Davidson Rosemarie M, Brown Hayley D, Regnier Sean D, DeFulio Anthony
Department of Psychology, Western Michigan University, Kalamazoo, MI, USA.
Department of Behavioral Science, University of Kentucky College of Medicine, Lexington, KY, USA.
J Appl Behav Anal. 2025 Jan;58(1):56-66. doi: 10.1002/jaba.1099. Epub 2024 Jul 14.
Contingency management is especially effective in supporting medication adherence and drug abstinence among people with opioid use disorder. However, the incorporation of contingency management into clinical practice has been slow. The present study was designed to evaluate the feasibility, acceptability, and usability of incentives for providers as a means of accelerating collaborative care with contingency management. Thirteen buprenorphine prescribers served as participants in a nonexperimental study. The prescribers who referred patients to a contingency-management service received monetary incentives for reviewing patient performance data and describing their use of these data in treatment decisions. The results show that this approach is feasible, acceptable, and easy to use for everyone involved. Self-reports indicate improved prescriber-patient relationships and more informed care. However, prescriber-focused incentives did not appear to greatly enhance access to contingency-management services for patients. Thus, provider incentives may be beneficial but further research is needed to advance adoption of contingency management.
应急管理在支持阿片类药物使用障碍患者坚持服药和戒毒方面特别有效。然而，将应急管理纳入临床实践的进程一直很缓慢。本研究旨在评估向提供者提供激励措施作为加速与应急管理协作护理手段的可行性、可接受性和可用性。13名丁丙诺啡处方医生参与了一项非实验性研究。将患者转介至应急管理服务的处方医生在审查患者表现数据并描述他们在治疗决策中对这些数据的使用情况时可获得金钱奖励。结果表明，这种方法对所有相关人员来说都是可行的、可接受的且易于使用的。自我报告显示，处方医生与患者的关系得到改善，护理也更加明智。然而，以处方医生为重点的激励措施似乎并没有显著增加患者获得应急管理服务的机会。因此，提供者激励措施可能是有益的，但需要进一步研究以推动应急管理的采用。
