Contingency Management for Substance Use During Pregnancy

(SUPPORT-MOM Trial)

This trial tests new methods to help pregnant individuals with substance use issues remain in treatment and support their recovery. The study explores two strategies: connecting participants with community resources such as housing and childcare, and using rewards to encourage positive behaviors, known as Contingency Management. It targets those who are pregnant or recently gave birth and have a history of substance use. By identifying the most effective strategies, the trial aims to improve health outcomes for both the parent and baby. As an unphased trial, this study provides a unique opportunity to contribute to innovative approaches that could significantly enhance recovery support for pregnant individuals.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your healthcare provider.

Research has shown that contingency management is generally safe for pregnant women with substance use issues. Studies have found that this method can help pregnant women quit using harmful substances without serious side effects. For instance, a Cochrane review found that contingency management was the most effective way to help pregnant women stop smoking. These studies reported no major safety concerns, suggesting that the treatment is well-tolerated. However, since everyone is different, discussing any concerns with a healthcare provider before joining a clinical trial is important.¹²³⁴⁵

Researchers are excited about Contingency Management for substance use during pregnancy because it offers a unique approach compared to traditional methods like counseling or medication-assisted treatments. This method uses positive reinforcement, such as providing rewards for healthy behaviors, which can help motivate individuals to reduce substance use. Additionally, integrating social drivers of health screening addresses external factors that may affect health, such as access to resources and social support, offering a more holistic approach to treatment. By targeting both behavior and social determinants, this approach has the potential to be more effective and supportive for pregnant individuals struggling with substance use.

Research has shown that using rewards, a method known as Contingency Management, can help pregnant women reduce substance use. In this trial, participants will receive Contingency Management, which studies have shown makes women more than twice as likely to stop using substances compared to those who didn't receive rewards. One study demonstrated that using rewards increased the chances of obtaining expected drug test results and helped women remain substance-free for longer. In some cases, 83% of women stopped using at least one substance during pregnancy, although it often took more than four months to achieve this. Overall, using rewards appears to improve attendance at treatment sessions and increase the chances of staying substance-free.¹²⁵⁶⁷