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

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Dissemination of Contingency Management for the Treatment of Opioid Use Disorder

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DeFulio, Anthony·2023·Perspectives on Behavior Science

DOI 10.1007/s40614-022-00328-zPMC PMC10050478

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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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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.
National Institute on Drug Abuse. (1978). Self-administration of abused substances: Methods for study. Research Monograph, 20, NTIS PB 288471.

Sorted by citations

The ASAM/AAAP Clinical Practice Guideline on the Management of Stimulant Use Disorder
(2024) · Journal of Addiction Medicine · doi:10.1097/adm.0000000000001299 · Cited by 78
Should contingency management protocols and dissemination practices be modified to accommodate rising stimulant use and harm reduction frameworks?
Khazanov, G. K., McKay, J. R., & Rawson, R. A. (2024) · Addiction · doi:10.1111/add.16497 · Cited by 28
Feasibility, Acceptability, and Preliminary Efficacy of a Smartphone-Based Contingency Management Intervention for Buprenorphine Adherence
DeFulio, A., Brown, H. D., Davidson, R. M., Regnier, S. D., Kang, N., & Ehart, M. (2023) · Behavior Analysis in Practice · doi:10.1007/s40617-022-00730-8 · Cited by 22
Self-citation
Toward an era of impact of digital contingency management in the treatment of substance use disorders
Dallery, J., Ives, L., & Knerr, A. W. (2023) · Preventive Medicine · doi:10.1016/j.ypmed.2023.107518 · Cited by 18
A Systematic Review of Treatment Maintenance Strategies in Token Economies: Implications for Contingency Management
Regnier, S. D., Traxler, H. K., Devoto, A., & DeFulio, A. (2022) · Perspectives on Behavior Science · doi:10.1007/s40614-022-00358-7 · Cited by 17
Self-citation

See all 29

Authors: DeFulio, A.
Affiliations: Western Michigan University (US)
Corresponding author: DeFulio, Anthony
ORCID: DeFulio, Anthony
Venue: Perspectives on Behavior Science
Publisher: Springer Science and Business Media LLC
Published: 2022-02-10
Volume: 46
Issue: 1
Pages: 35-49
ISSN: 2520-8969 (ISSN-L)
2520-8977
DOI: 10.1007/s40614-022-00328-z
PMC: PMC10050478
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: green
www.ncbi.nlm.nih.gov
Licence: www.springernature.com/gp/researchers/text-and-data-mining (tdm)
www.springernature.com/gp/researchers/text-and-data-mining (vor)
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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Dissemination of Contingency Management for the Treatment of Opioid Use Disorder

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