Evidence map›Paper›PMID 42126510›Full record

ArticleAIDS and behavior2026

Multi-method Analysis of Implementation Determinants and Strategies to Support the Implementation of Contingency Management for Methamphetamine Use in an HIV Care Setting.

Maximo R Prescott, Victoria Chentsova, Jorge Delgado, Devin Dung, Steven Shoptaw, Gregory A Aarons, David J Moore, David Grelotti, Jessica Montoya

Abstract read
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In one paragraph

Article in AIDS and behavior, 2026. 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. Article
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.

Maximo R PrescottHIV Neurobehavioral Research Program, University of California San Diego, 220 Dickinson St # B, San Diego, CA, 92103, USA. mrprescott@health.ucsd.edu.ORCID http://orcid.org/0000-0003-1879-1835
Victoria ChentsovaHIV Neurobehavioral Research Program, University of California San Diego, 220 Dickinson St # B, San Diego, CA, 92103, USA.
Jorge DelgadoHIV Neurobehavioral Research Program, University of California San Diego, 220 Dickinson St # B, San Diego, CA, 92103, USA.
Devin DungHIV Neurobehavioral Research Program, University of California San Diego, 220 Dickinson St # B, San Diego, CA, 92103, USA.
Steven ShoptawDepartment of Family Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
Gregory A AaronsDepartment of Psychiatry, University of California San Diego, La Jolla, San Diego, CA, USA.
David J MooreHIV Neurobehavioral Research Program, University of California San Diego, 220 Dickinson St # B, San Diego, CA, 92103, USA.
David GrelottiDepartment of Psychiatry, University of California San Diego, La Jolla, San Diego, CA, USA.
Jessica MontoyaHIV Neurobehavioral Research Program, University of California San Diego, 220 Dickinson St # B, San Diego, CA, 92103, USA.

Funding

VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SUSAN JANET LITTLE · 1994 to 2026
$78.4M
STRUCTURAL NEUROIMAGING COREP30MH062512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Jessica Lynette Montoya · 2001 to 2026
$50.4M
Training in Research on Addictions in Interdisciplinary NeuroAIDS (TRAIN)T32DA031098 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Jennifer E Iudicello, DAVID J MOORE · 2011 to 2026
$4.6M
Intramural Research Program, National Institute on Drug Abuse 5K23DA051324Intramural Research Program, National Institute on Drug Abuse 5T32DA031098NIAID NIH HHS P30 AI036214NIDA NIH HHS T32 DA031098NIMH NIH HHS P30 MH062512NIMH NIH HHS P30MH062512
6 · The paper itself

Abstract

Methamphetamine use is prevalent among people with HIV (PWH) and complicates HIV care. Integrated substance use and HIV care services are recommended, yet rarely available. Contingency management (CM) is an evidence-based treatment for methamphetamine use, but its implementation within HIV primary care is limited. This study identified determinants and strategies to support CM implementation in HIV care. Key informants from an HIV clinic at an academic medical center (n = 15 patients; n = 15 providers) completed semi-structured interviews and a survey. A rapid qualitative analysis guided by the Exploration, Preparation, Implementation, Sustainment (EPIS) framework identified implementation determinants, and potential strategies were classified using the Expert Recommendations for Implementing Change (ERIC) compilation. Both patient and provider participants rated CM as acceptable (M = 3.72 and 4.55/5) and appropriate (M = 3.85 and 4.54/5). Providers also rated CM as feasible (M = 4.08/5) and reported strong support for integrating CM into HIV care, citing the high priority of addressing methamphetamine use. Facilitators included the clinic's person-centered culture and providers' familiarity with substance use treatment. Barriers included perceptions that reinforcer values in standard CM protocols were low, limited staffing, and competing provider demands. Suggested implementation strategies included adapting CM (e.g., increasing reinforcer value), patient-directed outreach/advertisements, and provider education and support (e.g., reminders about CM availability and referral processes). Findings indicate strong support for integrating CM into HIV primary care, while noting challenges to implementation. Addressing these determinants through targeted multi-level implementation strategies may enhance CM adoption and sustainment in HIV care settings.

Indexed as

Contingency managementHIVHIV primary careImplementation determinantsImplementation scienceImplementation strategiesMethamphetamine use

Identifiers

PMID42126510

What OpenQuestion holds

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Registered trials

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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.