Trial reportAlcohol and alcoholism (Oxford, Oxfordshire)
A randomized clinical trial of a Therapeutic Workplace for chronically unemployed, homeless, alcohol-dependent adults.
Trial report in Alcohol and alcoholism (Oxford, Oxfordshire). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Pooled it
- Abstinence-contingent wage supplements for adults experiencing homelessness and alcohol use disorder: A randomized clinical trial.Preventive medicine · 2023Trial
- Remotely administered incentive-based treatment for alcohol use disorder with participant-funded incentives is effective but less accessible to low-income participants.Experimental and clinical psychopharmacology · 2021Trial
- The rewarding recovery study: a randomized controlled trial of incentives for alcohol and drug abstinence with a rural American Indian community.Addiction (Abingdon, England) · 2021Trial
- Abstinence-contingent wage supplements to promote drug abstinence and employment: a randomised controlled trial.Journal of epidemiology and community health · 2020Trial
- Remote Alcohol Monitoring to Facilitate Incentive-Based Treatment for Alcohol Use Disorder: A Randomized Trial.Alcoholism, clinical and experimental research · 2018Trial
- The effects of the therapeutic workplace and heavy alcohol use on homelessness among homeless alcohol-dependent adults.Drug and alcohol dependence · 2016Trial
- Use of continuous transdermal alcohol monitoring during a contingency management procedure to reduce excessive alcohol use.Drug and alcohol dependence · 2014Trial
- Employment-based abstinence reinforcement following inpatient detoxification in HIV-positive opioid and/or cocaine-dependent patients.Experimental and clinical psychopharmacology · 2014Trial
- Monetary incentives to reinforce engagement and achievement in a job-skills training program for homeless, unemployed adults.Journal of applied behavior analysis · 2013Trial
- Recovery support services as part of the continuum of care for alcohol or drug use disorders.Addiction (Abingdon, England) · 2025Article
- The effectiveness of psychosocial interventions for reducing problematic substance use, mental ill health, and housing instability in people experiencing homelessness in high income countries: A systematic review and meta-analysis.Campbell systematic reviews · 2025Review
- Article
- The effectiveness of abstinence-based and harm reduction-based interventions in reducing problematic substance use in adults who are experiencing homelessness in high income countries: A systematic review and meta-analysis: A systematic review.Campbell systematic reviews · 2024Review
- Exploring the effect of case management in homelessness per components: A systematic review of effectiveness and implementation, with meta-analysis and thematic synthesis.Campbell systematic reviews · 2023Review
- Discounting of employment opportunities with urine drug testing requirements in opioid users enrolled in the Therapeutic Workplace.Journal of vocational rehabilitation · 2023Article
- Community-Based Interventions to Reduce Alcohol Consumption and Alcohol-Related Harm in Adults.Journal of community health · 2021Review
- Effects of time-based administration of abstinence reinforcement targeting opiate and cocaine use.Journal of applied behavior analysis · 2020Article
- Changes in the elimination and resurgence of alcohol-maintained behavior in rats and the effects of naltrexone.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2020Article
- Therapeutic efficacy of environmental enrichment for substance use disorders.Pharmacology, biochemistry, and behavior · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
aimsTo assess the efficacy of the Therapeutic Workplace, a substance abuse intervention that promotes abstinence while simultaneously addressing the issues of poverty and lack of job skills, in promoting abstinence from alcohol among homeless alcoholics.
methodsParticipants (n = 124) were randomly assigned to conditions either requiring abstinence from alcohol to engage in paid job skills training (Contingent Paid Training group), offering paid job skills training with no abstinence contingencies (Paid Training group) or offering unpaid job skill training with no abstinence contingencies (Unpaid Training group).
resultsParticipants in the Contingent Paid Training group had significantly fewer positive (blood alcohol level ≥ 0.004 g/dl) breath samples than the Paid Training group in both randomly scheduled breath samples collected in the community and breath samples collected during monthly assessments. The breath sample results from the Unpaid Training group were similar in absolute terms to the Contingent Paid Training group, which may have been influenced by a lower breath sample collection rate in this group and fewer reported drinks per day consumed at intake.
conclusionOverall, the results support the utility of the Therapeutic Workplace intervention to promote abstinence from alcohol among homeless alcoholics, and support paid training as a way of increasing engagement in training programs.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.