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Behavior Economics and Treatment Engagement

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Practical Strategies and Tools to Promote Treatment Engagement

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Abstract

In Behavior Economics and Treatment Engagement authors Andrade and Petry provide an expert analysis of the application of contingency management (CM) programs to promotion of health behavior. First, the historical background of incentive-based interventions in the context of substance abuse treatment is reviewed. The reader will then learn to apply CM to engagement to quality health care initiatives, such as vaccinations, medical screenings, diabetes monitoring, physical activity, and weight loss programs. The fundamental concepts and elements of effective incentive-based interventions are explicated and dissemination of these programs is discussed.

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References

  • Alessi, S. M., Petry, N. M., & Urso, J. (2008). Contingency management promotes smoking reductions in residential substance abuse patients. Journal of Applied Behavior Analysis, 41, 617–622.

    Article  PubMed  PubMed Central  Google Scholar 

  • Austin, S., & Wolfe, B. L. (2011). The effect of patient reminders and gas station gift cards on patient adherence to testing guidelines for diabetes. Wisconsin Medical Journal, 110, 132–137.

    PubMed  Google Scholar 

  • Bigelow, G., Strickler, D., Liebson, I., & Griffiths, R. (1976). Maintaining disulfiram ingestion among outpatient alcoholics: A security-deposit contingency contracting procedure. Behaviour Research and Therapy, 14, 378–381.

    Article  PubMed  Google Scholar 

  • Center for Disease Control and Prevention. (2010). http://www.cdc.gov/media/pressrel/2010/r101022.html.

  • Dallery, J., Meredith, S., & Glenn, I. (2008). A deposit contract method to deliver abstinence reinforcement for cigarette smoking. Journal of Applied Behavior Analysis, 41, 609–615.

    Article  PubMed  PubMed Central  Google Scholar 

  • Duer, J. D. (1982). Prompting women to seek cervical cytology. Behavior Therapy, 13, 248–253.

    Article  Google Scholar 

  • Dutra, L., Stathopoulou, G., Basden, S. L., Leyro, T. M., Powers, M. B., & Otto, M. W. (2008). A meta-analytic review of psychosocial interventions for substance use disorders. The American Journal of Psychiatry, 165, 179–187.

    Article  PubMed  Google Scholar 

  • Elliott, R., & Tighe, T. (1968). Breaking the cigarette habit: Effects of a technique involving threatened loss of money. The Psychological Record, 18, 503–513.

    Google Scholar 

  • Friman, P. C., Finney, J. W., Rapoff, M. A., & Christophersen, E. R. (1985). Improving pediatric appointment keeping with reminders and reduced response requirement. Journal of Applied Behavior Analysis, 18, 315–321.

    Article  PubMed  PubMed Central  Google Scholar 

  • Green, L., & Myerson, J. (2004). A discounting framework for choice with delayed and probabilistic rewards. Psychological Bulletin, 130, 769–792.

    Article  PubMed  PubMed Central  Google Scholar 

  • Higgins, S. T., Budney, A. J., Bickel, W. K., & Foerg, F. E. (1994). Incentives improve outcome in outpatient behavioral treatment of cocaine dependence. Archives of General Psychiatry, 51, 568–576.

    Article  PubMed  Google Scholar 

  • Higgins, S. T., Budney, A. J., Bickel, W. K., & Hughes, J. R. (1993). Achieving cocaine abstinence with a behavioral approach. The American Journal of Psychiatry, 150, 763–769.

    Article  PubMed  Google Scholar 

  • Higgins, S. T., Delaney, D. D., Budney, A. J., & Bickel, W. K. (1991). A behavioral approach to achieving initial cocaine abstinence. The American Journal of Psychiatry, 148, 1218–1224.

    Article  PubMed  Google Scholar 

  • Higgins, S. T., Silverman, K., & Heil, S. H. (Eds.). (2008). Contingency management in substance abuse treatment. New York, NY: Guilford.

    Google Scholar 

  • Hoekstra, E. J., LeBaron, C. W., Megaloeconomou, Y., Guerrero, H., Byers, C., Johnson-Partlow, T., … Mize, J. (1998). Impact of a large-scale immunization initiative in the special supplemental nutrition program for women, infants, and children (WIC). The Journal of the American Medical Association, 280, 1143–1147.

    Google Scholar 

  • Kahneman, D., Knetsch, J. L., & Thaler, R. H. (1990). Experimental tests of the endowment effect and the Coase theorem. The Journal of Political Economy, 98, 1325–1348.

    Article  Google Scholar 

  • Kahneman, D., & Tversky, A. (1979). Prospect theory: An analysis of decision under risk. Econometrica, 47, 263–292.

    Article  Google Scholar 

  • Ledgerwood, D. M., Alessi, S. M., Hanson, T., Godley, M. D., & Petry, N. M. (2008). Contingency management for attendance to group substance abuse treatment administered by clinicians in community clinics. Journal of Applied Behavior Analysis, 41, 517–526.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lefforge, N. L., Donohue, B., & Strada, M. J. (2007). Improving session attendance in mental health and substance abuse settings: A review of controlled studies. Behavior Therapy, 38, 1–22.

    Article  PubMed  Google Scholar 

  • Loewenstein, G. F., Brennan, T., & Volpp, K. G. (2007). Assymetric paternalism to improve health behaviors. The Journal of the American Medical Association, 298, 2415–2417.

    Article  PubMed  Google Scholar 

  • Loewenstein, G. F., Weber, E. U., Hsee, C. K., & Welch, N. (2001). Risk as feelings. Psychological Bulletin, 127, 267–286.

    Article  PubMed  Google Scholar 

  • Lussier, J. P., Heil, S. H., Mongeon, J. A., Badger, G. J., & Higgins, S. T. (2006). A meta-analysis of voucher-based reinforcement therapy for substance use disorders. Addiction, 101, 192–203.

    Article  PubMed  Google Scholar 

  • MacKillop, J., Amlung, M. T., Few, L. R., Ray, L. A., Sweet, L. H., & Munafò, M. R. (2011). Delayed reward discounting and addictive behavior: A meta-analysis. Psychopharmacology, 216, 305–321.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mayer, J. A., & Kellogg, M. C. (1989). Promoting mammography appointment making. Journal of Behavioral Medicine, 12, 605–611.

    Article  PubMed  Google Scholar 

  • Mokdad, A. H., Marks, J. S., Stroup, D. F., & Gerberding, J. L. (2004). Actual causes of death in the United States, 2000. The Journal of American Medical Association, 291, 1238–1245.

    Article  Google Scholar 

  • Paxton, R. (1980). The effects of a deposit contract as a component in a behavioural programme for stopping smoking. Behaviour Research and Therapy, 18, 45–50.

    Article  PubMed  Google Scholar 

  • Paxton, R. (1981). Deposit contracts with smokers: Varying frequency and amount of repayments. Behaviour Research and Therapy, 19, 117–123.

    Article  PubMed  Google Scholar 

  • Petry, N. M. (2012). Contingency management for substance abuse treatment: A guide to implementing evidence-based practice. New York, NY: Routledge/Taylor & Francis Group.

    Google Scholar 

  • Petry, N. M., & Alessi, S. M. (2010). Prize-based contingency management is efficacious in cocaine-abusing patients with and without recent gambling problems. Journal of Substance Abuse Treatment, 39, 282–288.

    Article  PubMed  PubMed Central  Google Scholar 

  • Petry, N. M., Alessi, S. M., Carroll, K. M., Hanson, T., MacKinnon, S., Rounsaville, B., & Sierra, S. (2006). Contingency management treatments: Reinforcing abstinence versus adherence with goal-related activities. Journal of Consulting and Clinical Psychology, 74, 592–601.

    Google Scholar 

  • Petry, N. M., Alessi, S. M., Hanson, T., & Sierra, S. (2007). Randomized trial of contingent prizes versus vouchers in cocaine-using methadone patients. Journal of Consulting and Clinical Psychology, 75, 983–991.

    Article  PubMed  Google Scholar 

  • Petry, N. M., Alessi, S. M., Marx, J., Austin, M., & Tardif, M. (2005). Vouchers versus prizes: Contingency management treatment of substance abusers in community settings. Journal of Consulting and Clinical Psychology, 73, 1005–1014.

    Article  PubMed  Google Scholar 

  • Petry, N. M., Alessi, S. M., & Ledgerwood, D. M. (2012). A randomized trial of contingency management delivered by community therapists. Journal of Consulting and Clinical Psychology, 80, 286–298.

    Article  PubMed  PubMed Central  Google Scholar 

  • Petry, N. M., Andrade, L. F., Barry, D., & Byrne, S. (2013). A randomized study of reinforcing walking in older adults. Psychology and Aging, 28, 1164–1173.

    Google Scholar 

  • Petry, N. M., Andrade, L. F., Rash, C., & Cherniack, M. G. (2013). Reinforcing job-related activities is associated with reductions in employment problems and improvement in quality of life. Psychology of Addictive Behaviors. Advance online publication. doi:10.1037/a0032264.

  • Petry, N. M., Barry, D., Pescatello, L., & White, W. B. (2011). A low-cost reinforcement procedure improves short-term weight loss outcomes. The American Journal of Medicine, 124, 1082–1085.

    Article  PubMed  PubMed Central  Google Scholar 

  • Petry, N. M., DePhilippis, D., Rash, C. J., Drapkin, M., & McKay, R. (2014). Nationwide dissemination of contingency management: The Veterans Administration initiative. American Journal on Addictions, 23, 205–210.

    Google Scholar 

  • Petry, N. M., Kolodner, K. B., Li, R., Pierce, J. M., Roll, J. R., Stitzer, M. L., & Hamilton, J. A. (2006). Prize-based contingency management does not increase gambling. Drug and Alcohol Dependence, 83, 269–273.

    Google Scholar 

  • Petry, N. M., Martin, B., & Simcic, F., Jr. (2005). Prize reinforcement contingency management for cocaine dependence: Integration with group therapy in a methadone clinic. Journal of Consulting and Clinical Psychology, 73, 354–359.

    Article  PubMed  Google Scholar 

  • Petry, N. M., Tedford, J., Austin, M., Nich, C., Carroll, K. M., & Rounsaville, B. J. (2004). Prize reinforcement contingency management for treating cocaine users: How low can we go, and with whom? Addiction, 99, 349–360.

    Article  PubMed  PubMed Central  Google Scholar 

  • Petry, N. M., Weinstock, J., & Alessi, S. M. (2011). A randomized trial of contingency management delivered in the context of group counseling. Journal of Consulting and Clinical Psychology, 79, 686–696.

    Article  PubMed  PubMed Central  Google Scholar 

  • Priebe, S., Burton, A., Ashby, D., Ashcroft, R., Burns, T., David, A., … McCabe, R. (2009). Financial incentives to improve adherence to anti-psychotic maintenance medication in non-adherent patients—A cluster randomised controlled trial (FIAT). BMC Psychiatry, 9, 61.

    Google Scholar 

  • Promberger, M., Brown, R. C., Ashcroft, R. E., & Marteau, T. M. (2011). Acceptability of financial incentives to improve health outcomes in UK and US samples. Journal of Medical Ethics, 37, 682–687.

    Article  PubMed  PubMed Central  Google Scholar 

  • Promberger, M., Dolan, P., & Marteau, T. M. (2012). “Pay them if it works”: Discrete choice experiments on the acceptability of financial incentives to change health related behaviour. Social Science & Medicine, 75, 509–514.

    Article  Google Scholar 

  • Raiff, B. R., & Dallery, J. (2010). Internet-based contingency management to improve adherence with blood glucose testing recommendations for teens with Type 1 diabetes. Journal of Applied Behavior Analysis, 43, 487–491.

    Article  PubMed  PubMed Central  Google Scholar 

  • Reynolds, B. (2006). A review of delay-discounting research with humans: Relations to drug use and gambling. Behavioural Pharmacology, 17, 651–667.

    Article  PubMed  Google Scholar 

  • Roll, J. M., Higgins, S. T., & Badger, G. J. (1996). An experimental comparison of three different schedules of reinforcement of drug abstinence using cigarette smoking as an exemplar. Journal of Applied Behavior Analysis, 29, 495–505.

    Article  PubMed  PubMed Central  Google Scholar 

  • Romanowich, P., & Lamb, R. J. (2013). The effect of framing incentives as either losses or gains with contingency management for smoking cessation. Addictive Behaviors, 38, 2084–2088.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rowan-Szal, G., Joe, G. W., Chatham, L. R., & Simpson, D. D. (1994). A simple reinforcement system for methadone clients in a community-based treatment program. Journal of Substance Abuse Treatment, 11, 217–223.

    Article  PubMed  Google Scholar 

  • Sigmon, S. C., & Stitzer, M. L. (2005). Use of low-cost incentive intervention to improve counseling attendance among methadone maintained patients. Journal of Substance Abuse Treatment, 29, 253–258.

    Article  PubMed  Google Scholar 

  • Silverman, K., Chutuape, M. A., Bigelow, G. E., & Stitzer, M. L. (1999). Voucher-based reinforcement of cocaine abstinence in treatment-resistant methadone patients: Effects of reinforcement magnitude. Psychopharmacology, 146, 128–138.

    Article  PubMed  Google Scholar 

  • Stevens-Simon, C., Dolgan, J. I., Kelly, L., & Singer, D. (1997). The effect of monetary incentives and peer support groups on repeat adolescent pregnancies. A randomized trial of the dollar-a-day program. The Journal of the American Medical Association, 277, 977–982.

    Article  PubMed  Google Scholar 

  • Stitzer, M. L., & Bigelow, G. E. (1983). Contingent payment for carbon monoxide reduction: Effects of pay amount. Behavior Therapy, 14, 647–656.

    Article  Google Scholar 

  • Stitzer, M. L., & Bigelow, G. E. (1984). Contingent reinforcement for carbon monoxide reduction: Within-subject effects of pay amount. Journal of Applied Behavior Analysis, 17, 477–483.

    Article  PubMed  PubMed Central  Google Scholar 

  • Substance Abuse and Mental Health Services Administration. (2008). Results from the 2007 National Survey on Drug Use and Health: National Findings (Office of Applied Studies, NSDUH Series H-34, DHHS Publication No. SMA 08-4343). Rockville, MD.

    Google Scholar 

  • Tversky, A., & Kahneman, D. (1991). Loss aversion in riskless choice: A reference-dependent model. Quarterly Journal of Economics, 56, 1039–1061.

    Article  Google Scholar 

  • Tversky, A., & Kahneman, D. (1992). Advances in prospect theory: Cumulative representation of uncertainty. Journal of Risk and Uncertainty, 5, 297–323.

    Article  Google Scholar 

  • Volpp, K. G., Loewenstein, G., Troxel, A. B., Doshi, J., Price, M., Laskin, M., & Kimmel, S. E. (2008). Financial incentives to improve warfarin adherence. Biomed Central Health Service Research, 8, 272.

    Google Scholar 

  • Volpp, K. G., Troxel, L. K., Norton, A. B., Fassbender, L., & Loewenstein, G. (2008). Financial incentive-based approaches for weight loss: A randomized trial. The Journal of the American Medical Association, 300, 2631–2637.

    Article  PubMed  Google Scholar 

  • Weller, R. E., Cook, E. W., Avsar, K. B., & Cox, J. E. (2008). Obese women show greater delay discounting than healthy-weight women. Appetite, 51, 563–569.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Psychology, Westfield State University, Westfield, MA, 01085, USA

    Leonardo F. Andrade Ph.D., B.C.B.A.

  2. Department of Psychiatry, University of Connecticut Health Center, 263 Farmington Avenue, Farmington, CT, 06030-3944, USA

    Nancy M. Petry Ph.D.

Authors
  1. Leonardo F. Andrade Ph.D., B.C.B.A.
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  2. Nancy M. Petry Ph.D.
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Corresponding author

Correspondence to Leonardo F. Andrade Ph.D., B.C.B.A. .

Editor information

Editors and Affiliations

  1. Department of Psychology, University of Nevada, Reno, Nevada, USA

    William O'Donohue

  2. School of Professional Psychology, Wright State University, Dayton, Ohio, USA

    Larry James

  3. Department of Psychology, University of Nevada, Reno, Nevada, USA

    Cassandra Snipes

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Andrade, L.F., Petry, N.M. (2017). Behavior Economics and Treatment Engagement. In: O'Donohue, W., James, L., Snipes, C. (eds) Practical Strategies and Tools to Promote Treatment Engagement. Springer, Cham. https://doi.org/10.1007/978-3-319-49206-3_2

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