Incentivized collaborative care to disseminate and enhance contingency-management services.

IF 2.9 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Journal of applied behavior analysis Pub Date : 2024-07-14 DOI:10.1002/jaba.1099
Rosemarie M Davidson, Hayley D Brown, Sean D Regnier, Anthony DeFulio
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Abstract

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.

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激励合作护理,传播和加强应急管理服务。
应急管理对支持阿片类药物使用障碍患者坚持服药和戒毒尤为有效。然而,将应急管理纳入临床实践的工作进展缓慢。本研究旨在评估对医疗服务提供者采取激励措施的可行性、可接受性和可用性,以此来加速应急管理的合作护理。13 名丁丙诺啡处方者参与了这项非实验性研究。将患者转介到应急管理服务机构的处方医生在审查患者的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后,将获得金钱奖励。研究结果表明,这种方法是可行的、可接受的,而且对每个参与者来说都很容易使用。自我报告显示,处方者与患者之间的关系得到了改善,护理工作也更加知情。然而,以开药者为中心的激励措施似乎并没有大大提高患者获得应急管理服务的机会。因此,对提供者的激励可能是有益的,但还需要进一步的研究来推动应急管理的采用。
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来源期刊
Journal of applied behavior analysis
Journal of applied behavior analysis PSYCHOLOGY, CLINICAL-
CiteScore
5.80
自引率
20.70%
发文量
61
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