Contingency Management for Drug Use: Does Age Matter?

Running, not enrolling · Not applicable · Has a placebo group

Conditions studied: Opioid Use Disorder, Methamphetamine Abuse, Cocaine Use Disorder

In brief

The OVERALL AIM is to assess whether app-based incentives are effective for older adults and to quantify the associations between age and both the efficacy and take-up of app-based incentives. This will allow us to determine if older adults with substance use disorders (SUDs) are willing to engage with app-based incentives and whether they perform similarly to their younger counterparts. Because the study will leverage data from an existing study on app-based incentives, a small add-on study is sufficient to address these three aims. This aim will be achieved while simultaneously gathering data that will shed light on the two aims of the first phase of the study: whether app-based incentives are effective overall, and how to optimize the size of incentives over time to maximize their effectiveness.

Key facts

Study ID

NCT05521854

Run by

Wake Forest University Health Sciences

People needed

175

Starts

2023-05-01

Expected to finish

2026-07-30

Last updated by the study team

2026-06-25

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age at least 18 years old;
• Meet DSM-5 OUD, CoUD, or MUD criteria as evidenced by an OUD CPT code F11* (opioid related disorders), a CoUD CPT code F14* (cocaine related disorders), a MUD CPT code F15.1/F15.2 or other clinical notes indicating illicit opioid/cocaine/methamphetamine use for treatment;
• Have access to a smartphone (iOS or Android) with data plan and willing to download DynamiCare app;
• Have an email and can access it from their smartphone;
• Are in residential, day (PHP), partial day (IOP), or outpatient (OP) AODA treatment;
• Are likely to be helped by contingency management because at least ONE of the following conditions is true:
• Were first enrolled in residential, PHP, or IOP substance use treatment no longer than 2 treatment weeks (14 days/encounters of treatment) prior to providing informed consent.
• Used non-medical opioids, cocaine, and/or methamphetamine within the last 21 days.
• Understands English.

You may not qualify if…

• Have evidence of active (non-substance related) psychosis that might impair participation as determined by the PI.
• Has significant cognitive impairment that might confound participation as determined by the PI or are so significantly cognitively impaired that they have a legal guardian.

Where it is running

• Advocate Health Care — Chicago, Illinois, United States
• Aurora Behavioral Health Services — Milwaukee, Wisconsin, United States

Full record on ClinicalTrials.gov

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