Trial Outcomes & Findings for Interventions for Unemployed Hazardous Drinkers (NCT NCT02559609)

NCT ID: NCT02559609

Last Updated: 2024-04-23

Results Overview

Greatest number of consecutive breath tests submitted on-time (within 1 hour of prompt) and reading alcohol negative (BAL \< 0.02)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

240 participants

Primary outcome timeframe

12 weeks

Results posted on

2024-04-23

Participant Flow

Participant milestones

Participant milestones
Measure
Group A - Standard Job Activity Contracting and Alcohol Monitoring
Standard services plus job activity contracting and alcohol monitoring activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment
Group B - Reinforcement for Negative Alcohol Samples
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings contingency management for alcohol abstinence: participants will earn chances to win prizes for each negative breath alcohol recording provided activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment
Group C - Reinforcement for Completing Job Activities
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for completing job-related activities activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment contingency management for activity completion: participants will earn chances to win prizes for completing specific job-related activities
Group D - Reinforcement for Negative Alcohol Samples & Job Activities
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings and for completing job-related activities contingency management for alcohol abstinence: participants will earn chances to win prizes for each negative breath alcohol recording provided contingency management for activity completion: participants will earn chances to win prizes for completing specific job-related activities
Overall Study
STARTED
50
65
58
67
Overall Study
COMPLETED
50
64
58
67
Overall Study
NOT COMPLETED
0
1
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Interventions for Unemployed Hazardous Drinkers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group A - Standard Job Activity Contracting and Alcohol Monitoring
n=50 Participants
Standard services plus job activity contracting and alcohol monitoring activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment
Group B - Reinforcement for Negative Alcohol Samples
n=65 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings contingency management for alcohol abstinence: participants will earn chances to win prizes for each negative breath alcohol recording provided activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment
Group C - Reinforcement for Completing Job Activities
n=58 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for completing job-related activities activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment contingency management for activity completion: participants will earn chances to win prizes for completing specific job-related activities
Group D - Reinforcement for Negative Alcohol Samples & Job Activities
n=67 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings and for completing job-related activities contingency management for alcohol abstinence: participants will earn chances to win prizes for each negative breath alcohol recording provided contingency management for activity completion: participants will earn chances to win prizes for completing specific job-related activities
Total
n=240 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
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
50 Participants
n=5 Participants
65 Participants
n=7 Participants
58 Participants
n=5 Participants
67 Participants
n=4 Participants
240 Participants
n=21 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Continuous
46.10 years
STANDARD_DEVIATION 9.77 • n=5 Participants
45.94 years
STANDARD_DEVIATION 11.34 • n=7 Participants
42.38 years
STANDARD_DEVIATION 10.89 • n=5 Participants
46.37 years
STANDARD_DEVIATION 10.06 • n=4 Participants
45.23 years
STANDARD_DEVIATION 10.63 • n=21 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
34 Participants
n=7 Participants
30 Participants
n=5 Participants
35 Participants
n=4 Participants
116 Participants
n=21 Participants
Sex: Female, Male
Male
33 Participants
n=5 Participants
31 Participants
n=7 Participants
28 Participants
n=5 Participants
32 Participants
n=4 Participants
124 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
7 Participants
n=7 Participants
8 Participants
n=5 Participants
10 Participants
n=4 Participants
29 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
46 Participants
n=5 Participants
58 Participants
n=7 Participants
50 Participants
n=5 Participants
57 Participants
n=4 Participants
211 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
2 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
29 Participants
n=5 Participants
37 Participants
n=7 Participants
25 Participants
n=5 Participants
36 Participants
n=4 Participants
127 Participants
n=21 Participants
Race (NIH/OMB)
White
19 Participants
n=5 Participants
24 Participants
n=7 Participants
31 Participants
n=5 Participants
28 Participants
n=4 Participants
102 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
2 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
6 Participants
n=21 Participants
Region of Enrollment
United States
50 participants
n=5 Participants
65 participants
n=7 Participants
58 participants
n=5 Participants
67 participants
n=4 Participants
240 participants
n=21 Participants

PRIMARY outcome

Timeframe: 12 weeks

Population: N=234 analyzed. n=6 with no data: n=1 Group B withdrawal; n=5 had no samples submitted (n=1 Group A, n=1 Group B, n=1 group D) or none submitted on-time (n=2 Group B).

Greatest number of consecutive breath tests submitted on-time (within 1 hour of prompt) and reading alcohol negative (BAL \< 0.02)

Outcome measures

Outcome measures
Measure
Group A - Standard Job Activity Contracting and Alcohol Monitoring
n=49 Participants
Standard services plus job activity contracting and alcohol monitoring activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment
Group B - Reinforcement for Negative Alcohol Samples
n=61 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings contingency management for alcohol abstinence: participants will earn chances to win prizes for each negative breath alcohol recording provided activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment
Group C - Reinforcement for Completing Job Activities
n=58 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for completing job-related activities activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment contingency management for activity completion: participants will earn chances to win prizes for completing specific job-related activities
Group D - Reinforcement for Negative Alcohol Samples & Job Activities
n=66 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings and for completing job-related activities contingency management for alcohol abstinence: participants will earn chances to win prizes for each negative breath alcohol recording provided contingency management for activity completion: participants will earn chances to win prizes for completing specific job-related activities
Longest Duration of Alcohol Abstinence (Samples) (Physiological Measure)
6.0 number of alcohol negative breath tests
Interval 3.0 to 14.0
11.0 number of alcohol negative breath tests
Interval 5.0 to 26.0
7.0 number of alcohol negative breath tests
Interval 4.0 to 17.3
7.5 number of alcohol negative breath tests
Interval 5.0 to 18.3

PRIMARY outcome

Timeframe: 12 weeks

Population: N=234 analyzed. n=6 with no data: n=1 Group B withdrawal; n=5 had no samples submitted (n=1 Group A, n=1 Group B, n=1 group D) or none submitted on-time (n=2 Group B).

Of alcohol breath tests requested, the percentage submitted on-time (within 1-hour of prompt) and reading alcohol-negative (BAL \< .02)

Outcome measures

Outcome measures
Measure
Group A - Standard Job Activity Contracting and Alcohol Monitoring
n=49 Participants
Standard services plus job activity contracting and alcohol monitoring activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment
Group B - Reinforcement for Negative Alcohol Samples
n=61 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings contingency management for alcohol abstinence: participants will earn chances to win prizes for each negative breath alcohol recording provided activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment
Group C - Reinforcement for Completing Job Activities
n=58 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for completing job-related activities activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment contingency management for activity completion: participants will earn chances to win prizes for completing specific job-related activities
Group D - Reinforcement for Negative Alcohol Samples & Job Activities
n=66 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings and for completing job-related activities contingency management for alcohol abstinence: participants will earn chances to win prizes for each negative breath alcohol recording provided contingency management for activity completion: participants will earn chances to win prizes for completing specific job-related activities
Percent Alcohol Negative Breath Tests
90.8 percentage of alcohol negative tests
Interval 48.9 to 100.0
98.1 percentage of alcohol negative tests
Interval 78.9 to 100.0
91.2 percentage of alcohol negative tests
Interval 66.6 to 100.0
97.1 percentage of alcohol negative tests
Interval 67.0 to 100.0

PRIMARY outcome

Timeframe: 12 weeks

Population: N=228, n=12 no score: n=1 Group B withdrawal; n=1 Group D on disability (no working allowed); no data for n= 2 Group A, n=4 Group B, n=1 Group C, n=3 Group D

The percentage of days of work for pay (in the formal or informal economy), with the number of days of data in the denominator (missing data considered missing)

Outcome measures

Outcome measures
Measure
Group A - Standard Job Activity Contracting and Alcohol Monitoring
n=48 Participants
Standard services plus job activity contracting and alcohol monitoring activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment
Group B - Reinforcement for Negative Alcohol Samples
n=60 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings contingency management for alcohol abstinence: participants will earn chances to win prizes for each negative breath alcohol recording provided activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment
Group C - Reinforcement for Completing Job Activities
n=57 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for completing job-related activities activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment contingency management for activity completion: participants will earn chances to win prizes for completing specific job-related activities
Group D - Reinforcement for Negative Alcohol Samples & Job Activities
n=63 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings and for completing job-related activities contingency management for alcohol abstinence: participants will earn chances to win prizes for each negative breath alcohol recording provided contingency management for activity completion: participants will earn chances to win prizes for completing specific job-related activities
Percent of Days Worked for Pay (Missing Data Treated as Missing)
1.79 percentage of days work occurred
Interval 0.0 to 22.99
4.76 percentage of days work occurred
Interval 0.0 to 24.4
6.25 percentage of days work occurred
Interval 0.0 to 25.77
1.33 percentage of days work occurred
Interval 0.0 to 26.19

PRIMARY outcome

Timeframe: 12 weeks

Population: N=228 analyzed. n=12 no score: n=1 Group B withdrawal; n=1 Group D on disability (no working allowed); no data for n= 2 Group A, n=4 Group B, n=1 Group C, n=3 Group D

From study day 1, the number of days until first worked in the formal or informal economy during the 12-week intervention, censored at day 85.

Outcome measures

Outcome measures
Measure
Group A - Standard Job Activity Contracting and Alcohol Monitoring
n=48 Participants
Standard services plus job activity contracting and alcohol monitoring activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment
Group B - Reinforcement for Negative Alcohol Samples
n=60 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings contingency management for alcohol abstinence: participants will earn chances to win prizes for each negative breath alcohol recording provided activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment
Group C - Reinforcement for Completing Job Activities
n=57 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for completing job-related activities activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment contingency management for activity completion: participants will earn chances to win prizes for completing specific job-related activities
Group D - Reinforcement for Negative Alcohol Samples & Job Activities
n=63 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings and for completing job-related activities contingency management for alcohol abstinence: participants will earn chances to win prizes for each negative breath alcohol recording provided contingency management for activity completion: participants will earn chances to win prizes for completing specific job-related activities
Time to First Worked
79.50 days
Interval 15.0 to 85.0
57.00 days
Interval 24.0 to 85.0
63.00 days
Interval 16.5 to 85.0
63.00 days
Interval 16.0 to 85.0

SECONDARY outcome

Timeframe: 12 weeks

Population: N=228 analyzed. n=12 no score: n=1 Group B withdrawal; n=1 Group D on disability (no working allowed); no data for n= 2 Group A, n=4 Group B, n=1 Group C, n=3 Group D

The percent of days worked for pay (in the formal or informal economy), with 84 days (intervention period duration; missing treated as not working) in the denominator

Outcome measures

Outcome measures
Measure
Group A - Standard Job Activity Contracting and Alcohol Monitoring
n=48 Participants
Standard services plus job activity contracting and alcohol monitoring activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment
Group B - Reinforcement for Negative Alcohol Samples
n=60 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings contingency management for alcohol abstinence: participants will earn chances to win prizes for each negative breath alcohol recording provided activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment
Group C - Reinforcement for Completing Job Activities
n=57 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for completing job-related activities activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment contingency management for activity completion: participants will earn chances to win prizes for completing specific job-related activities
Group D - Reinforcement for Negative Alcohol Samples & Job Activities
n=63 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings and for completing job-related activities contingency management for alcohol abstinence: participants will earn chances to win prizes for each negative breath alcohol recording provided contingency management for activity completion: participants will earn chances to win prizes for completing specific job-related activities
Percent of Days Worked for Pay (84 Day Intervention Period in the Denominator)
1.19 percentage of days work occurred
Interval 0.0 to 18.15
4.17 percentage of days work occurred
Interval 0.0 to 22.02
4.76 percentage of days work occurred
Interval 0.0 to 23.81
1.19 percentage of days work occurred
Interval 0.0 to 22.62

SECONDARY outcome

Timeframe: 12 weeks

Greatest number of consecutive days of submitting all breath tests requested on-time and reading alcohol negative

Outcome measures

Outcome measures
Measure
Group A - Standard Job Activity Contracting and Alcohol Monitoring
n=49 Participants
Standard services plus job activity contracting and alcohol monitoring activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment
Group B - Reinforcement for Negative Alcohol Samples
n=61 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings contingency management for alcohol abstinence: participants will earn chances to win prizes for each negative breath alcohol recording provided activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment
Group C - Reinforcement for Completing Job Activities
n=58 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for completing job-related activities activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment contingency management for activity completion: participants will earn chances to win prizes for completing specific job-related activities
Group D - Reinforcement for Negative Alcohol Samples & Job Activities
n=66 Participants
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings and for completing job-related activities contingency management for alcohol abstinence: participants will earn chances to win prizes for each negative breath alcohol recording provided contingency management for activity completion: participants will earn chances to win prizes for completing specific job-related activities
Longest Duration of Alcohol Abstinence (Days) (Physiological Measure)
4.0 days
Interval 2.0 to 10.0
9.0 days
Interval 3.0 to 19.0
5.0 days
Interval 3.0 to 12.3
6.0 days
Interval 3.0 to 13.5

Adverse Events

Group A - Standard Job Activity Contracting and Alcohol Monitoring

Serious events: 6 serious events
Other events: 5 other events
Deaths: 0 deaths

Group B - Reinforcement for Negative Alcohol Samples

Serious events: 8 serious events
Other events: 5 other events
Deaths: 0 deaths

Group C - Reinforcement for Completing Job Activities

Serious events: 9 serious events
Other events: 1 other events
Deaths: 1 deaths

Group D - Reinforcement for Negative Alcohol Samples & Job Activities

Serious events: 9 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Group A - Standard Job Activity Contracting and Alcohol Monitoring
n=50 participants at risk
Standard services plus job activity contracting and alcohol monitoring activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment
Group B - Reinforcement for Negative Alcohol Samples
n=65 participants at risk
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings contingency management for alcohol abstinence: participants will earn chances to win prizes for each negative breath alcohol recording provided activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment
Group C - Reinforcement for Completing Job Activities
n=58 participants at risk
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for completing job-related activities activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment contingency management for activity completion: participants will earn chances to win prizes for completing specific job-related activities
Group D - Reinforcement for Negative Alcohol Samples & Job Activities
n=67 participants at risk
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings and for completing job-related activities contingency management for alcohol abstinence: participants will earn chances to win prizes for each negative breath alcohol recording provided contingency management for activity completion: participants will earn chances to win prizes for completing specific job-related activities
General disorders
Inpatient substance use treatment
6.0%
3/50 • Number of events 5 • 12 months
4.6%
3/65 • Number of events 3 • 12 months
8.6%
5/58 • Number of events 12 • 12 months
9.0%
6/67 • Number of events 7 • 12 months
Psychiatric disorders
Inpatient psychiatric treatment
2.0%
1/50 • Number of events 2 • 12 months
1.5%
1/65 • Number of events 2 • 12 months
3.4%
2/58 • Number of events 3 • 12 months
1.5%
1/67 • Number of events 1 • 12 months
General disorders
Inpatient medical treatment
4.0%
2/50 • Number of events 2 • 12 months
6.2%
4/65 • Number of events 8 • 12 months
6.9%
4/58 • Number of events 6 • 12 months
6.0%
4/67 • Number of events 5 • 12 months

Other adverse events

Other adverse events
Measure
Group A - Standard Job Activity Contracting and Alcohol Monitoring
n=50 participants at risk
Standard services plus job activity contracting and alcohol monitoring activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment
Group B - Reinforcement for Negative Alcohol Samples
n=65 participants at risk
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings contingency management for alcohol abstinence: participants will earn chances to win prizes for each negative breath alcohol recording provided activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment
Group C - Reinforcement for Completing Job Activities
n=58 participants at risk
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for completing job-related activities activity contracting: participants will complete job-related activity contracts each week with the goal of obtaining employment contingency management for activity completion: participants will earn chances to win prizes for completing specific job-related activities
Group D - Reinforcement for Negative Alcohol Samples & Job Activities
n=67 participants at risk
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings and for completing job-related activities contingency management for alcohol abstinence: participants will earn chances to win prizes for each negative breath alcohol recording provided contingency management for activity completion: participants will earn chances to win prizes for completing specific job-related activities
General disorders
Emergency Room Visit
10.0%
5/50 • Number of events 6 • 12 months
7.7%
5/65 • Number of events 7 • 12 months
1.7%
1/58 • Number of events 1 • 12 months
9.0%
6/67 • Number of events 8 • 12 months

Additional Information

Sheia Alessi

UConn Health

Phone: 860-679-1849

Results disclosure agreements

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