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Related Experiment Video

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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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Incentivized collaborative care to disseminate and enhance contingency-management services.

Rosemarie M Davidson1, Hayley D Brown1, Sean D Regnier1,2

  • 1Department of Psychology, Western Michigan University, Kalamazoo, MI, USA.

Journal of Applied Behavior Analysis
|July 14, 2024
PubMed
Summary

Provider incentives for contingency management in opioid use disorder treatment show promise for feasibility and acceptability. However, these incentives did not significantly improve patient access to services, indicating a need for further research.

Keywords:
medications for opioid use disordermobile health interventionmotivational incentives for substance use disordersoffice‐based opioid treatmentpay for performance

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Area of Science:

  • Addiction Medicine
  • Health Services Research

Background:

  • Contingency management (CM) is effective for opioid use disorder (OUD) treatment, improving medication adherence and abstinence.
  • Clinical integration of CM has been limited, hindering wider patient benefit.

Purpose of the Study:

  • To assess the feasibility, acceptability, and usability of provider incentives to accelerate CM adoption in OUD care.
  • To explore the impact of provider incentives on collaborative care and treatment decisions.

Main Methods:

  • A nonexperimental study involving 13 buprenorphine prescribers.
  • Prescribers received monetary incentives for reviewing patient data and incorporating it into treatment decisions for CM services.

Main Results:

  • The provider incentive approach was found to be feasible, acceptable, and user-friendly.
  • Self-reports suggested enhanced prescriber-patient relationships and more informed clinical care.
  • Provider incentives did not substantially increase patient access to CM services.

Conclusions:

  • Provider incentives are a potentially beneficial tool for enhancing CM implementation in OUD treatment.
  • Further research is required to optimize provider incentives and promote widespread CM adoption.