Service Delivery

Effect of dispenser location on taking free condoms in an outpatient cocaine abuse treatment clinic.

Carrigan et al. (1995) · Journal of applied behavior analysis 1995
★ The Verdict

Moving free condom dispensers from staff offices to the day room tripled uptake in a cocaine outpatient clinic.

✓ Read this if BCBAs running adult day programs or addiction clinics who want a zero-cost health boost.
✗ Skip if Clinics that already keep safer-sex items in plain public view.

01Research in Context

01

What this study did

Staff moved free condom dispensers from counselors' offices to the day room of an outpatient cocaine clinic.

They counted how many clients took condoms each day before and after the move.

02

What they found

Condom take-ups tripled when dispensers sat in the day room instead of staff offices.

The change was immediate and stayed high for the whole study.

03

How this fits with other research

Hsieh et al. (2014) and Mueller et al. (2000) show the same rule: put the prompt where people already go. A posted sign cut dish clutter in a hospital kitchen and graffiti in a public bathroom just like the day-room move boosted condom grabs.

DeFulio (2023) and Moss et al. (2020) use high-tech rewards to lift addiction-service engagement. Gaylord-Ross et al. (1995) proves you can get a big lift with zero tech—just move the item closer to clients.

Together the papers say: first make the healthy choice easy (move it), then add rewards if you need more.

04

Why it matters

You can raise safe-sex behavior in under five minutes. No extra staff, no new training, no cost. Just carry the dispenser from the private office to the public space where clients already hang out. Try it Monday morning and count take-ups for a week—you should see the same jump these authors saw.

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→ Action — try this Monday

Relocate any free health items to the client lounge and track daily take-ups for one week.

02At a glance

Intervention
other
Design
single case other
Population
substance use disorder
Finding
positive
Magnitude
large

03Original abstract

Crack cocaine use increases risky sexual behavior and HIV exposure; therefore, safe sexual practices should be encouraged during cocaine addiction treatment. Research indicates that placing condom dispensers in private restrooms increases taking free condoms. We investigated two other dispenser locations (a day room vs. counselors' offices) and found that substantially more condoms were taken when dispensers were in the day room. This is an important issue for public health facilities without private restrooms.

Journal of applied behavior analysis, 1995 · doi:10.1901/jaba.1995.28-465