#ContingencyManagement

JMIR Publications

@jmirpub.bsky.social

3 weeks ago

Smartphone-Based Contingency Management for Patients Who Use Methamphetamine: Qualitative Analysis of Patient and Clinician Perspectives Background: Methamphetamine use disorder is a growing public health crisis with limited access to effective treatment. Contingency management (CM) has demonstrated efficacy for stimulant use disorders, but is typically delivered in person. Smartphone-based CM may overcome barriers such as limited access, but its effectiveness and real-world application remain understudied. This study explores patient and clinician experiences with a fully remote, smartphone-based CM intervention for methamphetamine use. Objective: This exploratory, descriptive qualitative study analyzes interviews with patients and clinicians involved in a previously published single-arm trial in which smartphone-based CM was offered to individuals using methamphetamine through primary care or specialty addiction treatment clinics within a large health system. The study aims to identify and describe key facilitators, barriers, and perspectives related to engagement of both groups with the intervention, providing actionable insights to inform optimization and implementation of digital CM in health care settings. Methods: We conducted a qualitative analysis of semistructured interviews with 14 patients and 14 clinicians from a prior pilot study of a fully remote, smartphone-based CM intervention for methamphetamine use. Interviews were analyzed using grounded theory in a 5-step process: transcript review, codebook development, coding, thematic reduction, and generation of overarching themes. The analysis focused on a priori themes related to facilitators, barriers, and suggestions for improvement. Results: Patients and clinicians identified many benefits, viewing the program as valuable for individuals using methamphetamine. Patients appreciated the flexibility, accessibility, and motivational incentives. Clinicians saw CM as a low-risk, evidence-based strategy that could enhance engagement, especially among patients less responsive to traditional approaches. Common challenges included technological issues such as problems with video-based testing, app navigation, and internet access. Patients had mixed views about educational modules and described difficulty with correct substance test procedures and a lack of human connection. Clinicians expressed concerns for patients with significant psychosocial instability. Differences emerged in the types of concerns raised: patients focused on day-to-day engagement, while clinicians emphasized broader themes of equity, sustainability, and a preference for models rewarding improvement even without full abstinence. Conclusions: Smartphone-based CM shows promise for addressing methamphetamine use disorder, especially in settings lacking traditional treatment access. However, optimizing implementation requires addressing challenges related to technology, accessibility, and equity. Recommendations include integrating CM with clinical infrastructure, expanding rewardable behaviors beyond abstinence, enhancing user experience, and improving technological access. Future research should explore flexible models that incorporate broader recovery goals and strengthen both technical and human support.

JMIR Formative Res: Smartphone-Based Contingency Management for Patients Who Use Methamphetamine: Qualitative Analysis of Patient and Clinician Perspectives #MentalHealth #AddictionRecovery #Methamphetamine #ContingencyManagement #SmartphoneHealth

HIV i-Base

@hiv-i-base.bsky.social

1 month ago

Colourful i-Base graphic. The main text reads: Pilot programme offers modest financial rewards to encourage ART adherence & reduce stimulant use. At the top is i-Base’s website address: I hyphen base dot info. A smaller rectangle in the bottom right, reads: HIV news. 2026. There are various dotted patterns. The colours used in the image are two shades of light grey-blue, dark blue, blue, light blue, dark orange, light pink, bright coral, turquoise, orange, dark green, mustard and white.

88% of the diverse cohort achieved viral suppression at 12 weeks – up from 55%, with 98% of tests showing a positive result for #tenofovir (ART):

i-base.info/htb/53065

Results support more research into #ContingencyManagement in #HIVcare

#HIV #HIVsky #adherence #StimulantUseDisorder #HIVtreatment

HealthRIGHT 360

@healthright360.bsky.social

4 months ago

Join us for the launch of a new monthly series focused on Contingency Management (CM)! This first session is designed for Community-Based Orgs. (CBOs) in SF that are exploring CM strategies.

#HealthRIGHT360 #ContingencyManagement #BehavioralHealth #SubstanceUse #Recovery #PublicHealth #SanFrancisco

American Psychiatric Association

@apapsychiatric.bsky.social

5 months ago

Veterans with stimulant use disorder who received contingency management had a 41% lower risk of death in the year after treatment. Evidence that behavioral reinforcement can be life-saving. #AddictionTreatment #ContingencyManagement #PublicHealth bit.ly/48cSdIR

@tfrohe.bsky.social

7 months ago

📣 Happening now at #APA2025!

🕤 9:30–10:30 AM MT
📍 Colorado Convention Center, Street Level, Room 207

Critical Conversation
Recovery Incentives Program: California’s Contingency Management Benefit
Presented by Sze Yi Celine Tsoi

#ContingencyManagement #Division50 #SoAP

C Hancock, MD, MS

@doctorahancock.bsky.social

10 months ago

Faces From a Meth Surge The devastating stimulant has been hitting Portland, Maine hard, even competing with fentanyl as the street drug of choice. Although a fentanyl overdose can be reversed with Narcan, no medicine can re...

This article captures our current national challenges with #stimulant use well. However, it fails to mention that we do have an effective treatment - #contingencymanagement - and we should be figuring out now to implement it even if it’s not a pill, patch or shot. 💊 www.nytimes.com/2025/04/16/h...

Matt Barry

@mattbb1966.bsky.social

11 months ago

An interesting new report on the use of contingency management among federally funded substance use disorder programs - #contingencymanagement #substanceusedisorder #SUD #healthpolicy - see www.congress.gov/crs-product/...

Doc

@gnomeandfairy.bsky.social

1 year ago

#ContingencyManagement

Behavioral Health News

@behavioralhealth.bsky.social

4 years ago

DynamiCare Health has developed a #smartphone #app based on #ContingencyManagement to aid in #recovery from substance use disorders.

#addiction #recovery #technology #YourTrustedSource

@DynamiCare_

behavioralhealthnews.org/technology-rev…