Journal article
A review of contingency management for the treatment of substance-use disorders: adaptation for underserved populations, use of experimental technologies, and personalized optimization strategies
Substance abuse and rehabilitation, Vol.9, pp.43-57
2018
Handle:
https://hdl.handle.net/2376/109565
PMCID: PMC6095117
PMID: 30147392
Abstract
This review of contingency management (CM; the behavior-modification method of providing reinforcement in exchange for objective evidence of a desired behavior) for the treatment of substance-use disorders (SUDs) begins by describing the origins of CM and how it has come to be most commonly used during the treatment of SUDs. Our core objective is to review, describe, and discuss three ongoing critical advancements in CM. We review key emerging areas wherein CM will likely have an impact. In total, we qualitatively reviewed 31 studies in a systematic fashion after searching PubMed and Google Scholar. We then describe and highlight CM investigations across three broad themes: adapting CM for underserved populations, CM with experimental technologies, and optimizing CM for personalized interventions. Technological innovations that allow for mobile delivery of reinforcers in exchange for objective evidence of a desired behavior will likely expand the possible applications of CM throughout the SUD-treatment domain and into therapeutically related areas (eg, serious mental illness). When this mobile technology is coupled with new, easy-to-utilize biomarkers, the adaptation for individual goal setting and delivery of CM-based SUD treatment in hard-to-reach places (eg, rural locations) can have a sustained impact on communities most affected by these disorders. In conclusion, there is still much to be done, not only technologically but also in convincing policy makers to adopt this well-established, cost-effective, and evidence-based method of behavior modification.
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Details
- Title
- A review of contingency management for the treatment of substance-use disorders: adaptation for underserved populations, use of experimental technologies, and personalized optimization strategies
- Creators
- Sterling M McPherson - Translational Addictions Research Center, Washington State University, sterling.mcpherson@wsu.eduEkaterina Burduli - College of Nursing, Washington State UniversityCrystal Lederhos Smith - Translational Addictions Research Center, Washington State University, sterling.mcpherson@wsu.eduJalene Herron - Behavioral Health Interventions (BHI), Washington State University, Spokane, WA, USAOladunni Oluwoye - Behavioral Health Interventions (BHI), Washington State University, Spokane, WA, USAKatherine Hirchak - Translational Addictions Research Center, Washington State University, sterling.mcpherson@wsu.eduMichael F Orr - College of Nursing, Washington State UniversityMichael G McDonell - College of Nursing, Washington State UniversityJohn M Roll - College of Nursing, Washington State University
- Publication Details
- Substance abuse and rehabilitation, Vol.9, pp.43-57
- Academic Unit
- Nursing, College of; Elson S. Floyd College of Medicine; Medical Education and Clinical Science, Department of; Health Policy and Administration, Department of
- Publisher
- New Zealand
- Grant note
- P20 MD006871 / NIMHD NIH HHS R01 AA022070 / NIAAA NIH HHS R01 DA017407 / NIDA NIH HHS R01 AA020248 / NIAAA NIH HHS
- Identifiers
- 99900547369601842
- Language
- English
- Resource Type
- Journal article