Using Contingency Management to Treat Stimulant Use in Addiction Programs

Implementing Contingency Management for Stimulant Use in Specialty Addiction Treatment Organizations (Center for Dissemination and Implementation Science at Stanford, Research Component #2)

This study is testing a new way to help people in opioid treatment programs reduce their stimulant use by using a reward system to see if it improves their care.

Quick facts

• Phase: NA
• Study type: Interventional
• Enrollment: 76 (estimated)
• Ages: 18 Years and up
• Sex: All
• Sponsor: Northwestern University (other)
• Locations: 9 sites (Chicago, Illinois and 8 other locations)
• Trial ID: NCT05702021 on ClinicalTrials.gov

What this trial studies

This study aims to implement contingency management, an effective intervention for stimulant use, in opioid treatment programs that provide medication for opioid use disorder. It addresses the significant gap in the uptake of this evidence-based approach by employing a multi-level implementation strategy called the Science of Service Laboratory, which includes didactic training, performance feedback, and external facilitation. The study will utilize a stepped wedge design to evaluate the effectiveness of this implementation strategy across a cohort of 10 public sector opioid treatment programs. By focusing on both the effectiveness and implementation aspects, the study seeks to enhance the quality of care for individuals struggling with stimulant use alongside opioid use disorder.

Who should consider this trial

Good fit: Ideal candidates include individuals newly initiated on medication for opioid use disorder who are also using stimulants.

Not a fit: Patients who are not currently using stimulants or those who do not have access to electronic medical records may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could significantly improve treatment outcomes for patients with stimulant use in the context of opioid use disorder.

How similar studies have performed: Previous studies have shown success with contingency management in addiction treatment, but this specific implementation approach is relatively novel.

Eligibility criteria

* Opioid Treatment Program Counselors:

  * Inclusion criteria: 1) provide ongoing psychosocial support to medication for opioid use disorder patients (e.g., intake sessions, individual counseling, and/or group counseling sessions), and 2) have an active caseload
  * Exclusion criteria: Younger than 18 years of age, unable to provide informed consent
* Persons on Medication for Opioid Use Disorder \[Not recruited, via electronic medical records only\]

  * Inclusion criteria: must be newly initiated on medication for opioid use disorders (within the past 30 days) and have concurrent stimulant use (indicated by self-report of past 30-day stimulant use or positive toxicology screen within 30 days).
  * Exclusion criteria: Younger than 18 years of age, Does not have electronic medical records

Where this trial is running

Chicago, Illinois and 8 other locations

• ACCESS Community Health Networks — Chicago, Illinois, United States (RECRUITING)
• Lawndale Christian Health Center — Chicago, Illinois, United States (COMPLETED)
• Healthcare Alternative Systems — Chicago, Illinois, United States (COMPLETED)
• Community Outreach Intervention Projects — Chicago, Illinois, United States (RECRUITING)
• Family Guidance Centers — Chicago, Illinois, United States (RECRUITING)
• Rosecrance Health Network — Rockford, Illinois, United States (RECRUITING)
• Addiction Recovery Institute — Pawtucket, Rhode Island, United States (COMPLETED)
• Comprehensive Treatment Centers — Providence, Rhode Island, United States (COMPLETED)
• CODAC — Providence, Rhode Island, United States (COMPLETED)

Study contacts

• Principal investigator: Sara Becker — Northwestern University
• Study coordinator: Sara Becker

Conditions: Stimulant Use, Stimulants, Contingency management, Opioid Use Disorder, Implementation science, Behavior change