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Reinforcing Therapist Performance (RTP)

Primary Purpose

Substance Use

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Incentive
Sponsored by
Chestnut Health Systems
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Substance Use

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

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.

Sites / Locations

  • Lighthouse Institute, Chestnut Health Systems

Arms of the Study

Arm 1

Arm 2

Arm Type

No Intervention

Experimental

Arm Label

Control

Incentive

Arm Description

Outcomes

Primary Outcome Measures

Target A-CRA
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.
A-CRA Competence
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

Percent of days abstinent
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.
Pay-for-performance Cost-Effectiveness
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.

Full Information

First Posted
November 18, 2009
Last Updated
July 26, 2011
Sponsor
Chestnut Health Systems
Collaborators
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
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1. Study Identification

Unique Protocol Identification Number
NCT01016704
Brief Title
Reinforcing Therapist Performance
Acronym
RTP
Official Title
Reinforcing Therapist Performance
Study Type
Interventional

2. Study Status

Record Verification Date
July 2011
Overall Recruitment Status
Completed
Study Start Date
November 2008 (undefined)
Primary Completion Date
June 2011 (Actual)
Study Completion Date
June 2011 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Chestnut Health Systems
Collaborators
National Institute on Alcohol Abuse and Alcoholism (NIAAA)

4. Oversight

Data Monitoring Committee
No

5. Study Description

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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Substance Use

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
105 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Control
Arm Type
No Intervention
Arm Title
Incentive
Arm Type
Experimental
Intervention Type
Behavioral
Intervention Name(s)
Incentive
Intervention Description
Participants assigned to the experimental condition are reinforced via monetary incentives for demonstrating superior delivery of an evidence treatment to clients
Primary Outcome Measure Information:
Title
Target A-CRA
Description
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.
Time Frame
14 weeks post intake
Title
A-CRA Competence
Description
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.
Time Frame
Monthly
Secondary Outcome Measure Information:
Title
Percent of days abstinent
Description
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.
Time Frame
6 months post-intake
Title
Pay-for-performance Cost-Effectiveness
Description
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.
Time Frame
First six months of study

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
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.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bryan R Garner, Ph.D.
Organizational Affiliation
Chestnut Health Systems
Official's Role
Principal Investigator
Facility Information:
Facility Name
Lighthouse Institute, Chestnut Health Systems
City
Normal
State/Province
Illinois
ZIP/Postal Code
61761
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
21315539
Citation
Garner BR, Godley SH, Bair CM. The impact of pay-for-performance on therapists' intentions to deliver high-quality treatment. J Subst Abuse Treat. 2011 Jul;41(1):97-103. doi: 10.1016/j.jsat.2011.01.012. Epub 2011 Feb 11.
Results Reference
result
PubMed Identifier
29973280
Citation
Garner BR, Lwin AK, Strickler GK, Hunter BD, Shepard DS. Pay-for-performance as a cost-effective implementation strategy: results from a cluster randomized trial. Implement Sci. 2018 Jul 4;13(1):92. doi: 10.1186/s13012-018-0774-1.
Results Reference
derived
PubMed Identifier
22893231
Citation
Garner BR, Godley SH, Dennis ML, Hunter BD, Bair CM, Godley MD. Using pay for performance to improve treatment implementation for adolescent substance use disorders: results from a cluster randomized trial. Arch Pediatr Adolesc Med. 2012 Oct;166(10):938-44. doi: 10.1001/archpediatrics.2012.802.
Results Reference
derived

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Reinforcing Therapist Performance

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