Is exposure to an effective contingency management intervention associated with more positive provider beliefs?

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• 作者：Kimberly C. Kirby ; Ph.D.^a ; ^b ; ^{kkirby@tresearch.org} ; Carolyn M. Carpenedo ; M.H.S.^a ; Maxine L. Stitzer ; Ph.D.^c ; Karen L. Dugosh ; Ph.D.^a ; Nancy M. Petry ; Ph.D.^d ; John M. Roll ; Ph.D.^e ; Michael E. Saladin ; Ph.D.^f ; Allan J. Cohen ; M.A. ; M.F.T.^g ; John Hamilton ; L.M.F.T. ; L.A.D.C.^h ; Karen Reeseⁱ ; Gina R. Sillo ; Psy.D.^j ; Patricia Quinn Stabile ; M.S.W.^k ; Robert C. Sterling ; Ph.D.^l
• 关键词：Contingency management ; Treatment dissemination ; Translational research ; Cocaine dependence ; Methamphetamine use disorders
• 刊名：Journal of Substance Abuse Treatment
• 出版年：2012
• 期刊代码：174_07405472
• 类别：med
• 出版时间：June, 2012
• 卷：42
• 期：4
• 页码：356-365
• 文件大小：196 K

摘要

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.