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Perspect Behav Sci. 2019 Jul 09;42(3):445-464. doi: 10.1007/s40614-019-00214-1. eCollection 2019 Sep.

Technology-Based Contingency Management in the Treatment of Substance-Use Disorders.

Perspectives on behavior science

Jesse Dallery, Bethany R Raiff, Michael J Grabinski, Lisa A Marsch

Affiliations

  1. 1Department of Psychology, University of Florida, PO Box 112250, Gainesville, FL 32611 USA.
  2. 2Rowan University, Glassboro, NJ USA.
  3. Red5hift, LLC, Hanover, NH USA.
  4. 4The Geisel School of Medicine, Dartmouth College, Hanover, NH USA.

PMID: 31976444 PMCID: PMC6768925 DOI: 10.1007/s40614-019-00214-1

Abstract

Contingency management is one of the most efficacious interventions to promote drug abstinence. Contingency management has traditionally been delivered in person so that clinicians could confirm drug abstinence and provide access to additional therapeutic services. Now, new technologies not only permit remote confirmation of abstinence, but also remote delivery of incentives. We discuss several technology-based tools to assess substance use, and new ways to deliver contingency management to promote tobacco, alcohol, and cannabis abstinence. These new tools have the potential to dramatically increase access while maintaining high levels of treatment fidelity. Technology-based methods also allow arranging group contingencies that harness online communities, and they permit targeting multiple health-risk behaviors with a combination of sensor-based technologies. Overall, there are unprecedented opportunities to link technology with contingency management to promote drug abstinence.

© Association for Behavior Analysis International 2019.

Keywords: Contingency management; Incentives; Substance-use disorders; Technology

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