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Effect of incentives for alcohol abstinence in partnership with 3 American Indian and Alaska native communities: A randomized clinical trial

JAMA Jun 09, 2021

McDonell MG, Hirchak KA, Herron J, et al. - Researchers aimed at determining the effectiveness of incentives for alcohol abstinence for reducing alcohol use among American Indian and Alaska Native adults diagnosed with alcohol dependence via performing a randomized clinical trial, the Helping Our Native Ongoing Recovery (HONOR) study. A total of of 158 American Indian and Alaska Native adults with alcohol dependence received treatment as usual and were randomized to either the contingency management group, in which individuals received 12 weeks of incentives for submitting a urine sample indicating alcohol abstinence, or the control group, in which individuals received 12 weeks of incentives for submitting a urine sample without the requirement of alcohol abstinence. Alcohol-abstinent urine samples were more frequently submitted by the participants who received incentives for biologically confirmed alcohol abstinence during the intervention period relative to participants who did not receive incentives for abstinence. Based on the outcomes, they suggest a possible value of the provision of tangible incentives for alcohol abstinence, also known as contingency management, in aiding American Indian and Alaska Native adults diagnosed with alcohol dependence to attain abstinence.

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