Cited by 881Substance Abuse Treatment and OutcomesBehavioral and Psychological StudiesOpioid Use Disorder Treatment

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Contingency management for treatment of substance use disorders: a meta‐analysis

Prendergast, Michael, Podus, Deborah, Finney, John, Greenwell, Lisa, Roll, John·2006·Addiction

DOI 10.1111/j.1360-0443.2006.01581.x

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Abstract

Aims To examine the effectiveness of contingency management (CM) techniques in treating substance use disorders (i.e. illicit drugs, alcohol, tobacco). Design Meta‐analysis was used to determine the average effect size and potential moderators in 47 comparisons of the effectiveness of CM from studies based on a treatment–control group design and published between 1970 and 2002. Findings The mean effect size (ES) of CM was positive, with a magnitude of d = 0.42 using a fixed effects model. The magnitude of the ES declined over time, following treatment. CM was more effective in treating opiate use (d = 0.65) and cocaine use (d = 0.66), compared with tobacco (d = 0.31) or multiple drugs (d = 0.42). Larger effect sizes were associated with higher researcher involvement, earlier studies and shorter treatment duration. Conclusions Study findings suggest that CM is among the more effective approaches to promoting abstinence during the treatment of substance use disorders. CM improves the ability of clients to remain abstinent, thereby allowing them to take fuller advantage of other clinical treatment components.

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Authors: Prendergast, M., Podus, D., Finney, J., Greenwell, L., & Roll, J.
Affiliations: University of California, Los Angeles (US)
VA Palo Alto Health Care System (US)
Washington State University Spokane (US)
Corresponding author: Prendergast, Michael
ORCID: Roll, John
Venue: Addiction
Publisher: Wiley
Published: 2006-10-10
Volume: 101
Issue: 11
Pages: 1546-1560
ISSN: 0965-2140 (ISSN-L)
1360-0443
DOI: 10.1111/j.1360-0443.2006.01581.x
OpenAlex: W2095695118
Cited by: 877
References: 107
Citations by year: 2026: 26 · 2025: 36 · 2024: 45 · 2023: 57 · 2022: 42 · 2021: 58 · 2020: 38 · 2019: 54 · 2018: 42 · 2017: 42 · 2016: 59 · 2015: 49 · 2014: 52 · 2013: 44 · 2012: 45
FWCI: 3.85
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Addiction (publishedVersion)
PubMed (publishedVersion)
Funders: U.S. Department of Veterans Affairs
Quality Enhancement Research Initiative
National Institute on Drug Abuse (R01DA017407, R01DA017084)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords: contingency management, substance use disorders, abstinence, opiate use, cocaine use, tobacco use, alcohol consumption, treatment effectiveness, moderators of effect size
MeSH terms: Behavior Therapy, Humans, Treatment Outcome, Substance-Related Disorders

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Contingency management for treatment of substance use disorders: a meta‐analysis

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