Evaluating training methods for transporting contingency management to therapists

• Published in: Journal of substance abuse treatment Vol. 45; no. 5; pp. 466 - 474
• Main Authors: Henggeler, Scott W., Ph.D, Chapman, Jason E., Ph.D, Rowland, Melisa D., M.D, Sheidow, Ashli J., Ph.D, Cunningham, Phillippe B., Ph.D
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.11.2013; Elsevier; Elsevier Limited
• Subjects: Addictive behaviors; Adherence; Adolescents; Adult; Adult and adolescent clinical studies; Biological and medical sciences; Contingency learning; Contingency management; Desintoxication. Drug withdrawal; Drug addiction; Evidence-Based Medicine - education; Evidence-Based Medicine - methods; Evidence-based treatment; Female; Follow-Up Studies; Guideline Adherence; Health Knowledge, Attitudes, Practice; Health Personnel - education; Humans; Male; Medical sciences; Mental health professionals; Miscellaneous; Practice Guidelines as Topic; Psychiatry; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Public health. Hygiene; Public health. Hygiene-occupational medicine; Public Sector; Substance abuse; Substance abuse treatment; Substance-Related Disorders - rehabilitation; Teenagers; Therapists; Training; Treatments; Workshops; Training; Substance abuse; Adolescents; Contingency management; Evidence-based treatment; Human; Drug addiction; Methodology; Health staff; Evidence-based practice; Method; Treatment; Addiction; Adolescent; Reward; Public health
• ISSN: 0740-5472; 1873-6483
• DOI: 10.1016/j.jsat.2013.06.008

Abstract The effects of three increasingly intensive training methods on therapist use, knowledge, and implementation adherence of contingency management (CM) with substance abusing adolescents were evaluated. Ten public sector substance abuse or mental health provider organizations were randomized to one of three training conditions: workshop and resources (WS +), WS + and computer assisted training (WS +/CAT), or WS +/CAT and supervisory support (WS +/CAT/SS). Across conditions, 161 therapists participated in the training experiences, and measures were obtained at baseline and 2-month intervals for 12 months following workshop participation. Across training conditions, therapists reported increased CM use, knowledge, and implementation adherence through the 12-month follow-up. The findings show that community-based practitioners are amenable to the adoption of evidence-based treatments when provided access to useful resources. Moreover, high quality workshops in combination with resource access can increase knowledge of the evidence-based treatment and might enhance intervention adherence to a level needed to improve youth outcomes.