Contingency Management for Problematic Behavior Reduction in the Community (NCT06486584) | Clinical Trial Compass
CompletedNot Applicable
Contingency Management for Problematic Behavior Reduction in the Community
United States15 participantsStarted 2023-06-20
Plain-language summary
This study aims to determine the feasibility and effectiveness of implementing a contingency management program in a small group of mentally ill, unhoused individuals with schizophrenia or bipolar disorder and anosognosia (a lack of insight into their mental health) in the City of Tulsa. The primary objective of the study is to decrease disruptive or problematic behaviors (e.g. interactions with police, emergency services, hospitals, shelter staff, 911 calls) by unhoused individuals in the community through monetary incentives. Up to 15 participants will meet weekly for 30 minutes with their case manager to discuss progress on life goals ($10) and for having seven days with no disruptive behaviors (or "trouble-free days") per week at each visit, they will receive an additional baseline payment of $20, increasing with continued success in subsequent weeks by $1 per week.
Who can participate
Age range
18 Years – 65 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion criteria
. Age 18-65 years old
. Diagnosis of Schizophrenia Spectrum, Bipolar, or Related Disorders
. Presence of Anosognosia (SUMD: Minimum combined score of 4 on questions 1) and 2); Recent (at least \<6 months) history of disruptive behaviors (at least 1 disruptive behavior per week in \>50% of weeks in the 6-month period prior to enrollment)
. Receive case management services through TDC
. Ability to comply with study procedures
. Willingness to participate in contingency management intervention
Exclusion criteria
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1This trial focused on reducing disruptive behaviors in people with schizophrenia, bipolar disorder, or anosognosia using contingency management — can you explain what contingency management actually involves day-to-day, and whether that kind of behavioral reward system would be realistic for my situation?
2Since the trial is already completed, have any results been published yet, and if so, what did they actually show about whether disruptive behaviors were meaningfully reduced?
3Anosognosia — the lack of awareness of one's own illness — was one of the conditions studied here; if that's relevant to my diagnosis, how does it affect whether this type of behavioral approach would even work for me?
4This trial was conducted in a community setting rather than a hospital — does that mean the strategies tested here would be something my outpatient care team or family members could realistically support and carry out?
5Before considering something like contingency management, are there standard treatments for my specific condition — whether schizophrenia or bipolar disorder — that we should try first, or that might work alongside this kind of approach?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Reduction in disruptive behaviors
Timeframe: 6 months
Trial details
NCT IDNCT06486584
SponsorLaureate Institute for Brain Research, Inc.