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Counselor Attitudes Toward the Use of Motivational Incentives in Addiction Treatment.

American Journal on Addictions 2010;19(6):496-503. [doi: 10.1111/j.1521-0391.2010.00081.x]

Lori J. Ducharme, PhD (National Institute on Drug Abuse (NIDA)), Hannah K. Knudsen, PhD (University of Kentucky), Amanda J. Abraham, PhD (University of Georgia), Paul M. Roman, PhD (University of Georgia).

Counselor attitudes toward evidence-based practices, such as motivational incentives/contingency management (MI/CM), are important in bridging the gap between research and practice. Mailed surveys from 1,959 substance abuse treatment counselors showed ambivalence toward MI/CM and strong disagreement with using monetary rewards for achievement of treatment goals. Attitudes were associated with counselors' educational attainment, a 12-step treatment ideology, affiliation with NIDA's Clinical Trials Network (where two multi-site clinical trials of MI/CM have been conducted, in both drug-free outpatient programs and opioid treatment programs), and working in opioid treatment programs. Exposure to MI/CM via training was more strongly associated with attitudes when counselors worked in programs that had adopted MI/CM, but overall, the extent to which counselors have received such training was relatively low. While there is substantial resistance to MI/CM, dissemination and training about the essential elements of MI/CM may enhance counselors' receptivity toward the intervention. This research contributes to the growing literature about the value of research networks in influencing attitudes toward evidence-based treatment practices. (Article (Peer-Reviewed), PDF, English, 2007)

Keywords: Adoption of interventions | Attitudes of health personnel | Behavior therapy | Community health services | Contingency Management (CM)| Counselors | CTN platform/ancillary study | Dissemination | Evidence-based treatment | MIEDAR | Motivational incentives | National Treatment Center Study (NTCS) | Training | Twelve-Step Programs | American Journal on Addictions (journal)

Document No: 539, PMID: 20958844, PMCID: PMC2959187.

Submitted by CTN Dissemination Librarians, 10/21/2010.


Abraham, Amanda J. search
Ducharme, Lori J. search
Knudsen, Hannah K. search mail
Roman, Paul M. search mail
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