Schedule of voucher delivery influences initiation of cocaine abstinence.

Kirby, Kimberly C.; Marlowe, Douglas B.; Festinger, David S.; Lamb, Richard; Platt, Jerome J.

doi:10.1037/0022-006x.66.5.761

Cited by 82 publications

(58 citation statements)

References 26 publications

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“…However, numerous clinical trials have since demonstrated the efficacy of voucher-based contingency management in a broad range of settings and populations. These include methadone maintenance settings for cocaine-dependent substance users in large urban areas (22), homeless substance users with significant levels of psychopathology (23), and freebase cocaine users (24).…”

Section: Behavioral Treatmentsmentioning

confidence: 99%

Bridging the Gap: A Hybrid Model to Link Efficacy and Effectiveness Research in Substance Abuse Treatment

Carroll¹,

Rounsaville²

2003

140

128

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Many behavioral and pharmacologic treatments for which there is strong empirical support are rarely used in clinical practice in the treatment of substance dependence. In an effort to facilitate greater emphasis on issues such as utility, practicality, and cost earlier in the evaluation of promising therapies, the authors propose a hybrid model to link efficacy and effectiveness research. A hybrid model may foster broader use of empirically validated treatments in substance abuse treatment programs and enhance the scientific yield of effectiveness research. The hybrid model retains essential features of efficacy research (randomization, use of control conditions, independent assessment of outcome, and monitoring of treatment delivery) while expanding the research questions to also address issues of importance in effectiveness studies. Such issues include diversity in settings, clinicians, and patients; cost-effectiveness of treatment; training issues; and patient and clinician satisfaction.A major issue facing virtually all areas of clinical psychiatry is the gap between research and practice and the associated call for clinical research to place a greater emphasis on effectiveness research and the evaluation of clinical utility of treatments (1-3). Disparities between research and practice are particularly apparent in drug abuse treatment (4). For example, despite overwhelming empirical support for the efficacy and cost-effectiveness of methadone maintenance (5-7), access to this form of treatment remains highly restricted in many areas of the United States (8-10). In locations in which methadone maintenance is available, this treatment is often administered in inadequate doses or with insufficient counseling and ancillary services, both of which make it much less effective (11,12). Similarly, behavioral treatments for which there is strong empirical support have rarely been implemented in clinical settings (13,14). Conversely, many treatments are widely used in clinical practice that have not undergone any evaluation of efficacy-for example, 12-step methods and auricular acupuncture (15,16). Need for new research strategiesA recent landmark report by the Institute of Medicine (4) called for a greater emphasis on effectiveness research as a strategy for bridging the gap between research and practice. However, although methods and strategies for efficacy evaluation through randomized controlled trials have been well defined for both behavioral and pharmacologic therapies (17-19), the nature of what constitutes sound effectiveness research is much less clear. Traditional strategies-for example, large-scale demonstration projects-have too frequently had a negligible impact on the clinical community, policy makers, or third-party payers. This lack of impact may be due to several factors, such as failure to target critical questions about the treatment's utility in standard clinical practice, to methodologic flaws NIH Public Access To illustrate the need to address practice-related issues in efficacy researc...

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Section: Behavioral Treatmentsmentioning

confidence: 99%

Bridging the Gap: A Hybrid Model to Link Efficacy and Effectiveness Research in Substance Abuse Treatment

Carroll¹,

Rounsaville²

2003

140

128

View full text Add to dashboard Cite

show abstract

“…Dozens of well-controlled experiments in community drug treatment programs have demonstrated that reinforcing treatment attendance or negative urine drug screens with vouchers or gift certificates can produce significant improvements in outcomes (e.g., Higgins et al, 1991;Kirby, Marlowe, Festinger, Lamb, & Platt, 1998;Silverman et al, 1998Silverman et al, , 2007. Recent meta-analyses reported moderate to large effects of such interventions on abstinence from drug use (Griffith, Rowan-Szal, Roark, & Simpson, 2000;Lussier, Heil, Mongeon, Badger, & Higgins, 2006;Prendergast, Podus, Finney, Greenwell, & Roll, 2006).…”

mentioning

confidence: 99%

“…Providing higher magnitude reinforcement for achievements early in treatment could capitalize on these characteristics to optimize outcomes. Higher magnitude reinforcement might compete more effectively against the naturally occurring contingencies that operate in clients' lives to maintain their involvement in drug abuse and crime (e.g., Kirby et al, 1998;Skinner, 1938). On the other hand, drug offenders might be more likely to make illadvised acquisitions (e.g., items that can be readily converted to cash) if they receive highmagnitude reinforcement prior to establishing a stable interval of sobriety.…”

mentioning

confidence: 99%

An Effectiveness Trial of Contingency Management in a Felony Preadjudication Drug Court

Marlowe

Festinger

Dugosh

et al. 2008

J of App Behav Analysis

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This study evaluated a contingency management (CM) program in a drug court. Gift certificates for compliance were delivered at 4-to 6-week intervals (total value 5 $390.00). Participants in one condition earned gift certificates that escalated by $5.00 increments. Participants in a second condition began earning higher magnitude gift certificates, and the density of reinforcement was gradually decreased. No main effects of CM were detected, which appears to be attributable to a ceiling effect from the intensive contingencies already delivered in the drug court and the low density of reinforcement. Preplanned interaction analyses suggested that participants with more serious criminal backgrounds might have performed better in the CM conditions. This suggests that CM programs may be best suited for more incorrigible drug offenders.

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“…Petry, Alessi, Marx, Austin, & Tardif, 2005) or under a periodic schedule (Kirby, Marlowe, Festinger, Lamb, & Platt, 1998). For example, Petry and her colleagues have obtained good treatment outcomes when drug abstinence was reinforced with a chance of winning a variety of tangible prizes (e.g., Petry, 2000;Petry et al, 2004;Petry & Martin, 2002).…”

Section: Relative Costs and Benefits Over The Status Quomentioning

confidence: 99%

Facilitating the Adoption of Contingency Management for the Treatment of Substance Use Disorders

Madden

Rawson

Petry

2009

Behav Analysis Practice

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Contingency management (CM) is an effective treatment strategy for addressing many types of substance abuse disorders and associated problems. Nonetheless, CM protocols have not been widely embraced by community-based treatment providers. Exploration of the viability of CM outside of a research context remains largely an academic pursuit. In this paper, we outline several areas that may hinder the transfer of CM technology into community-based practice settings, review the literature that may address these barriers, and offer suggestions to researchers for overcoming them. Descriptors: Contingency management, substance abuse, technology transfer ABSTRACT CThe adoption of less effective treatments over CM raises the question of why community-based treatment providers are not using the "better mousetrap ."

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Schedule of voucher delivery influences initiation of cocaine abstinence.

Cited by 82 publications

References 26 publications

Bridging the Gap: A Hybrid Model to Link Efficacy and Effectiveness Research in Substance Abuse Treatment

Bridging the Gap: A Hybrid Model to Link Efficacy and Effectiveness Research in Substance Abuse Treatment

An Effectiveness Trial of Contingency Management in a Felony Preadjudication Drug Court

Facilitating the Adoption of Contingency Management for the Treatment of Substance Use Disorders

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