Implementing Contingency Management for Stimulant Use in Opioid Treatment Programs: Protocol of a Type III Hybrid Effectiveness-stepped-wedge Trial
Year Published: 2023
Authors: Sara J. Becker, Kira DiClemente‐Bosco, Kelli Scott, Tim Janssen, Sarah M. Salino, Fariha N. Hasan, Kimberly R. Yap and Bryan R. Garner
Contingency management (CM) is an evidence-based intervention for stimulant use and is highly effective in combination with medication for opioid use disorder. Yet, uptake of CM in opioid treatment programs that provide medication for opioid use disorder remains low. This paradox in which CM is one of the most effective interventions, yet one of the least available, represents one of the greatest research-to-practice gaps in the addiction health services field. Multi-level implementation strategies are needed to address barriers to CM implementation at both the provider- and organization-level. This type III hybrid effectiveness-implementation trial was funded by the National Institute on Drug Abuse to evaluate whether a multi-level implementation strategy, the Science of Service Laboratory (SSL), can effectively promote CM implementation in opioid treatment programs. Specific aims will test the effectiveness of the SSL on implementation outcomes (primary aim) and patient outcomes (secondary aim), as well as test putative mediators of implementation outcomes (exploratory aim).