Financially Sustainable Remote Treatment for Alcohol Abuse: Feasibility

NCT ID: NCT04182022

Last Updated: 2023-06-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

92 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-01

Study Completion Date

2019-07-10

Brief Summary

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Directly reinforcing abstinence from alcohol with monetary incentives is an effective treatment for alcohol dependence, but barriers in obtaining frequent, verified biochemical measures of abstinence limit the dissemination of this treatment approach. The goal of this feasibility study is to use a breathalyzer and cost-controlling deposit contracts to facilitate a contingency-management intervention to reduce alcohol use that requires no in-person contact between the participants and the study staff during the intervention phase.

Detailed Description

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Conditions

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Alcohol Use Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Contingent

The Contingent group will receive nearly immediate monetary payments over the internet each day they remotely provide negative breathalyzer samples, but will not receive the payments if they provide positive samples or fail to provide samples in a timely manner.

Group Type ACTIVE_COMPARATOR

Contingency management: Contingent incentives

Intervention Type BEHAVIORAL

Monetary incentives are delivered to participants contingent upon on- time breathalyzer submissions and verified abstinence from alcohol.

Noncontingent

The Noncontingent group will receive payments each day they successfully provide samples independent of the alcohol content of those samples.

Group Type SHAM_COMPARATOR

Contingency management: Noncontingent incentives

Intervention Type BEHAVIORAL

Monetary incentives are delivered to participants contingent upon on- time breathalyzer submissions only with no contingency on alcohol use.

Interventions

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Contingency management: Contingent incentives

Monetary incentives are delivered to participants contingent upon on- time breathalyzer submissions and verified abstinence from alcohol.

Intervention Type BEHAVIORAL

Contingency management: Noncontingent incentives

Monetary incentives are delivered to participants contingent upon on- time breathalyzer submissions only with no contingency on alcohol use.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* At least 18 years old
* Provide written informed consent
* Meet Diagnostic and Statistical Manual criteria for alcohol use disorder
* Express a desire to cut down or quit drinking
* Be willing to pay a $75 deposit toward their incentive fund

Exclusion Criteria

* Pregnant or lactating
* Meet Diagnostic and Statistical Manual criteria for other substance use disorder (except caffeine or nicotine)
* Score 23 or greater on the Alcohol Withdrawal Symptom Checklist
* Have immediate plans to move out of the area
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Virginia Polytechnic Institute and State University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

References

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Koffarnus MN, Kablinger AS, Kaplan BA, Crill EM. Remotely administered incentive-based treatment for alcohol use disorder with participant-funded incentives is effective but less accessible to low-income participants. Exp Clin Psychopharmacol. 2021 Oct;29(5):555-565. doi: 10.1037/pha0000503. Epub 2021 Jun 10.

Reference Type DERIVED
PMID: 34110885 (View on PubMed)

Other Identifiers

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R21AA023605

Identifier Type: NIH

Identifier Source: org_study_id

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