Contingency management for treatment attendance: A meta-analysis

Emergent Issues in the World War Against Global Terrorism

Violent Extremism ◽

10.4018/978-1-5225-7119-3.ch023 ◽

2019 ◽

pp. 429-449

Author(s):

Kenneth David Strang

Keyword(s):

Critical Analysis ◽

Meta Analysis ◽

Contingency Management ◽

Future Research ◽

The World ◽

Culture Of Fear ◽

Emerging Culture ◽

Future Research Directions ◽

Global Terrorism ◽

The Impact

The chapter examines the impact of global terrorism on the top most-impacted nations. Global terrorism continues to impact many nations. There are two impacts – actual attacks causing deaths injuries and/or property damage as well as the emerging culture of fear where human rights have regressed – both impact the risk and contingency management community of practice. The critical analysis method is integrated with a meta-analysis of selected studies. Retrospective and inductive analysis techniques are applied. The risk of global terrorism is reviewed and calculated for the most-impacted nations. The recommendations address the emergent risks for contingency planning specialists, practitioners and researchers to consider. Additionally, future research directions are provided.

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Efficacy of psychological therapies for irritable bowel syndrome: systematic review and network meta-analysis

Gut ◽

10.1136/gutjnl-2020-321191 ◽

2020 ◽

Vol 69 (8) ◽

pp. 1441-1451 ◽

Cited By ~ 12

Author(s):

Christopher J Black ◽

Elyse R Thakur ◽

Lesley A Houghton ◽

Eamonn M M Quigley ◽

Paul Moayyedi ◽

...

Keyword(s):

Systematic Review ◽

Irritable Bowel Syndrome ◽

Meta Analysis ◽

Contingency Management ◽

Evidence Base ◽

Routine Care ◽

National Guidelines ◽

Psychological Therapies ◽

Registration Number ◽

Irritable Bowel

ObjectivesNational guidelines for the management of irritable bowel syndrome (IBS) recommend that psychological therapies should be considered, but their relative efficacy is unknown, because there have been few head-to-head trials. We performed a systematic review and network meta-analysis to try to resolve this uncertainty.DesignWe searched the medical literature through January 2020 for randomised controlled trials (RCTs) assessing efficacy of psychological therapies for adults with IBS, compared with each other, or a control intervention. Trials reported a dichotomous assessment of symptom status after completion of therapy. We pooled data using a random effects model. Efficacy was reported as a pooled relative risk (RR) of remaining symptomatic, with a 95% CI to summarise efficacy of each comparison tested, and ranked by therapy according to P score.ResultsWe identified 41 eligible RCTs, containing 4072 participants. After completion of therapy, the psychological interventions with the largest numbers of trials, and patients recruited, demonstrating efficacy included self-administered or minimal contact cognitive behavioural therapy (CBT) (RR 0.61; 95% CI 0.45 to 0.83, P score 0.66), face-to-face CBT (RR 0.62; 95% CI 0.48 to 0.80, P score 0.65) and gut-directed hypnotherapy (RR 0.67; 95% CI 0.49 to 0.91, P score 0.57). After completion of therapy, among trials recruiting only patients with refractory symptoms, group CBT and gut-directed hypnotherapy were more efficacious than either education and/or support or routine care, and CBT via the telephone, contingency management, CBT via the internet and dynamic psychotherapy were all superior to routine care. Risk of bias of trials was high, with evidence of funnel plot asymmetry; the efficacy of psychological therapies is therefore likely to have been overestimated.ConclusionsSeveral psychological therapies are efficacious for IBS, although none were superior to another. CBT-based interventions and gut-directed hypnotherapy had the largest evidence base and were the most efficacious long term.Trial registration numberThe study protocol was published on the PROSPERO international prospective register of systematic reviews (registration number CRD 42020163246).

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Contingency Management for Patients with Cooccurring Disorders: Evaluation of a Case Study and Recommendations for Practitioners

Case Reports in Psychiatry ◽

10.1155/2012/731638 ◽

2012 ◽

Vol 2012 ◽

pp. 1-7

Author(s):

Claire E. Adams ◽

Carla J. Rash ◽

Randy S. Burke ◽

Jefferson D. Parker

Keyword(s):

Substance Use ◽

Substance Dependence ◽

Hospital Admissions ◽

Medical Center ◽

Contingency Management ◽

Cost Savings ◽

Treatment Attendance ◽

Hospital Resources ◽

Outpatient Appointments

Research indicates that contingency management (CM) has potential to improve a number of outcomes (e.g. substance use, treatment attendance, quality of life) among individuals with substance use and cooccurring disorders. However, multiple factors must be considered on a case-by-case basis in order to promote optimal treatment effects. The present study describes an individualized CM protocol for a US Veteran with substance dependence and cooccurring severe mental illness. CM targeted attendance at outpatient appointments and appropriate use of hospital resources. Effects of CM were assessed by comparing the 3-month baseline and CM periods. The CM intervention marginally reduced unnecessary hospital admissions, resulting in cost savings to the medical center of over $5,000 in three months for this individual. However, CM did not affect outpatient attendance. Several complications arose, highlighting challenges in using CM in populations with substance use and cooccurring disorders. Practical suggestions are offered for maximizing the effects of CM.

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Psychosocial Treatment Approaches for Substance Use

10.1093/med/9780190275334.003.0013 ◽

2018 ◽

Author(s):

Lynn McFarr ◽

Julie Snyder ◽

Lisa Benson ◽

Rachel Higier

Keyword(s):

Substance Use ◽

Substance Use Disorders ◽

Meta Analysis ◽

Contingency Management ◽

Psychosocial Interventions ◽

Psychosocial Treatment ◽

Community Based ◽

Theoretical Orientations ◽

Psychosocial Treatments ◽

Community Based Programs

Multiple psychosocial treatments for substance-use disorders have been studied for efficacy. A recent meta-analysis indicates that psychosocial interventions are effective across multiple types of substances used. In the case of opiates, psychosocial interventions combined with medication appear to be the most effective. Many studies further agree that psychosocial interventions are an integral and necessary part of treating substance-use disorders. Although theoretical orientations may differ across psychosocial treatments, they have several principles and practices in common. All involve talk therapy or talk in communities as a way to clarify triggers, build commitment, and improve accountability. Many also target addiction behaviors and work to develop alternative contingencies to reduce or eliminate use. Finally, targeting repeated performance (or building “chains of committed behavior”) decreases the likelihood of relapse. This chapter discusses the most frequently studied and employed psychosocial treatments for substance use including CBT, motivational interviewing, contingency management, mindfulness, and community-based programs.

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Contingency management for treatment of substance use disorders: a meta-analysis

Addiction ◽

10.1111/j.1360-0443.2006.01581.x ◽

2006 ◽

Vol 101 (11) ◽

pp. 1546-1560 ◽

Cited By ~ 431

Author(s):

Michael Prendergast ◽

Deborah Podus ◽

John Finney ◽

Lisa Greenwell ◽

John Roll

Keyword(s):

Substance Use ◽

Substance Use Disorders ◽

Meta Analysis ◽

Contingency Management

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Long-term efficacy of contingency management treatment based on objective indicators of abstinence from illicit substance use up to 1 year following treatment: A meta-analysis.

Journal of Consulting and Clinical Psychology ◽

10.1037/ccp0000552 ◽

2021 ◽

Vol 89 (1) ◽

pp. 58-71

Author(s):

Meredith K. Ginley ◽

Rory A. Pfund ◽

Carla J. Rash ◽

Kristyn Zajac

Keyword(s):

Substance Use ◽

Meta Analysis ◽

Contingency Management ◽

Illicit Substance ◽

Term Efficacy ◽

Illicit Substance Use ◽

Objective Indicators

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Follow-up treatment effects of contingency management and motivational interviewing on substance use: A meta-analysis.

Psychology of Addictive Behaviors ◽

10.1037/adb0000277 ◽

2017 ◽

Vol 31 (4) ◽

pp. 403-414 ◽

Cited By ~ 22

Author(s):

Caitlin S. Sayegh ◽

Stanley J. Huey ◽

Erica J. Zara ◽

Kinnari Jhaveri

Keyword(s):

Substance Use ◽

Motivational Interviewing ◽

Treatment Effects ◽

Meta Analysis ◽

Contingency Management

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Supplemental Material for Effectiveness of Contingency Management for Smoking Cessation in Substance Users: A Systematic Review and Meta-Analysis

Journal of Consulting and Clinical Psychology ◽

10.1037/ccp0000611.supp ◽

2020 ◽

Keyword(s):

Systematic Review ◽

Smoking Cessation ◽

Meta Analysis ◽

Contingency Management ◽

Substance Users

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Meta-Analysis on the Effect of Contingency Management for Patients with Both Psychotic Disorders and Substance Use Disorders

Journal of Clinical Medicine ◽

10.3390/jcm10040616 ◽

2021 ◽

Vol 10 (4) ◽

pp. 616

Author(s):

Marianne Destoop ◽

Lise Docx ◽

Manuel Morrens ◽

Geert Dom

Keyword(s):

Substance Use ◽

Substance Use Disorders ◽

Psychotic Disorders ◽

Meta Analysis ◽

Contingency Management ◽

Potential Effect ◽

Clinical Population ◽

Clinical Implementation ◽

Effective Interventions ◽

Evidence Based Treatments

Background: Substance use disorders (SUD) are highly prevalent among psychotic patients and are associated with poorer clinical and functional outcomes. Effective interventions for this clinical population are scarce and challenging. Contingency management (CM) is one of the most evidence-based treatments for SUD’s, however, a meta-analysis of the effect of CM in patients with a dual diagnosis of psychotic disorder and SUD has not been performed. Methods: We searched PubMed and PsycINFO databases up to December 2020. Results: Five controlled trials involving 892 patients were included. CM is effective on abstinence rates, measured by the number of self-reported days of using after intervention (95% CI −0.98 to −0.06) and by the number of negative breath or urine samples after intervention (OR 2.13; 95% CI 0.97 to 4.69) and follow-up (OR 1.47; 95% CI 1.04 to 2.08). Conclusions: Our meta-analysis shows a potential effect of CM on abstinence for patients with SUD and (severe) psychotic disorders, although the number of studies is limited. Additional longitudinal studies are needed to confirm the sustained effectivity of CM and give support for a larger clinical implementation of CM within services targeting these vulnerable co-morbid patients.

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