Barriers to Effective Implementation of Contingency Management in Outpatient Treatment of Methamphetamine
Date of Award
College of Nursing
Doctor of Nursing Practice (DNP)
The objective of this project is to: 1) identify current understanding, attitudes, and beliefs of clinicians at a midsized urban outpatient substance use treatment clinic regarding contingency management (CM) treatment modality; 2) examine how this data contributes to barriers to implementation of contingency management for methamphetamine treatment; and 3) make recommendations to improve implementation strategies. A ten-question survey was developed based on Social Ecological Theory (U.S. Department of Health and Human Services, 2005), and was administered to 31 clinicians. A key informant interview was conducted using theoretical sampling (LoBiondo-Wood & Haber, 2018) of emergent themes. Three major barriers emerged from the data, including characteristics of methamphetamine use disorder, integration of CM into agency process, and lack of client resources. Limitations of the study included a small sample size, and limited representation of agencies. Recommendations include the administration of client interviews to develop client centered, feasible solutions.
Nauman, Emma A., "Barriers to Effective Implementation of Contingency Management in Outpatient Treatment of Methamphetamine" (2021). Doctor of Nursing Practice Projects. 22.