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Interventions for Unemployed Hazardous Drinkers

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ClinicalTrials.gov Identifier: NCT02559609
Recruitment Status : Active, not recruiting
First Posted : September 24, 2015
Last Update Posted : September 22, 2021
Sponsor:
Collaborator:
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Information provided by (Responsible Party):
Carla Rash, UConn Health

Brief Summary:
Despite recent improvements in the US economy, unemployment remains a significant concern, and estimates indicate that one-third of unemployed persons drink at hazardous levels, adversely impacting their health and abilities to find jobs. Reinforcement interventions are highly efficacious in reducing substance use, and they can be applied to increase job-seeking activities as well. In partnership with CT United Labor Agency, this project is designed to reduce hazardous drinking and enhance active participation in job-seeking activities among those with job loss. It will evaluate the independent and combined effects of reinforcing negative breathalyzer samples and job-seeking activities to ascertain the simplest and most cost-effective approach to improving outcomes in this population. Unemployed individuals with hazardous drinking (N = 280) will be randomly assigned to one of four conditions using a 2 x 2 design: standard care, standard care with reinforcement for submitting negative breathalyzer samples, standard care with reinforcement for job-seeking activities, or standard care plus reinforcement for both negative breathalyzer samples and job-seeking activities. Participants in all conditions will receive usual services part of CT United Labor Agency, along with a novel remote breath alcohol monitoring procedure. The study interventions will be in effect for three months, and participants will be followed for one year. Alcohol and other drug use, employment, psychiatric symptoms, and global measures of health will be assessed throughout treatment and follow-up. Reinforcing negative breathalyzer samples is expected to significantly reduce drinking, and reinforcing job-seeking activities is expected to increase re-employment rates and reduce time until job attainment. Reinforcing both negative breathalyzer samples and job-seeking activities is hypothesized to improve outcomes along both domains. The reinforcement interventions may also decrease psychiatric distress and slow progression of physical decline, common among the unemployed. If efficacious and cost-effective, results from this study may stimulate adoption of reinforcement interventions in the context of unemployment services. Reducing the adverse consequences of hazardous drinking and improving job re-entry may have pronounced benefits in a highly vulnerable segment of the US population.

Condition or disease Intervention/treatment Phase
Unemployment Hazardous Drinking Behavioral: contingency management for alcohol abstinence Behavioral: contingency management for activity completion Behavioral: activity contracting Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 240 participants
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Interventions for Unemployed Hazardous Drinkers
Actual Study Start Date : March 2016
Estimated Primary Completion Date : December 2021
Estimated Study Completion Date : December 2021

Arm Intervention/treatment
Active Comparator: job activity contracting
Standard services plus job activity contracting and alcohol monitoring
Behavioral: activity contracting
Participants will complete job-related activity contracts each week with the goal of obtaining employment.

Experimental: reinforcement for negative alcohol samples
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings
Behavioral: contingency management for alcohol abstinence
Participants will earn chances to win prizes for each negative breath alcohol recording provided.

Behavioral: activity contracting
Participants will complete job-related activity contracts each week with the goal of obtaining employment.

Experimental: reinforcement for completing activities
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for completing job-related activities
Behavioral: contingency management for activity completion
Participants will earn chances to win prizes for completing specific job-related activities.

Behavioral: activity contracting
Participants will complete job-related activity contracts each week with the goal of obtaining employment.

Experimental: reinforcement for negative alcohol samples & activities
Standard services plus job activity contracting and alcohol monitoring plus reinforcement for negative breath alcohol recordings and for completing job-related activities
Behavioral: contingency management for alcohol abstinence
Participants will earn chances to win prizes for each negative breath alcohol recording provided.

Behavioral: contingency management for activity completion
Participants will earn chances to win prizes for completing specific job-related activities.




Primary Outcome Measures :
  1. longest duration of negative breath alcohol samples in a row (physiological measure) [ Time Frame: 12 weeks ]
    most days in a row of negative breath samples submitted

  2. Percent negative breath alcohol recordings [ Time Frame: 12 weeks ]
  3. Percent days worked for pay [ Time Frame: 52 weeks ]
  4. time to job attainment [ Time Frame: 52 weeks ]


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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • age 18-65 years
  • receiving unemployment services
  • alcohol use
  • English-speaking and able to read at a 5th grade level
  • have a valid photo ID
  • willing and able to use study equipment and sign an off-campus property transfer form
  • able to pass an informed consent quiz

Exclusion Criteria:

  • have a condition that may hinder study participation

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 ClinicalTrials.gov identifier (NCT number): NCT02559609


Locations
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United States, Connecticut
United Labor Agency
Middletown, Connecticut, United States, 06457
Sponsors and Collaborators
UConn Health
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Investigators
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Principal Investigator: Carla J Rash, Ph.D. UConn Health
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Responsible Party: Carla Rash, Assistant Professor, UConn Health
ClinicalTrials.gov Identifier: NCT02559609    
Other Study ID Numbers: 15-041-2
R01AA023502 ( U.S. NIH Grant/Contract )
First Posted: September 24, 2015    Key Record Dates
Last Update Posted: September 22, 2021
Last Verified: September 2021