Prize-based contingency management does not increase gambling

Nancy M. Petry; Ken B. Kolodner; Rui Li; Jessica M. Peirce; John M. Roll; Maxine L. Stitzer; John A. Hamilton

doi:10.1016/j.drugalcdep.2005.11.023

Prize-based contingency management does not increase gambling

Nancy M. Petry, Ken B. Kolodner, Rui Li, Jessica M. Peirce, John M. Roll, Maxine L. Stitzer, John A. Hamilton

School of Medicine

Research output: Contribution to journal › Article › peer-review

61 Scopus citations

Abstract

A contingency management (CM) intervention that provides drug-abstinent patients a chance to win prizes of varying magnitudes is efficacious in retaining patients in treatment and reducing drug use. However, this intervention has been criticized as possibly increasing gambling because it contains an element of chance. Gambling behaviors before, during and 3 months after participation in a multi-site study of CM were compared for stimulant users randomly assigned to 12 weeks of standard care with (N = 407) or without (N = 396) prize-based CM. Among study participants enrolled in outpatient non-methadone drug abuse treatment (N = 415), 26% reported gambling during the observation period, and this rate was 37% among participants (N = 388) enrolled in methadone maintenance programs. No differences in gambling over time were noted between those assigned to the prize CM versus standard care conditions, indicating that this prize CM procedure does not adversely impact gambling behavior among stimulant abusers.

Original language	English (US)
Pages (from-to)	269-273
Number of pages	5
Journal	Drug and alcohol dependence
Volume	83
Issue number	3
DOIs	https://doi.org/10.1016/j.drugalcdep.2005.11.023
State	Published - Jul 27 2006

Keywords

Cocaine
Contingency management
Drug abuse treatment
Gambling
Methadone
Methamphetamine
Stimulant use

ASJC Scopus subject areas

Toxicology
Pharmacology
Psychiatry and Mental health
Pharmacology (medical)

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10.1016/j.drugalcdep.2005.11.023

Cite this

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title = "Prize-based contingency management does not increase gambling",

abstract = "A contingency management (CM) intervention that provides drug-abstinent patients a chance to win prizes of varying magnitudes is efficacious in retaining patients in treatment and reducing drug use. However, this intervention has been criticized as possibly increasing gambling because it contains an element of chance. Gambling behaviors before, during and 3 months after participation in a multi-site study of CM were compared for stimulant users randomly assigned to 12 weeks of standard care with (N = 407) or without (N = 396) prize-based CM. Among study participants enrolled in outpatient non-methadone drug abuse treatment (N = 415), 26% reported gambling during the observation period, and this rate was 37% among participants (N = 388) enrolled in methadone maintenance programs. No differences in gambling over time were noted between those assigned to the prize CM versus standard care conditions, indicating that this prize CM procedure does not adversely impact gambling behavior among stimulant abusers.",

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note = "Funding Information: This research was supported by the National Institute on Drug Abuse Clinical Trials Network Grant #U10 DA13034, and preparation of this report was supported by NIH grants R01-MH60417-Suppl, R01-DA13444, RO1-DA016855, RO1-DA14618, R01-DA018883, P50-DA09241 and P50-AA03510. We thank the staff and participants at the treatment centers, and members of the CTN, for their involvement in this project. ",

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AU - Stitzer, Maxine L.

AU - Hamilton, John A.

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N2 - A contingency management (CM) intervention that provides drug-abstinent patients a chance to win prizes of varying magnitudes is efficacious in retaining patients in treatment and reducing drug use. However, this intervention has been criticized as possibly increasing gambling because it contains an element of chance. Gambling behaviors before, during and 3 months after participation in a multi-site study of CM were compared for stimulant users randomly assigned to 12 weeks of standard care with (N = 407) or without (N = 396) prize-based CM. Among study participants enrolled in outpatient non-methadone drug abuse treatment (N = 415), 26% reported gambling during the observation period, and this rate was 37% among participants (N = 388) enrolled in methadone maintenance programs. No differences in gambling over time were noted between those assigned to the prize CM versus standard care conditions, indicating that this prize CM procedure does not adversely impact gambling behavior among stimulant abusers.

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Prize-based contingency management does not increase gambling

Abstract

Keywords

ASJC Scopus subject areas

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