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Disseminating Contingency Management to Increase Attendance in Two Community Substance Abuse Treatment Centers: Lessons Learned.

Poster presented at the American Psychological Association (APA) convention, Toronto, August 6-9, 2009, and also at the NIDA Blending Conference, Albuquerque, NM, April 22-23, 2010 (under the title "Outcomes and Lessons Learned: Disseminating Contingency Management and Motivational Interviewing to Substance Abuse Treatment Programs").

N. Robrina Walker, PhD (University of Texas Southwestern Medical Center, TX Node), Traci Rosvall (University of Texas, Southwestern Medical Center, TX Node), Craig A. Field, PhD, MPH (University of Texas, Austin, TX Node), Jennifer Eells, PhD (Dallas County Community Supervision and Corrections Department, TX Node), Bryon H. Adinoff, MD (University of Texas Southwestern Medical Center, TX Node).

The Texas Node of the National Drug Abuse Treatment Clinical Trials Network (CTN) collaborated with local community treatment programs (CTPs) to disseminate the evidence-based treatments of contingency management and motivational interviewing. Interventions were designed with the CTPs to approximate real-world conditions. Thus, pre-post designs were used, clients were not randomized to condition, all clients were eligible, and data routinely collected by the CTP was used to evaluate outcomes. In Study 1, two CTPs used contingency management to target adult outpatient group attendance, with one site using the fishbowl method (Petry, 2002) and the other using a bi-weekly raffle to variably reinfoce attendance. Time series analyses indicated attendance increased significantly after CM started, with both sites demonstrating similar response patterns. In Study 2, three CTPs implemented motivational interviewing to decrease discharges against medical advice (AMA). The intervention was not effective in reducing discharges AMA. Lessons learned as to how to implement research-derived methodologies into a clinical treatment program are discussed. (Poster, PDF, English, 2009)

Keywords: Adoption of interventions | Behavior therapy | Community health services | Contingency Management (CM) | CTN platform/ancillary study | Motivational incentives | Motivational interviewing (MI) | Retention - Treatment | American Psychological Association (APA) convention, 2009

Document No: 392

Submitted by CTN Dissemination Librarians, 8/30/2009.


Adinoff, Bryon H. mail
Eells, Jennifer  
Field, Craig A.
Rosvall, Traci
Walker, N. Robrina
Texas www

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Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
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