Hospital-Based Contingency Management

Launched by OREGON HEALTH AND SCIENCE UNIVERSITY · Aug 23, 2022

Keywords

ClinConnect Summary

Contingency management (CM), an evidence-based strategy that utilizes a reward-based system as positive reinforcement, has been most robustly studied in the outpatient setting, but also has the potential to improve hospital care for patients with stimulant use disorder. The hospital is a challenging environment for people who use drugs. Conflicts with staff often result from in-hospital substance use, prolonged time off the unit, and missing medications, leading to negative health outcomes and re-admissions. By relying on positive rewards to encourage positive health behaviors, CM has the p...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Be 18 years of age or older
• • Have moderate to severe stimulant use disorder, as diagnosed using DSM-5 criteria for stimulant use disorder by an addiction medicine provider
• • Have an anticipated hospital length of stay greater than 2 weeks
• • Be able to use a smartphone and agree to download and use the Affect app as part of study-related procedures
• • Be English speaking and be able to understand explanations of study procedures and the informed consent to participate
• Exclusion Criteria:
• • Unable to engage in the intervention due to cognitive impairment or altered mental status
• • Unable to engage in the intervention due to acute medical/mental health issues, per judgement of the research assistant