Phone app that rewards methadone patients for staying in treatment and avoiding opioids and cocaine

Treating Polysubstance Use in Methadone Maintenance: Application of Novel Digital Technology

NIH-funded research Friends Research Institute, INC. · NIH-11364653

A smartphone app gives rewards to people on methadone to help them stay in treatment and avoid opioid and cocaine use.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionFriends Research Institute, INC. NIH-funded
Lab location1 site (Baltimore, United States)
Project IDNIH-11364653 on NIH RePORTER

What this research studies

If you join, you'll be randomly assigned to regular methadone care or regular care plus a phone app called DynamiCare that pays you when you meet goals. The app focuses on two behaviors: abstaining from opioids and cocaine, checked with remote oral fluid tests, and picking up your methadone doses, verified by clinic records. When you meet those targets the app delivers automated financial rewards over a 48-week period. The trial follows participants for one year after starting methadone to compare retention and drug use between the two groups.

Who could benefit from this research

Good fit: Adults starting methadone treatment who also use cocaine or other opioids and who own a smartphone would be ideal candidates.

Not a fit: People who are not on methadone, who cannot use a smartphone, or who do not have opioid/cocaine polysubstance use may not gain benefit from this approach.

Why it matters

Potential benefit: If successful, the app could help people stay in methadone treatment longer, reduce opioid and cocaine use, and lower the risk of relapse and overdose.

How similar studies have performed: Contingency management is an evidence-based approach for reducing substance use, and digital or remote contingency methods have shown promise though long-term effectiveness is still being studied.

Where this research is happening

Baltimore, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.