Evidence map›Paper›PMID 37541600›Full record

Trial reportPreventive medicine2023

Abstinence-contingent wage supplements for adults experiencing homelessness and alcohol use disorder: A randomized clinical trial.

Matthew D Novak, Forrest Toegel, August F Holtyn, Andrew M Rodewald, Meghan Arellano, Mackenzie Baranski, Nancy P Barnett, Jeannie-Marie Leoutsakos, Michael Fingerhood, Kenneth Silverman

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Preventive medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03519009 (A Therapeutic Workplace to Address Poverty and Substance Use), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT03519009 nacompletednot on this map

A Therapeutic Workplace to Address Poverty and Substance Use

TypeinterventionalSponsorJohns Hopkins UniversityRan2019 to 2024Enrolled152ConditionsSubstance Use DisordersArmsIPS Plus Abstinence-Contingent Wage Supplement
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Psychosocial Interventions for Alcohol Use Disorder: A Review of Efficacy, Mechanisms, and Clinical Implications.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Matthew D NovakDepartment of Psychiatry and Behavioral Sciences, Center for Learning and Health, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Forrest ToegelDepartment of Psychiatry and Behavioral Sciences, Center for Learning and Health, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Department of Psychological Science, Northern Michigan University, Marquette, MI, United States.
August F HoltynDepartment of Psychiatry and Behavioral Sciences, Center for Learning and Health, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Andrew M RodewaldDepartment of Psychiatry and Behavioral Sciences, Center for Learning and Health, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Meghan ArellanoDepartment of Psychiatry and Behavioral Sciences, Center for Learning and Health, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Mackenzie BaranskiDepartment of Psychological Science, Northern Michigan University, Marquette, MI, United States.
Nancy P BarnettDepartment of Psychiatry and Human Behavior, Brown University, Providence, RI, United States.
Jeannie-Marie LeoutsakosDepartment of Psychiatry and Behavioral Sciences, Center for Learning and Health, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Michael FingerhoodDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Kenneth SilvermanDepartment of Psychiatry and Behavioral Sciences, Center for Learning and Health, Johns Hopkins University School of Medicine, Baltimore, MD, United States. Electronic address: ksilverm@jhmi.edu.
Johns Hopkins Medicine · USJohns Hopkins University · USBrown University · USNorthern Michigan University · US

Funding

HUMAN BEHAVIORAL PHARMACOLOGY OF SUBSTANCE ABUSET32DA007209 · NIDA · JOHNS HOPKINS UNIVERSITY · PI Eric C. Strain, Elise M Weerts · 1985 to 2026
$12.9M
A therapeutic workplace for homeless adults with alcohol use disordersR01AA024101 · NIAAA · JOHNS HOPKINS UNIVERSITY · PI SILVERMAN, KENNETH · 2018 to 2022
$2.8M
NIAAA NIH HHS R01 AA024101NIDA NIH HHS T32 DA007209
6 · The paper itself

Abstract

This study evaluated the effectiveness of abstinence-contingent wage supplements in promoting alcohol abstinence and employment in adults experiencing homelessness and alcohol use disorder. A randomized clinical trial was conducted from 2019 to 2022. After a 1-month Induction period, 119 participants were randomly assigned to a Usual Care Control group (n = 57) or an Abstinence-Contingent Wage Supplement group (n = 62). Usual Care participants were offered counseling and referrals to employment and treatment programs. Abstinence-Contingent Wage Supplement participants could earn stipends for working with an employment specialist and wage supplements for working in a community job but had to maintain abstinence from alcohol as determined by transdermal alcohol concentration monitoring devices to maximize pay. Abstinence-Contingent Wage Supplement participants reported significantly higher rates of alcohol abstinence than Usual Care participants during the 6-month intervention (82.8% vs. 60.2% of months, OR = 3.4, 95% CI 1.8 to 6.3, p < .001). Abstinence-Contingent Wage Supplement participants were also significantly more likely to obtain employment (51.3% vs. 31.6% of months, OR = 2.6, 95% CI 1.5 to 4.4, p < .001) and live out of poverty (38.2% vs. 16.7% of months, OR = 3.7, 95% CI 2.0 to 7.1, p < .001) than Usual Care participants. These findings suggest that Abstinence-Contingent Wage Supplements can promote alcohol abstinence and employment in adults experiencing homelessness and alcohol use disorder. ClinicalTrials.gov Identifier: NCT03519009.

Indexed as

AlcoholismIll-Housed PersonsAdultAlcohol DrinkingEmploymentHumansSalaries and Fringe BenefitsAlcohol use disorderBiosensorContingency managementEmploymentHomelessnessIncentives

Identifiers

PMID37541600
PMCPMC10837308
OpenAlexW4385478540

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.