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Wellness-enhanced contingency management for stimulant use: A formative qualitative study.

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This study co-designed a smartphone app for stimulant use disorder (StUD) treatment, integrating wellness habits and contingency management. The app showed feasibility and acceptability, with positive feedback on its core features for recovery support.

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Area of Science:

  • Digital Health
  • Behavioral Science
  • Addiction Treatment

Background:

  • Stimulant Use Disorder (StUD) presents significant public health challenges.
  • Contingency Management (CM) is an evidence-based behavioral intervention for substance use disorders.
  • Integrating wellness principles into CM may enhance long-term recovery.

Purpose of the Study:

  • To describe the co-design process of a smartphone app delivering Wellness-Enhanced Contingency Management (WECM) for individuals with StUD.
  • To gather user input on app features, feasibility, and acceptability.
  • To inform the development of a WECM app tailored to the needs of individuals with StUD.

Main Methods:

  • Collaborative co-design involving a Community Advisory Board (CAB) and individuals with lived experience.
  • Interviews and focus groups to assess smartphone access, technology comfort, and app perceptions.
  • Descriptive and thematic analyses of qualitative data.

Main Results:

  • Participants reported varied experiences with smartphone health apps and faced some technological barriers.
  • Overall positive feedback was received regarding the feasibility and acceptability of the WECM app's core features.
  • Key features include wellness psychoeducation, financial incentives for healthy habits, and stimulant abstinence.

Conclusions:

  • User input is crucial for developing effective digital health interventions for StUD.
  • The co-production model ensures the WECM app meets the needs of the target population.
  • This preliminary work supports the development of a WECM smartphone app for StUD recovery.