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Related Experiment Video

Updated: Sep 8, 2025

Measuring the Subjective Value of Risky and Ambiguous Options using Experimental Economics and Functional MRI Methods
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Data-Driven Contingency Management Incentive Magnitudes: A Review.

Carla J Rash1, Sonata I Black2, Sara C Parent3

  • 1UConn Health School of Medicine, Farmington, Connecticut.

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Summary
This summary is machine-generated.

Contingency management (CM) provides effective treatment for opioid and stimulant use disorders. This study offers updated, inflation-adjusted incentive estimates for voucher and prize-based CM protocols to guide clinical implementation.

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Area of Science:

  • Addiction Medicine
  • Behavioral Health
  • Public Health

Background:

  • Increasing rates of opioid and stimulant use disorders necessitate effective treatment strategies.
  • Contingency management (CM) has demonstrated success in clinical settings, evidenced by large-scale program rollouts.
  • Demand for evidence-based parameters, including incentive magnitude, is crucial for CM protocol implementation.

Purpose of the Study:

  • To provide data-driven, inflation-adjusted incentive estimates for contemporary contingency management (CM) protocols.
  • To enable customization of CM protocols based on intervention duration.
  • To ensure CM protocols utilize efficacious, research-supported parameters for optimal patient outcomes.

Main Methods:

  • Systematic review of 112 published CM protocols.
  • Categorization of protocols by effect size (small/medium/large) compared to non-CM conditions.
  • Calculation of weekly inflation-adjusted incentive magnitudes for voucher and prize-based CM.

Main Results:

  • Median weekly incentive estimates derived from high-impact protocols: $128 for voucher-based CM and $55 for prize-based CM.
  • For a 12-week intervention, total incentive estimates are $1536 for voucher and $660 for prize protocols.
  • Estimates are adjusted for inflation to reflect current economic conditions.

Conclusions:

  • The provided incentive magnitude estimates can inform clinical practice, policy development, and advocacy for CM.
  • Practical guidance for protocol development, including starting values and escalation strategies, is offered.
  • These findings support the scalable and effective implementation of CM for substance use disorders.