Home > Can new digital technologies facilitate contingency management?

Drug and Alcohol Findings. (2019) Can new digital technologies facilitate contingency management? London: Drug and Alcohol Findings. Drug and Alcohol Findings Research Analysis

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In the United States, only around 20% of people meeting criteria for having an alcohol use disorder ever receive treatment. Many of the top 10 reasons commonly cited for not seeking treatment come under the umbrella of an inability or unwillingness to attend traditional in-person treatment, for example: “I should be strong enough to handle it alone”; “I’m too embarrassed”; “I can’t afford it”; “I don’t want to go to treatment”; “I hate answering questions”; “I don’t think anyone can help”; “I don’t know any place to go”.

Contingency management is an approach to substance use treatment that involves repeatedly testing a client to see if they have used the target substance recently, and giving them a reward or incentive each time the test shows that they have been abstinent. Studies have shown that while itis an effective approach for reducing drinking and drug use, considerable logistical barriers prevent contingency management from being disseminated widely. The featured US study developed and tested the efficacy, acceptability, and feasibility of a remotely-delivered contingency management intervention to encourage abstinence, which in theory carried the potential for broad dissemination due to the low burden on people involved, including professionals supporting delivery of the intervention.

Key points From summary and commentary
• A US study tested the efficacy, acceptability, and feasibility of remotely-delivered contingency management.
• The chance that someone in contingency management would abstain from drinking was nine times that of people not in contingency management.
• Due to the low burden on researchers and participants, contingency management supported by new digital technologies seems to have potential for broad dissemination.


Item Type:Evidence resource
Drug Type:Alcohol
Intervention Type:AOD disorder, AOD disorder treatment method, Alternative medical treatment, Psychosocial treatment method
Source:Drug and Alcohol Findings
Date:July 2019
Publisher:Drug and Alcohol Findings
Corporate Creators:Drug and Alcohol Findings
Place of Publication:London
EndNote:View
Subjects:B Substances > Alcohol
G Health and disease > Substance use disorder > Alcohol use > Alcohol dependence
HJ Treatment method > Treatment outcome
J Health care, prevention and rehabilitation > Treatment and maintenance > Treatment factors
J Health care, prevention and rehabilitation > Treatment and maintenance > Patient attitude toward treatment
L Social psychology and related concepts > Inducement for participation (incentive)
N Communication, information and education > Information technology / Digital
VA Geographic area > United States

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