Bolívar, Hypatia A and Klemperer, Elias and Coleman, Sulamunn RM and DeSarno, Michael and Skelly, Joan M and Higgins, Stephen T (2022) Contingency management for patients receiving medication for opioid use disorder a systematic review and meta-analysis. JAMA Psychiatry, 78, (10), pp. 1092-1102. 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.
HJ Treatment or recovery method > Substance disorder treatment method > Substance replacement method (substitution) > Opioid agonist treatment (methadone maintenance / buprenorphine)
HJ Treatment or recovery method > Psychosocial treatment method
HJ Treatment or recovery method > Treatment outcome
J Health care, prevention, harm reduction and treatment > Treatment and maintenance > Treatment factors
L Social psychology and related concepts > Participation incentive / reward (contingency)
VA Geographic area > International
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