Reinforcing Therapist Performance (RTP)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01016704
Recruitment Status : Completed
First Posted : November 19, 2009
Last Update Posted : July 27, 2011
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Information provided by:
Chestnut Health Systems

Brief Summary:
The specific aims of the proposed study are to evaluate the effectiveness and cost-effectiveness of providing monetary incentives to therapists as a method to improve implementation of evidence-based treatments.

Condition or disease Intervention/treatment Phase
Substance Use Behavioral: Incentive Not Applicable

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 105 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Reinforcing Therapist Performance
Study Start Date : November 2008
Actual Primary Completion Date : June 2011
Actual Study Completion Date : June 2011

Arm Intervention/treatment
No Intervention: Control
Experimental: Incentive Behavioral: Incentive
Participants assigned to the experimental condition are reinforced via monetary incentives for demonstrating superior delivery of an evidence treatment to clients

Primary Outcome Measures :
  1. Target A-CRA [ Time Frame: 14 weeks post intake ]
    Based on a review of recordings of actual client sessions is an indicator of whether or not clients received 10 or more of 12 specified treatment procedures within no less than seven treatment sessions.

  2. A-CRA Competence [ Time Frame: Monthly ]
    Based on review of a randomly selected session recording is an indicator of whether or not participants delivered at least one treatment procedure at or above the level of competence required as part of the certification process.

Secondary Outcome Measures :
  1. Percent of days abstinent [ Time Frame: 6 months post-intake ]
    Based on client self report is the percentage of days during the past 90 days that clients reported not using any alcohol or other drugs.

  2. Pay-for-performance Cost-Effectiveness [ Time Frame: First six months of study ]
    The cost per unit of Target A-CRA, A-CRA Competene, and Percentage of Days Abstient in the experimental condition relative to the control condition.

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Must work at one of the participating demonstration sites funded by the Center for Substance Abuse Treatment to deliver the Adolescent Community Reinforcement Approach and/or Assertive Continuing Care.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01016704

United States, Illinois
Lighthouse Institute, Chestnut Health Systems
Normal, Illinois, United States, 61761
Sponsors and Collaborators
Chestnut Health Systems
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Principal Investigator: Bryan R Garner, Ph.D. Chestnut Health Systems