Mobile telephone delivered contingency management for encouraging adherence to supervised methadone consumption: feasibility study for an RCT of clinical and cost-effectiveness (TIES)
Article
Metrebian, N., Carr, E., Goldsmith, K., Weaver, T., Pilling, S., Shearer, J., Woolston-Thomas, K., Tas, B., Cooper, C., Getty, C., van der Waal, R., Kelleher, M., Finch, E., Bijral, P., Taylor, D., Scott, J. and Strang, J. 2021. Mobile telephone delivered contingency management for encouraging adherence to supervised methadone consumption: feasibility study for an RCT of clinical and cost-effectiveness (TIES). Pilot and Feasibility Studies. 7 (1), pp. 1-12. https://doi.org/10.1186/s40814-020-00761-4
Type | Article |
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Title | Mobile telephone delivered contingency management for encouraging adherence to supervised methadone consumption: feasibility study for an RCT of clinical and cost-effectiveness (TIES) |
Authors | Metrebian, N., Carr, E., Goldsmith, K., Weaver, T., Pilling, S., Shearer, J., Woolston-Thomas, K., Tas, B., Cooper, C., Getty, C., van der Waal, R., Kelleher, M., Finch, E., Bijral, P., Taylor, D., Scott, J. and Strang, J. |
Abstract | Background: Prescription methadone or buprenorphine enables people with opioid use disorder to stop heroin use safely while avoiding withdrawal. To ensure methadone is taken as prescribed and to prevent diversion onto the illicit market, people starting methadone take their daily dose under a pharmacist’s supervision. Many patients miss their daily methadone dose risking withdrawal, craving for heroin and overdose due to loss of heroin tolerance. Contingency management (CM) can improve medication adherence, but remote delivery using technology may be resource-light and cost-effective. We developed an innovative way to deliver CM by mobile telephone. Software monitors patients’ attendance and supervised methadone consumption through an internet self-login at the pharmacy and sends reinforcing text messages to patients’ mobile telephones. A linked system sends medication adherence reports to prescribers and provides early warning alerts of missed doses. A pre-paid debit card system provides financial incentives. |
Keywords | Mobile telephone; Contingency management; Medication adherence; Opioid agonist treatment |
Publisher | BioMed Central |
Journal | Pilot and Feasibility Studies |
ISSN | |
Electronic | 2055-5784 |
Publication dates | |
Online | 07 Jan 2021 |
31 Dec 2021 | |
Publication process dates | |
Deposited | 08 Jan 2021 |
Accepted | 18 Dec 2020 |
Output status | Published |
Publisher's version | License File Access Level Open |
Copyright Statement | © The Author(s). 2021 |
Digital Object Identifier (DOI) | https://doi.org/10.1186/s40814-020-00761-4 |
Web of Science identifier | WOS:000704716400002 |
Language | English |
https://repository.mdx.ac.uk/item/893q7
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