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Evidence\u2010based interventions for comorbid alcohol use disorder (AUD) and ARLD remain limited, and only a small proportion of this clinical population engages with treatment. There is a need to improve patient outcomes by bridging this gap through novel, person\u2010centred interventions. Contingency management (CM) is a psychosocial intervention that involves gradual, increasing incentives upon the completion of treatment\u2010related goals, such as treatment attendance. This single\u2010centre, randomized pilot trial of voucher\u2010based CM was conducted to promote treatment engagement in comorbid AUD and ARLD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty service users were recruited from an inpatient setting, offered integrated liver care (ILC) and allocated to ILC only or ILC\u2009+\u2009CM. Primary outcomes included feasibility criteria (recruitment, study retention post\u2010randomization, completeness of data and protocol fidelity). Secondary outcome data on engagement, alcohol intake, and liver function were also collected. Data were gathered at baseline, post\u2010ILC, and 12\u2009weeks post\u2010ILC and analyzed through descriptive statistics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The feasibility of the research was subject to challenges inherent to conducting applied health research in a real\u2010world clinical setting. The recruitment and retention rates were 73.20% and 36.70%, respectively. All participants received CM per protocol. An increasing trend in engagement was observed in the ILC\u2009+\u2009CM compared to ILC only (67% vs. 33%). A trending 76% reduction in alcohol intake and an overall improvement in liver outcomes were observed among participants engaging with the trial, with no significant differences between control and treatment groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Overall, the CM intervention was feasible to deliver and appears promising in improving outcomes in individuals with comorbid AUD and ARLD. Aspects related to recruitment, study retention post\u2010randomization, and protocol fidelity need to be further adapted before proceeding with a definitive trial.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acer.70018","type":"journal-article","created":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T03:59:46Z","timestamp":1741665586000},"page":"893-910","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Contingency management to promote treatment engagement in comorbid alcohol use disorder and alcohol\u2010related liver disease: Findings from a pilot randomized controlled trial"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4476-2475","authenticated-orcid":false,"given":"Sofia","family":"Hemrage","sequence":"first","affiliation":[{"name":"Department of Addictions, Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Kalk","sequence":"additional","affiliation":[{"name":"Department of Addictions, Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"},{"name":"South London and Maudsley NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naina","family":"Shah","sequence":"additional","affiliation":[{"name":"Institute of Liver Studies King's College Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Parkin","sequence":"additional","affiliation":[{"name":"Department of Addictions, Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"},{"name":"Department of Public Health, Environments and Society London School of Hygiene and Tropical Medicine  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Deluca","sequence":"additional","affiliation":[{"name":"Department of Addictions, Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colin","family":"Drummond","sequence":"additional","affiliation":[{"name":"Department of Addictions, Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,10]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(20)30925\u20109"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/S12876\u2010023\u201002656\u2010Z"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.14309\/AJG.0000000000002677"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102016\u2010013537"},{"key":"e_1_2_12_6_1","unstructured":"ClinicalTrials.gov. 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