Evidence map›Paper›PMID 37385413›Full record

ArticlePreventive medicine2023

Effective, but underused: lessons learned implementing contingency management in real-world practice settings in the United States.

Sara J Becker, Kira DiClemente-Bosco, Carla J Rash, Bryan R Garner

Open access · greenAbstract read
In one paragraph

Article in Preventive medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
10.0field-weighted citation impact, top 2% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 23 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Sara J BeckerCenter for Dissemination and Implementation Science, Northwestern Feinberg School of Medicine, 633 N St Clair Street, Chicago, IL 60611, United States of America. Electronic address: sara.becker@northwestern.edu.
Kira DiClemente-BoscoCenter for Dissemination and Implementation Science, Northwestern Feinberg School of Medicine, 633 N St Clair Street, Chicago, IL 60611, United States of America. Electronic address: kira.diclemente@northwestern.edu.
Carla J RashCalhoun Cardiology Center - Behavioral Health, UConn Health, 263 Farmington Avenue, Farmington, CT 06030, United States of America. Electronic address: rashc@uchc.edu.
Bryan R GarnerDivision of General Internal Medicine, Department of Internal Medicine, The Ohio State University College of Medicine, 2050 Kenny Road, Columbus 43221, United States of America. Electronic address: bryan.garner@osumc.edu.
Northwestern Medicine · USNorthwestern University · USThe Ohio State University · USUConn Health · US

Funding

Transforming health equity rhetoric to rigor: Development and validation of a novel measure assessing health equity in implementation of health interventionsP50DA054072 · NIDA · STANFORD UNIVERSITY · PI Mark P McGovern · 2022 to 2026
$18.1M
Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI MILDA Renne SAUNDERS · 2011 to 2026
$10.0M
Implementing contingency management in opioid treatment centers across New England: A hybrid type 3 trialR01DA046941 · NIDA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BECKER, SARA, GARNER, BRYAN R · 2018 to 2022
$3.6M
NIDA NIH HHS P50 DA054072NIDA NIH HHS R01 DA046941NIDDK NIH HHS P30 DK092949
6 · The paper itself

Abstract

Despite being one of the most effective adjunctive behavioral interventions in combination with medication for opioid use disorder, contingency management (CM) is one of the least available interventions in opioid treatment programs. This paradoxical state of affairs is perhaps the greatest example of the research-to-practice gap in the behavioral health field. Implementation science, a discipline that aims to identify replicable methods that can be used across settings and populations to bridge the gap between research and practice, can potentially help. Based on our team's experience implementing CM in opioid treatment programs, we detail five key lessons for researchers, clinicians, policy makers, and others seeking to implement and sustain CM in real-world settings. First, multiple barriers to CM implementation exist at both the counselor- and organization-levels, requiring multi-level solutions. Second, one-shot CM training alone is not sufficient for successful implementation: ongoing support is essential to achieve levels of intervention fidelity that will benefit patients. Third, assessing an organization's capacity for implementation prior to support provision can prevent costly mistakes. Fourth, implementors should plan for high staff turnover rates and expect the unexpected by developing detailed contingency plans. Finally, implementors should remember that the goal is to implement evidence-based CM and not simply incentives. We encourage colleagues to consider these lessons to increase the likelihood that CM can be implemented and sustained in a manner that improves the quality of care in opioid treatment programs.

Indexed as

Analgesics, OpioidOpioid-Related DisordersBehavior TherapyHumansMotivationUnited StatesAnalgesics, OpioidAddiction technology transfer centerContingency managementImplementationIncentivesLessonsTraining

Identifiers

PMID37385413
PMCPMC10753028
OpenAlexW4382406451

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.