Contingency Management for Cocaine Dependence: Cash Versus Vouchers
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric, Pulmonary |
| Therapuetic Areas: | Psychiatry / Psychology, Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 5/27/2013 |
| Start Date: | April 2008 |
| End Date: | March 2012 |
| Contact: | David Festinger, Ph.D. |
| Email: | dfestinger@tresearch.org |
| Phone: | 215-399-0980 |
The current study examines both practical and ethical issues related to cash contingency
management (CM) procedures. With respect to practical implications, the use of cash
incentives may address several concerns that have hindered the transfer of CM interventions
into real world practice. First, if cash incentives produce larger effects than
cost-equivalent vouchers, treatment providers would be able to use cash incentives to opt
for either greater effect sizes at the same cost as vouchers, or for the same effect size at
a reduced cost. Second, if cash incentives require less staff time and resources to
administer, this could reduce the labor burden associated with implementing a CM
intervention. A third goal of the study addresses ethical issues related to whether cash or
non-monetary CM procedures impinge on intrinsic motivation or cause other undue harms.
Inclusion Criteria:
1. Be a new intake to the Parkside treatment program.
2. Meet DSM-IV diagnostic criteria for current cocaine dependence as assessed by the
Substance Use Disorders section of the Structured Clinical Interview for DSM-IV
(SCID-I). (In our past studies at this same facility, 60% of the clients met DSM-IV
criteria for current cocaine dependence).
3. Be capable of providing valid contact information. We have found that a small
proportion of participants may provide false contact information, and we consider
this to be a passive strategy for refusing research participation. Therefore, the RA
will immediately attempt to verify the contact information.
4. Be capable of providing informed consent.
5. Be willing and capable of fulfilling the requirements of the research protocol.
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