Ignite Creation Date:
2024-05-05 @ 7:05 PM
Last Modification Date:
2024-10-26 @ 9:44 AM
Study NCT ID:
NCT00607269
Status:
COMPLETED
Last Update Posted:
2013-08-01
First Post:
2008-01-22
Brief Title:
Voucher-Based Incentives in a Prevention Setting
Sponsor:
Friends Research Institute Inc
Organization:
Friends Research Institute Inc
Study Overview
Official Title:
Voucher-Based Incentives in a Prevention Setting
Status:
COMPLETED
Status Verified Date:
2013-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
VIPS
Brief Summary:
This study evaluates a contingency management program that rewards homeless non-treatment-seeking substance abusing men who have sex with men MSM for abstaining from drugs and for performing prosocial behaviors If this program motivates these individuals to increase prosocial and healthy behaviors and decrease drugalcohol use established prevention programs may modify their approaches to include contingency management and use it to address the staggering public health problems homeless substance-abusing MSMs face on a daily basis
Detailed Description:
Homelessness is a significant problem plaguing American cities and homeless substance abusers face increased risks Homeless substance abusing men who have sex with men MSM suffer 80 HIV seroprevalence engage in the sex trades and resist treatment for substance abuse For almost 30 years the Van Ness Recovery House VNRH has been providing treatment services to homeless substance-abusing MSMs in Hollywood CA In 1994 VNRH began providing community-based HIV prevention services to non-treatment seeking homeless substance-abusing MSMs through the VNPD its prevention division Contingency management interventions providing positive incentives for behavior change may be particularly well suited for this disenfranchised high-risk cohort Specifically voucher-based incentive therapies VBRT may be particularly effective since they have established potency for increasing prosocial behaviors that successfully compete with taking drugs and for reducing drug use A randomized controlled trial will assign 144 non-treatment seeking homeless substance-abusing MSMs at VNPD to either VBRT or control groups 72group for 24 weeks with planned follow up at 7 9 and 12 months from randomization The VBRT group will earn vouchers in exchange for completing prosocial and healthy behaviors andor submitting drug-negative urine and alcohol-negative breath samples Vouchers will be redeemable for goods located in an onsite voucher store The control group will receive feedback regarding behaviors performed and urinalysis and breath alcohol tests but will not receive voucher points for these behaviors We will assess the efficacy of the VBRT intervention for increasing prosocial and healthy behavior and reducing substance abuse among these non-treatment seeking homeless substance-abusing MSMs receiving services at VNPD We will also assess the impact of VBRT on other measures of therapeutic change consistent with a harm reduction approach including reduction of psychiatric symptoms decreased injection drug use and high-risk sexual behavior increased participation in prevention programming improvement in different domains of overall functioning medicalsocialvocational and increased readiness to change Additionally we will examine whether baseline participant characteristics predict VBRT outcomes Applying VBRT to non-treatment seeking homeless substance-abusing MSMs as well as integrating VBRT into a well-established prevention program with a harm reduction philosophy are both highly innovative Our reinforcement contingencies will also shape behavioral steps towards more complex behaviors employing a basic operant tenet that has not received sufficient attention Overall our proposed research has the potential to have a significant impact on the public health of the Los Angeles homeless gay and bisexual community If VBRT is efficacious for motivating non-treatment seeking homeless substance-abusing MSMs in a community-based prevention program to increase prosocial and healthy behaviors and decrease drugalcohol use established prevention programs may modify their approaches to include contingency management and use it to address the staggering public health problems HGMSAs face on a daily basis
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| R01DA015990 | NIH | None | httpsreporternihgovquickSearchR01DA015990 |