Getty Carol-Ann, Weaver Tim, Lynskey Michael, Kirby Kimberly C, Dallery Jesse, Metrebian Nicola
National Addiction Centre, King's College London, London, UK.
Department of Mental Health and Social Work, Middlesex University, London, UK.
Drug Alcohol Rev. 2022 Jan;41(1):96-105. doi: 10.1111/dar.13314. Epub 2021 May 25.
Contingency management interventions are among the most efficacious psychosocial interventions in promoting abstinence from smoking, alcohol and substance use. The aim of this study was to assess the beliefs and objections towards contingency management among patients in UK-based drug and alcohol services to help understand barriers to uptake and support the development and implementation of these interventions.
The Service User Survey of Incentives was developed and implemented among patients (N = 181) at three UK-based drug and alcohol treatment services. Descriptive analyses were conducted to ascertain positive and negative beliefs about contingency management, acceptability of different target behaviours, incentives and delivery mechanisms including delivering incentives remotely using technology devices such as mobile telephones.
Overall, 81% of participants were in favour of incentive programs, with more than 70% of respondents agreeing with the majority of positive belief statements. With the exception of two survey items, less than a third of participants agreed with negative belief statements. The proportion of participants indicating a neutral response was higher for negative statements (27%) indicating greater levels of ambiguity towards objections and concerns regarding contingency management.
Positive beliefs towards contingency management interventions were found, including high levels of acceptability towards a range of target behaviours, incentives and the use of technology devices to remotely monitor behaviour and deliver incentives. These findings have implications for the development and implementation of remote contingency management interventions within the UK drug treatment services.
权变管理干预措施是促进戒烟、戒酒和戒毒方面最有效的社会心理干预措施之一。本研究的目的是评估英国毒品和酒精服务机构中患者对权变管理的看法和反对意见，以帮助了解采用这些干预措施的障碍，并支持这些干预措施的开发和实施。
在英国的三家毒品和酒精治疗服务机构对患者（N = 181）开展并实施了服务使用者激励调查。进行描述性分析，以确定对权变管理的积极和消极看法、不同目标行为的可接受性、激励措施和实施机制，包括使用移动电话等技术设备远程提供激励措施。
总体而言，81%的参与者赞成激励计划，超过70%的受访者同意大多数积极看法陈述。除了两个调查项目外，不到三分之一的参与者同意消极看法陈述。对于消极陈述，表示中立回答的参与者比例更高（27%），这表明对权变管理的反对意见和担忧存在更大程度的模糊性。
发现了对权变管理干预措施的积极看法，包括对一系列目标行为、激励措施以及使用技术设备远程监测行为和提供激励措施的高度可接受性。这些发现对英国毒品治疗服务机构中远程权变管理干预措施的开发和实施具有启示意义。
