Web-Based Contingency Management Training for Addictions

NCT02740881 | Completed DMC

• 1 other identifier: R44DA033745
• Study Type: interventional
• Target: 97
• Locations: 1 country
• Sites: 1

Brief Summary

Adolescent substance abuse results in significant negative outcomes and extraordinary costs for youths, their families, communities and society (societal costs estimated at over $400 billion annually and greater than costs for any other health problem). There is a clear public health need for improving and expanding the delivery of evidence-based treatments for adolescent substance use, but despite this clear need, there is a large divide between science and practice. This project will develop a cost-effective, easily accessible, web-based Training Support System (TSS) for Contingency Management that incorporates ongoing training, feedback, and support provided to both counselors and their community-based agencies.

Conditions

Substance Abuse Problem

Outcome Measures

Primary Outcomes (7)

• Impact of training support on outpatient counselor fidelity to Contingency Management Substance Abuse Treatment Model measured using CM Therapist Adherence Measure (CM-TAM)

  Impact of ongoing training and support on counselor fidelity to the Contingency Management treatment model will be measured through the administration of the Contingency Management Therapist Adherence Measure (CM-TAM), a 34 item paper and pencil survey, completed monthly through the duration of the study. Scores on the CM-TAM indicate amount of counselor adherence to the treatment model.

  15 months

• Impact of training support on outpatient counselor fidelity to Contingency Management Substance Abuse Treatment Model measured using session tape review and scoring

  Impact of ongoing training and support on counselor fidelity to the Contingency Management treatment model will be measured through the review and scoring of session audio tapes. Scores generated through the session tape review indicate amount of counselor adherence to the treatment model and extent of treatment implementation.

  15 Months

• Impact of training support on outpatient counselor knowledge of, and fidelity to, the Contingency Management Substance Abuse Treatment Model measured using Contingency Management Knowledge Test (CM-KT)

  Impact of ongoing training and support on counselor fidelity to the Contingency Management treatment model will be measured through the administration of the Contingency Management Knowledge Test (CM-KT), a brief multiple choice tests administered annually. Scores from the CM-KT administrations summarize counselor knowledge changes over time.

  15 Months

• Impact of training support on outpatient counselor fidelity to Contingency Management Substance Abuse Treatment Model measured using treatment outcomes.

  Impact of ongoing training and support on counselor fidelity to the Contingency Management treatment model and on treatment outcomes will be measured through the review of treatment outcomes.

  15 Months

• Impact of training support on client satisfaction with treatment.

  Impact of training support on client satisfaction with treatment will be measured using the Client Satisfaction Questionnaire (CSQ-8), completed by each client at the end of treatment.

  15 months

• Assessment of Counselor Training Satisfaction with Satisfaction Survey administration.

  Counselor satisfaction with the training and training support will be measured using a counselor training satisfaction questionnaire. Counselors will complete 3 training satisfaction surveys over the course of the study.

  15 months

• Assessment of Counselor Satisfaction with Training and Training Support with Focus Group Outcomes

  Counselor will participate in 2-3 focus groups (depending on condition assignment) over the course of the study. Focus groups will be used to gather qualitative information about the counselor experience with the training and support strategies.

  15 months

Study Arms (2)

Training Support System

EXPERIMENTAL

Participants receive training in Contingency Management and immediately receive the full training support system and quality assurance feedback for 15 months while they provide the treatment.

Other: Counselor Training Methods

CM-CAT then TSS

ACTIVE COMPARATOR

Participants are trained in Contingency Management and use the treatment without training support and quality assurance feedback for 9 months. After 9 months they continue using Contingency Management but now receive the full training support system and quality assurance feedback for 6 months.

Other: Counselor Training Methods

Interventions

Counselor Training Methods OTHER

CM-CAT then TSS; Training Support System

Eligibility Criteria

• Age: 22 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Professional counselors in outpatient substance abuse treatment agencies.
• Must treat adolescent substance abusers in clinic-based care.
• Counselors employed by these agencies are healthy, gainfully-employed individuals who are all adults with advanced degrees.

You may not qualify if:

• Participants will be excluded if they are not professional counselors
• Younger than age 22
• Do not work in outpatient substance abuse treatment agencies.

Sponsors & Collaborators

• Sheidow Consulting, Inc.: lead
• Oregon Social Learning Center: collaborator

Study Sites (1)

Sheidow Consulting

Eugene, Oregon, 97403, United States

Location

MeSH Terms

Conditions

Substance-Related Disorders

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders

Study Officials

• Jaime Mulligan, Psy.D.

  Sheidow Consulting, Inc.

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Vice President

Study Record Dates

• First Submitted: November 25, 2015
• First Posted: April 15, 2016
• Study Start: November 1, 2015
• Primary Completion: August 31, 2018
• Study Completion: August 31, 2018
• Last Updated: December 31, 2018

Record last verified: 2018-12

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)