Evidence map›Paper›PMID 39923335›Full record

Trial reportDrug and alcohol dependence2025

A randomized pilot trial of two forms of behavioral economics intervention to improve engagement in buprenorphine-naloxone treatment among patients with opioid use disorder.

Karen J Derefinko, Fridtjof Thomas, Samuel C Peter, James G Murphy, Katie Witkiewitz, Ron Cowan, Matt Harris, Sarah Hand, Karen C Johnson

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Karen J DerefinkoUniversity of Tennessee Health Science Center, Department of Preventive Medicine, 66 North Pauline Street, Memphis, TN 38163-2181, USA. Electronic address: kderefin@uthsc.edu.
Fridtjof ThomasUniversity of Tennessee Health Science Center, Department of Preventive Medicine, 66 North Pauline Street, Memphis, TN 38163-2181, USA. Electronic address: fthomas4@uthsc.edu.
Samuel C PeterDurham VA Health Care System, 508 Fulton St, Durham, NC 27705, USA. Electronic address: samuel.peter@va.gov.
James G MurphyUniversity of Memphis, Department of Psychology, Psychology Building, 400 Fogelman Dr, Memphis, TN 38111, USA. Electronic address: jgmurphy@memphis.edu.
Katie WitkiewitzUniversity of New Mexico, Department of Psychology, 2001 Redondo S Dr, Albuquerque, NM 87106, USA. Electronic address: katiew@unm.edu.
Ron CowanUniversity of Tennessee Health Science Center, Department of Psychiatry, 920 Madison, Memphis, TN 38163, USA. Electronic address: rcowan3@uthsc.edu.
Matt HarrisUniversity of Tennessee, Haslam College of Business, Haslam Business Building, 453, 1000 Volunteer Blvd, Knoxville, TN 37916, USA. Electronic address: mharris@utk.edu.
Sarah HandSt. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105, USA.
Karen C JohnsonUniversity of Tennessee Health Science Center, Department of Preventive Medicine, 66 North Pauline Street, Memphis, TN 38163-2181, USA. Electronic address: kjohnson@uthsc.edu.

Funding

Testing the Effects of Contingency Management and Behavioral Economics on Buprenorphine-Naloxone Treatment Adherence Using a Sequential Multiple Assignment Randomized Trial (SMART) DesignR33AT010604 · NCCIH · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI DEREFINKO, KAREN J · 2021 to 2021
$2.5M
NCCIH NIH HHS R33 AT010604
6 · The paper itself

Abstract

backgroundBuprenorphine-naloxone treatment engagement for those with opioid use disorder (OUD) is very low. The current randomized effectiveness trial piloted two psychosocial interventions developed to increase buprenorphine-naloxone treatment engagement in 44 individuals with opioid use disorder (OUD) recruited from an OUD treatment clinic.

methodsParticipants were randomized to receive either variable-value contingency management (CM) or a brief substance free activities session plus mindfulness (BSM) cognitive-behavioral intervention at each of the first 4 return visits to the provider. The primary outcome was buprenorphine metabolite in urine and attendance at 2 or more of 4 possible physician visits.

resultsRelatively high treatment engagement was observed over 16 weeks with no significant differences in effectiveness between the two intervention arms (p = 0.526). There was slightly better treatment engagement in the CM arm (73 % vs. 59 % engaged in CM and BSM arm, respectively), but this was not statistically significant with n = 22 participants in each group. Treatment engagement was significantly better for those who presented at the clinic with prior buprenorphine exposure: 19 (86 %) of the 22 participants with buprenorphine present in urine at baseline were engaged, whereas only 9 (43 %) out of 21 participants without buprenorphine present in urine at baseline were subsequently engaged (p = 0.004).

conclusionsResults suggested that patients who are not taking buprenorphine at the start of a psychosocial intervention may require more intensive treatment engagementinterventions than those already taking medication. Satisfaction data were similarly high across the interventions, and qualitative items identified helpful intervention components.

Indexed as

Buprenorphine, Naloxone Drug CombinationCognitive Behavioral TherapyEconomics, BehavioralNarcotic AntagonistsOpiate Substitution TreatmentOpioid-Related DisordersAdultBuprenorphineFemaleHumansMaleMiddle AgedMindfulnessNaloxonePilot ProjectsTreatment OutcomeBuprenorphineBuprenorphine, Naloxone Drug CombinationNaloxoneNarcotic AntagonistsAdherenceBehavioral economicsBuprenorphine-NaloxoneContingency managementMindfulnessOpioid use disorderTreatment engagement

Identifiers

PMID39923335
PMCPMC11869548

What OpenQuestion holds

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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.