Trial reportDrug and alcohol dependence2012
Contingency management delivered by community therapists in outpatient settings.
Trial report in Drug and alcohol dependence, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 43 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Wayne Warrior CAnnabis Research and Education: Naturalistic Observation and Harm Reduction
Contingency Management for Recovery Oriented Activities at Recovery Houses
Who cites it
43 citing papers in PubMed, 6 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Contingency management for treatment attendance: A meta-analysis.Journal of substance abuse treatment · 2022Pooled it
- The dissemination and implementation of contingency management for substance use disorders: A systematic review.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2020Pooled it
- "I's" on the prize: A systematic review of individual differences in Contingency Management treatment response.Journal of substance abuse treatment · 2019Pooled it
- A review of the literature on contingency management in the treatment of substance use disorders, 2009-2014.Preventive medicine · 2016Pooled it
- Systematic Review of Programs Treating High-Need and High-Cost People With Multiple Chronic Diseases or Disabilities in the United States, 2008-2014.Preventing chronic disease · 2015Pooled it
- Prize-based contingency management for the treatment of substance abusers: a meta-analysis.Addiction (Abingdon, England) · 2014Pooled it
- Centering peers in design and training for a peer-delivered contingency management program for self-identified harm reduction and treatment goals.Harm reduction journal · 2025Trial
- Perspectives on a contingency management intervention for alcohol use among consumers with serious mental illness.Psychiatric rehabilitation journal · 2019Trial
- A randomized trial of contingency management reinforcing attendance at treatment: Do duration and timing of reinforcement matter?Journal of consulting and clinical psychology · 2018Trial
- Development of a Multi-Target Contingency Management Intervention for HIV Positive Substance Users.Journal of substance abuse treatment · 2017Trial
- Coverage Limitations for Use of Urine Drug Testing in a State Medicaid Program.JAMA network open · 2026Article
- Reason to Expand the Contingency Management Workforce: Coaching-to-Criterion Results for Addiction Professionals and Peer Specialists.Substance use & addiction journal · 2026Article
- From Pellets to Prizes: Preclinical and Clinical Perspectives on Contingency Management for the Treatment of Substance Use Disorder.Substance abuse and rehabilitation · 2026Review
- Implementing contingency management to improve engagement among justice-involved clients referred for substance use disorder services.Frontiers in public health · 2026Article
- Implementing incentives in family medicine for opioid use disorder treatment: a qualitative inquiry on provider and patient preferences for a low magnitude reward program compatible with buprenorphine treatment.Addiction science & clinical practice · 2025Article
- The peers expanding engagement in stimulant harm reduction with contingency management study: a protocol paper.Addiction science & clinical practice · 2025Article
- Implementing contingency management in family medicine: A qualitative inquiry on provider and patient preferences for a low magnitude reward program compatible with buprenorphine treatment.Research square · 2025Article
- Evaluating provider report of fidelity to contingency management in opioid treatment programs.Drug and alcohol dependence · 2025Article
- Contingency Management for Drug Use Disorders: Meta-Analysis and Application of Tolin's Criteria.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2024Article
- Optimizing Contingency Management with Reinforcement Learning.medRxiv : the preprint server for health sciences · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundFew community-based clinicians have been trained to deliver contingency management (CM) treatments, and little data exist regarding the efficacy of CM when administered by clinicians.
methodFifteen clinicians from four intensive outpatient treatment programs received training in CM. Following a didactics seminar and a period in which clinicians delivered CM to pilot patients while receiving weekly supervision, clinicians treated 43 patients randomized to standard care or CM, without supervision. In both treatment conditions, urine and breath samples were collected up to twice weekly for 12 weeks, and CM patients earned the opportunity to win prizes ranging in value from $1 to $100 for submitting drug-free samples. Primary treatment outcomes were sessions attended, unexcused absences, longest continuous period of abstinence, and proportion of negative samples submitted.
resultsAll therapists completed the training and supervision phase, and 10 treated randomized patients. Patients randomized to CM achieved significantly greater durations of abstinence than patients randomized to standard care (5.0±3.8 weeks versus 2.6±3.7 weeks) and had fewer unexcused absences (4.3±1.2 versus 8.1±5.4), but proportion of negative samples submitted and attendance did not differ significantly between groups. Therapist adherence and competence in CM delivery decreased when supervision was no longer provided, and competence in CM delivery was associated with duration of abstinence achieved and attendance.
conclusionsCommunity-based clinicians can effectively administer CM, and outcomes relate to competence in CM delivery. These data call for further training and supervision of community clinicians in this evidence-based treatment.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.