Document Detail


Identifying provider beliefs related to contingency management adoption using the contingency management beliefs questionnaire.
MedLine Citation:
PMID:  21925807     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Contingency management (CM) is a widely recognized empirically-supported addiction treatment; however, dissemination and adoption of CM into routine clinical practice has been slow. Assessment of beliefs about CM may highlight key barriers and facilitators of adoption and inform dissemination efforts. In the present study, we developed a 35-item questionnaire (contingency management beliefs questionnaire; CMBQ) assessing CM beliefs and examined the relation of these beliefs to clinician characteristics and clinical practices.
METHODS: The web-based study was completed by 617 substance abuse treatment providers. We examined the factor structure using exploratory factor analysis (EFA) in a randomly selected half-sample (n=318) and evaluated the generalizability of the solution using confirmatory factor analysis (CFA) in the second half-sample (n=299).
RESULTS: EFA results suggested a 3-factor solution with 32 items retained; factors represented general barriers, training-related barriers, and pro-CM items. CFA results supported the solution, and reliability was good within each half-sample (α=0.88 and 0.90). Therapeutic approach, years experience in addictions field, perception of CM's research support, prior CM training, and CM adoption interest were significantly associated with the factors.
CONCLUSIONS: Overall, participants viewed CM favorably yet endorsed barriers, indicating a need for more extensive and targeted response to the most common misperceptions in dissemination efforts.
Authors:
Carla J Rash; Nancy M Petry; Kimberly C Kirby; Steve Martino; John Roll; Maxine L Stitzer
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2011-09-16
Journal Detail:
Title:  Drug and alcohol dependence     Volume:  121     ISSN:  1879-0046     ISO Abbreviation:  Drug Alcohol Depend     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-02-21     Completed Date:  2012-07-23     Revised Date:  2014-09-24    
Medline Journal Info:
Nlm Unique ID:  7513587     Medline TA:  Drug Alcohol Depend     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  205-12     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Adult
Attitude of Health Personnel*
Female
Humans
Male
Middle Aged
Questionnaires
Substance Abuse Treatment Centers
Substance-Related Disorders / therapy*
Grant Support
ID/Acronym/Agency:
P30 DA023918/DA/NIDA NIH HHS; P30 DA023918-01A1/DA/NIDA NIH HHS; P30-DA023918/DA/NIDA NIH HHS; P50 DA009241/DA/NIDA NIH HHS; P50 DA009241-19/DA/NIDA NIH HHS; P50-DA009241/DA/NIDA NIH HHS; R25 DA026636/DA/NIDA NIH HHS; R25 DA026636/DA/NIDA NIH HHS; R25 DA026636-05/DA/NIDA NIH HHS; T32 AA007290/AA/NIAAA NIH HHS; T32 AA007290-30/AA/NIAAA NIH HHS; T32-AA07290/AA/NIAAA NIH HHS; U10 DA015831/DA/NIDA NIH HHS; U10 DA015831-11/DA/NIDA NIH HHS; U10-DA015831/DA/NIDA NIH HHS
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