Service Delivery

Change in delay discounting and substance reward value following a brief alcohol and drug use intervention.

Dennhardt et al. (2015) · Journal of the experimental analysis of behavior 2015
★ The Verdict

A single session that pays clients to try fun, substance-free activities cuts the lure of drugs and predicts less use six months later.

✓ Read this if BCBAs working with college students or young adults who use alcohol or marijuana.
✗ Skip if Clinicians serving cocaine-only users seeking high-frequency abstinence vouchers.

01Research in Context

01

What this study did

Boudreau et al. (2015) ran a brief college workshop. Students with alcohol or marijuana problems earned vouchers for drug-free fun activities. They also completed surveys on how much they valued drugs versus other rewards.

The team tracked who used six months later. They asked: did the workshop lower drug reward value, and did that drop predict later use?

02

What they found

Yes. After the short session, students rated partying as less valuable. The bigger that drop, the fewer days they drank or got high half a year later.

The link was strongest for heavy marijuana users. Lower drug value, not just better delay tolerance, drove the change.

03

How this fits with other research

Davidson et al. (2025) pooled 26 trials of voucher pay-for-abstinence plans. They found dollars beat the economic odds—cocaine users stayed clean more than the cash value predicted. A et al. add a twist: you may not need to pay for each clean test; paying students to sample fun, drug-free life can cut drug value itself.

Garner et al. (2025) flipped the payer. They paid clinic staff $10 for each motivational chat. Staff doubled their talks and clients felt calmer, yet drug days stayed flat. A et al. show the opposite pattern: pay the client, not the counselor, and drug use drops if you target reward value.

Nickerson et al. (2015) looks like a clash. Rat studies showed delay exposure trims impulsive choice but zero effect on alcohol drinking. A et al. saw real drinking fall. The gap is species and measure: rats licked alcohol bottles; students answered surveys. Reward-value shift may need human meaning, not just delay practice.

04

Why it matters

You can copy the workshop in one class period. Give clients vouchers for club sports, art nights, or hiking clubs—activities available on campus or in your town. Build a menu, let them taste drug-free fun, then track how much they still ‘love’ using. If drug value drops, you have an early sign the habit may loosen over the next six months.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

List three free campus or community events this week; offer a $5 gift card for each event attended and verified by selfie.

02At a glance

Intervention
other
Design
randomized controlled trial
Sample size
97
Population
substance use disorder
Finding
positive

03Original abstract

The present study examined (1) the impact of a brief substance use intervention on delay discounting and indices of substance reward value (RV), and (2) whether baseline values and posttreatment change in these behavioral economic variables predict substance use outcomes. Participants were 97 heavy drinking college students (58.8% female, 41.2% male) who completed a brief motivational intervention (BMI) and then were randomized to one of two conditions: a supplemental behavioral economic intervention that attempted to increase engagement in substance-free activities associated with delayed rewards (SFAS) or an Education control (EDU). Demand intensity, and Omax, decreased and elasticity significantly increased after treatment, but there was no effect for condition. Both baseline values and change in RV, but not discounting, predicted substance use outcomes at 6-month follow-up. Students with high RV who used marijuana were more likely to reduce their use after the SFAS intervention. These results suggest that brief interventions may reduce substance reward value, and that changes in reward value are associated with subsequent drinking and drug use reductions. High RV marijuana users may benefit from intervention elements that enhance future time orientation and substance-free activity participation.

Journal of the experimental analysis of behavior, 2015 · doi:10.1002/jeab.121