Trial Outcomes & Findings for Voucher-Based Incentives in a Prevention Setting (NCT NCT00607269)

NCT ID: NCT00607269

Last Updated: 2013-08-01

Results Overview

Participants earned contingency management vouchers for targeted prosocial and healthy behaviors. 1 voucher = $1

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

131 participants

Primary outcome timeframe

24 Weeks

Results posted on

2013-08-01

Participant Flow

Recruitment occurred from April 2005 through Feb 2008 via flyers posted throughout the community, and word of mouth.

Participant milestones

Participant milestones
Measure
Control
Control condition receiving minimal incentives for service program attendance and participation.
Contingency Management
Contingency management (Voucher-Based Reinforcement Therapy) intervention providing positive reinforcement for service program participation and attendance, enactment of prosocial/health behavior, and/or clean urine samples (i.e., no illicit drug use) and clean breathalyzer tests (i.e., BA \< 0.05).
Overall Study
STARTED
67
64
Overall Study
COMPLETED
67
64
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Voucher-Based Incentives in a Prevention Setting

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control
n=67 Participants
Control condition receiving minimal incentives for service program attendance and participation.
Contingency Management
n=64 Participants
Contingency management (Voucher-Based Reinforcement Therapy) intervention providing positive reinforcement for service program participation and attendance, enactment of prosocial/health behavior, and/or clean urine samples (i.e., no illicit drug use) and clean breathalyzer tests (i.e., BA \< 0.05).
Total
n=131 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
67 Participants
n=5 Participants
64 Participants
n=7 Participants
131 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age Continuous
36.5 years
STANDARD_DEVIATION 8.7 • n=5 Participants
36.3 years
STANDARD_DEVIATION 8.7 • n=7 Participants
36.4 years
STANDARD_DEVIATION 8.7 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
67 Participants
n=5 Participants
64 Participants
n=7 Participants
131 Participants
n=5 Participants
Region of Enrollment
United States
67 participants
n=5 Participants
64 participants
n=7 Participants
131 participants
n=5 Participants

PRIMARY outcome

Timeframe: 24 Weeks

Participants earned contingency management vouchers for targeted prosocial and healthy behaviors. 1 voucher = $1

Outcome measures

Outcome measures
Measure
Control
Control condition receiving minimal incentives for service program attendance and participation.
Contingency Management
n=64 Participants
Contingency management (Voucher-Based Reinforcement Therapy) intervention providing positive reinforcement for service program participation and attendance, enactment of prosocial/health behavior, and/or clean urine samples (i.e., no illicit drug use) and clean breathalyzer tests (i.e., BA \< 0.05).
Amount ($) Earned for Targeted Prosocial and Healthy Behaviors
16.21 $ Vouchers
Standard Deviation 11.85

PRIMARY outcome

Timeframe: 24 Weeks

Outcome measures

Outcome measures
Measure
Control
n=67 Participants
Control condition receiving minimal incentives for service program attendance and participation.
Contingency Management
n=64 Participants
Contingency management (Voucher-Based Reinforcement Therapy) intervention providing positive reinforcement for service program participation and attendance, enactment of prosocial/health behavior, and/or clean urine samples (i.e., no illicit drug use) and clean breathalyzer tests (i.e., BA \< 0.05).
Proportion of Level 1 (i.e., Drug Negative Urines and Alcohol Negative Breath) Clean Urine Samples Provided at 12-month Follow-up, by Condition.
0.36 Proportion of Lvl 1 Clean Urine Samples
0.61 Proportion of Lvl 1 Clean Urine Samples

SECONDARY outcome

Timeframe: 12 months

As measured by the General Severity Index (GSI), a summary domain included on the Brief Symptom Inventory. The GSI combines information on both the number of symptoms described and the severity of those symptoms. Lower values on the GSI indicate less severe symptoms. Normative non-patient populations have been shown to have average GSI scores with a mean of 0.30 and a standard deviation of 0.31. Normative outpatient psychiatric patients have demonstrated GSI scores with a mean of 1.32 with a standard deviation of 0.72.

Outcome measures

Outcome measures
Measure
Control
n=67 Participants
Control condition receiving minimal incentives for service program attendance and participation.
Contingency Management
n=64 Participants
Contingency management (Voucher-Based Reinforcement Therapy) intervention providing positive reinforcement for service program participation and attendance, enactment of prosocial/health behavior, and/or clean urine samples (i.e., no illicit drug use) and clean breathalyzer tests (i.e., BA \< 0.05).
Self-reported Psychiatric Symptoms at 12-month Follow-up.
1.01 Units of General Severity Index
Standard Deviation 0.78
0.60 Units of General Severity Index
Standard Deviation 0.62

SECONDARY outcome

Timeframe: 12 months

Count of recent (past 30 days) male sexual partners.

Outcome measures

Outcome measures
Measure
Control
n=67 Participants
Control condition receiving minimal incentives for service program attendance and participation.
Contingency Management
n=64 Participants
Contingency management (Voucher-Based Reinforcement Therapy) intervention providing positive reinforcement for service program participation and attendance, enactment of prosocial/health behavior, and/or clean urine samples (i.e., no illicit drug use) and clean breathalyzer tests (i.e., BA \< 0.05).
Self-reported Sexual Behaviors at 12-month Follow-up
3.33 Sexual Partners
Standard Deviation 9.7
0.70 Sexual Partners
Standard Deviation 1.1

Adverse Events

Control

Serious events: 2 serious events
Other events: 0 other events
Deaths: 0 deaths

Contingency Management

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Control
n=67 participants at risk
Control condition receiving minimal incentives for service program attendance and participation.
Contingency Management
n=64 participants at risk
Contingency management (Voucher-Based Reinforcement Therapy) intervention providing positive reinforcement for service program participation and attendance, enactment of prosocial/health behavior, and/or clean urine samples (i.e., no illicit drug use) and clean breathalyzer tests (i.e., BA \< 0.05).
Surgical and medical procedures
Gall Bladder Surgery
1.5%
1/67 • Number of events 1
0.00%
0/64
Musculoskeletal and connective tissue disorders
Sprained Ankle
1.5%
1/67 • Number of events 1
0.00%
0/64
Cardiac disorders
Myocardial Infarction
0.00%
0/67
1.6%
1/64 • Number of events 1

Other adverse events

Adverse event data not reported

Additional Information

Jesse B. Fletcher, Ph.D., Statistician

Friends Research Institute, Inc.

Phone: 323-463-1601

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place