Baylor University, One Bear Place 97334, Waco, TX 76798, USA.
Western Michigan University, 1903 W Michigan Ave, Kalamazoo MI 49008, USA.
Drug Alcohol Depend. 2020 Jan 1;206:107687. doi: 10.1016/j.drugalcdep.2019.107687. Epub 2019 Oct 28.
There is a need for new research addressing the cost prohibitive nature of maintaining contingency management (CM) in community settings. While researchers propose managed care as an option to support costs, there is no research on self-pay models. To inform such research, it is important first to understand client willingness to pay for CM services. We examine acceptability and willingness to pay for CM services among parents with and without young adult children with problematic opioid use.
A web-based survey was administered to a sample of parents of adult children ages 18-35 with (target sample) and without (comparison sample) a history of problematic opiate use.
One hundred thirty parents participated (n = 30; n = 100) and were predominately white, college educated, and of higher income. Findings showed a high proportion of participants had positive opinions of using incentives for substance use treatment and would consider incentive-based treatments for their child. Most participants reported they would be willing to pay for CM at levels consistent with amounts used in efficacious programs but expressed worry that incentives would be used to buy drugs. Most participants reported this worry would be eased if incentives were delivered via reloadable gift cards and if incentives were only delivered during periods of abstinence.
This is the first study to examine parent perceptions of incentives and acceptability and willingness to pay for CM services. Results suggest self-pay models for disseminating CM to young adults with problematic opioid use may be an option.
在社区环境中维持应急管理（CM）的成本过高，需要进行新的研究。虽然研究人员提出了管理式医疗作为支持成本的一种选择，但对于自付费模式没有研究。为了为这类研究提供信息，首先了解客户对 CM 服务的付费意愿是很重要的。我们研究了有和没有有问题的阿片类药物使用的成年子女的父母对 CM 服务的可接受性和付费意愿。
我们向有（目标样本）和没有（比较样本）有问题的阿片类药物使用史的 18-35 岁成年子女的父母样本发放了一份基于网络的调查问卷。
130 名家长参与了调查（n = 30；n = 100），他们主要是白人，受过大学教育，收入较高。研究结果显示，相当一部分参与者对使用激励措施来治疗药物使用问题持积极态度，并会考虑为他们的孩子提供基于激励的治疗。大多数参与者表示，他们愿意为 CM 支付与有效项目中使用的金额一致的费用，但担心激励措施会被用来购买毒品。大多数参与者表示，如果激励措施是通过可充值礼品卡发放的，并且只有在禁欲期间发放激励措施，他们的担忧就会减轻。
这是第一项研究父母对激励措施的看法，以及对 CM 服务的可接受性和付费意愿的研究。结果表明，对于有问题的阿片类药物使用的年轻人，自付费模式可能是一种推广 CM 的选择。
