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Home > Contingency management for patients receiving medication for opioid use disorder a systematic review and meta-analysis.

Bolívar, Hypatia A and Klemperer, Elias and Coleman, Sulamunn RM and DeSarno, Michael and Skelly, Joan M and Higgins, Stephen T (2021) Contingency management for patients receiving medication for opioid use disorder a systematic review and meta-analysis. JAMA Psychiatry, Early online, . 10.1001/jamapsychiatry.2021.1969.

External website: https://jamanetwork.com/journals/jamapsychiatry/fu...


Question  Is contingency management associated with outcomes for treating comorbid substance use and treatment nonadherence among patients receiving medication for opioid use disorder?

Findings  In this systematic review and meta-analysis that included 74 randomized clinical trials and 10 444 adults receiving medication for opioid use disorder, the efficacy of contingency management was associated with abstinence from 4 types of substance use (psychomotor stimulants, polysubstance use, illicit opioids, and cigarettes) and improved treatment attendance and medication adherence.

Meaning  These results provide evidence supporting the use of contingency management for addressing common and serious clinical problems among patients receiving medication for opioid use disorder.

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