Is exposure to an effective contingency management intervention associated with more positive provider beliefs?
Open accessAbstract
This study empirically examined opinions of treatment providers regarding contingency management (CM) programs while controlling for experience with a specific efficacious CM program. In addition to empirically describing provider opinions, we examined whether the opinions of providers at the sites that implemented the CM program were more positive than those of matched providers at sites that did not implement it. Participants from 7 CM treatment sites (n = 76) and 7 matched nonparticipating sites (n = 69) within the same nodes of the National Institute of Drug Abuse Clinical Trials Network completed the Provider Survey of Incentives (PSI), which assesses positive and negative beliefs about incentive programs. An intent-to-treat analysis found no differences in the PSI summary scores of providers in CM program versus matched sites, but correcting for experience with tangible incentives showed significant differences, with providers from CM sites reporting more positive opinions than those from matched sites. Some differences were found in opinions regarding costs of incentives, and these generally indicated that participants from CM sites were more likely to see the costs as worthwhile. The results from the study suggest that exposing community treatment providers to incentive programs may itself be an effective strategy in prompting the dissemination of CM interventions.
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In December 2020, the Office of Inspector General clarified that contingency management is not inherently a violation of the Anti-Kickback Statute and can be assessed case by case.
“In December 2020, the Office of the Inspector General (OIG) published clarification-known as the”
From The ASAM/AAAP Clinical Practice Guideline on the Management of Stimulant Use Disorder (2024) · cites this paper as [53]
The Introduction (page unavailable) discusses contingency management’s effectiveness and providers’ reluctance to adopt it, while the Methods (page unavailable) describes tangible incentives. Searches for the Office of Inspector General, the Anti-Kickback Statute, December 2020, and case-by-case legal guidance found no passage addressing the claimed clarification. This 2012 paper cannot document an announcement made in 2020. (LLM, conf=0.78)
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- Authors
- Kirby, K. C., Carpenedo, C. M., Stitzer, M. L., Dugosh, K. L., Petry, N. M., Roll, J. M., Saladin, M. E., Cohen, A. J., Hamilton, J., Reese, K., Sillo, G. R., Stabile, P. Q., & Sterling, R. C.
- Affiliations
- Treatment Research Institute (US)
- Johns Hopkins University (US)
- University of Connecticut (US)
- Washington State University Spokane (US)
- Medical University of South Carolina (US)
- Patton State Hospital (US)
- Thomas Jefferson University (US)
- Corresponding author
- Kirby, Kimberly C.
- ORCID
- Venue
- Journal of Substance Abuse Treatment
- Publisher
- Elsevier BV
- Published
- 2012-06
- Volume
- 42
- Issue
- 4
- Pages
- 356-365
- ISSN
- 0740-5472 (ISSN-L)
- PMC
- PMC3319812
- OpenAlex
- W2031444956
- Cited by
- 30
- References
- 46
- Citations by year
- 2026: 2 · 2024: 1 · 2023: 3 · 2022: 2 · 2021: 3 · 2020: 1 · 2019: 3 · 2018: 1 · 2017: 1 · 2016: 3 · 2015: 4 · 2014: 3 · 2013: 2
- FWCI
- 1.45
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Substance Abuse Treatment (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5u10da013034-15, 5u10da013043-15)
- National Institute on Alcohol Abuse and Alcoholism (P60AA003510)
- National Institute on Drug Abuse (U10-DA-013043, U10DA13043, U10-DA013034, R01DA015991, U10 DA13034, P50DA027841)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- contingency management, provider beliefs, incentive mechanisms, intervention dissemination, perceived cost, addiction treatment
- MeSH terms
- Attitude of Health Personnel, Costs and Cost Analysis, Counseling, Data Collection, Data Interpretation, Statistical, Educational Status, Health Personnel, Humans, Motivation, Surveys and Questionnaires, Substance Abuse Treatment Centers, Substance-Related Disorders
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