Cited by 29Opioid Use Disorder TreatmentSubstance Abuse Treatment and OutcomesHealth Policy Implementation Science

The DOI matches its Crossref record; 89 of the 90 references it cites were found in a registry or an index.

Dissemination of Contingency Management for the Treatment of Opioid Use Disorder

Open access
DeFulio, Anthony·2023·Perspectives on Behavior Science

Abstract

Contingency management is an intervention for substance use disorders based on operant principles. The evidence base in support of contingency management is massive. It is effective in treating substance use disorder in general and opioid use disorder in particular. Dissemination has remained slow despite the urgency created by the opioid epidemic. Key barriers include a lack of expertise, time, and money. Implementing contingency management with smartphones eliminates the need for special training. It also solves logistical issues and requires little time on the part of clinicians. Thus, remaining barriers relate to cost. Federal anti-kickback regulations complicate solutions to the cost barrier. Other important regulatory challenges related to cost include the lack of billing codes and the difficulty of obtaining FDA approval for digital therapeutics. Even after the cost barrier is overcome, provider adoption is not guaranteed. Incentivizing providers for collaborative care may increase adoption and generate referrals. Recently proposed legislation and governmental policy statements provide optimism regarding the near-term large-scale adoption of contingency management in the treatment of opioid use disorder.

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Research works printed but not linked: 3

  1. Alford, D. P., LaBelle, C. T., & Kretsch, N. (2011). Collaborative care of opioid-addicted patients in primary care using buprenorphine. Health Care Reform, 171(5), 425–431.
  2. Andrade, L. F., & DeFulio, A. (2017). Contingency management treatments for drug use. In J. C. Todorov (Ed.), Trends in behavior analysis (Vol. 2, pp. 4–37). Mauricio Galinkin/Technopolitik.
  3. National Institute on Drug Abuse. (1978). Self-administration of abused substances: Methods for study. Research Monograph, 20, NTIS PB 288471.

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Metadata

Authors
DeFulio, A.
Affiliations
Western Michigan University (US)
Corresponding author
DeFulio, Anthony
Venue
Perspectives on Behavior Science
Published
2022-02-10
Volume
46
Issue
1
Pages
35-49
ISSN
  • 2520-8969 (ISSN-L)
  • 2520-8977
OpenAlex
W4210996964
Cited by
28
References
90
Citations by year
2026: 2 · 2025: 7 · 2024: 10 · 2023: 5 · 2022: 4
FWCI
5.49
Type
journal article
Language
en
Open access
Locations
  • Perspectives on Behavior Science (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Keywords
contingency management, opioid use disorder, dissemination, opioid epidemic, digital therapeutics, cost barriers, billing codes, FDA approval, provider adoption, collaborative care

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