implementation strategy

Who Is Running the Clinical Trial?

RTI International

Lead Sponsor

Trials

201

Recruited

942,000+

Ohio State University

Lead Sponsor

Trials

891

Recruited

2,659,000+

National Institute on Drug Abuse (NIDA)

Collaborator

Trials

2,658

Recruited

3,409,000+

Findings from Research

In a study involving 118 clinicians across 20 outpatient substance abuse treatment clinics, a semiautomated patient feedback system was tested over 12 weeks, but it did not show any significant impact on reducing drug and alcohol use among over 1,500 patients.

The intervention also failed to improve secondary outcomes related to therapeutic alliance and clinician job satisfaction, suggesting that the feedback system may need alternative approaches to enhance clinical effectiveness.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A randomized controlled study of a web-based performance improvement system for substance abuse treatment providers. Crits-Christoph, P., Ring-Kurtz, S., McClure, B., et al.[2021]

References

1. United States pubmed.ncbi.nlm.nih.gov

Randomized trial of enhanced profiling in substance abuse treatment. [2021]

2. United States pubmed.ncbi.nlm.nih.gov

A randomized controlled study of a web-based performance improvement system for substance abuse treatment providers. [2021]

3. United States pubmed.ncbi.nlm.nih.gov

Inside the black box: measuring addiction treatment services and their relation to outcomes. [2019]

4. Ireland pubmed.ncbi.nlm.nih.gov

Improving public addiction treatment through performance contracting: the Delaware experiment. [2021]

5. United States pubmed.ncbi.nlm.nih.gov

Counselor incentives to improve client retention in an outpatient substance abuse aftercare program. [2018]

6. United States pubmed.ncbi.nlm.nih.gov

Selection incentives in a performance-based contracting system. [2022]