A qualitative exploration of patients' experience of mobile telephone‐delivered contingency management to promote adherence to supervised methadone
Article
Getty, C., Weaver, T. and Metrebian, N. 2022. A qualitative exploration of patients' experience of mobile telephone‐delivered contingency management to promote adherence to supervised methadone. Drug and Alcohol Review. 42 (3), pp. 641-651. https://doi.org/10.1111/dar.13555
Type | Article |
---|---|
Title | A qualitative exploration of patients' experience of mobile telephone‐delivered contingency management to promote adherence to supervised methadone |
Authors | Getty, C., Weaver, T. and Metrebian, N. |
Abstract | Introduction: Despite an increasing evidence base for mobile telephone‐delivered contingency management (mCM), there had been no previous qualitative exploration of patients' experience of receiving mCM and the factors that might influence that experience and outcome in a UK setting. The aim of this study was to understand patients' views and experience of receiving mCM by exploring their beliefs, expectations and perceived benefits within the context of the UK's first mCM intervention. Methods: Qualitative interviews (N = 15) were conducted with patients undergoing opioid agonist treatment in a UK drug treatment service and receiving mCM to encourage adherence with supervised methadone as part of an existing study. Interviews were conducted at two time points and analysed using Framework to explore patients' expectations and beliefs during the early stage of the intervention (2 weeks) and their perceived benefits and experience at the end of the intervention (12 weeks). Results: The mCM was perceived as a motivator, providing validation of achievement, and involving discreet and positive interactions. Perceived benefits included enhanced methadone adherence, reduced drug use and the development of a supportive and non‐judgemental connection that resembled a therapeutic alliance. Discussion and Conclusions: The mechanisms underpinning contingency management appeared to operate in the absence of human interaction, and the mCM intervention was deemed to be meaningful, acceptable and well received by patients. These findings not only provide support for the application of mCM in this context but also offer insight into the factors that influence outcomes and should be considered in the development of future mCM interventions. |
Keywords | contingency management; opioid agonist treatment; opioids; remote delivery |
Sustainable Development Goals | 3 Good health and well-being |
9 Industry, innovation and infrastructure | |
Middlesex University Theme | Health & Wellbeing |
Publisher | Wiley |
Journal | Drug and Alcohol Review |
ISSN | 0959-5236 |
Electronic | 1465-3362 |
Publication dates | |
Online | 21 Oct 2022 |
Mar 2023 | |
Publication process dates | |
Submitted | 05 May 2022 |
Accepted | 07 Sep 2022 |
Deposited | 24 Oct 2022 |
Output status | Published |
Publisher's version | License File Access Level Open |
Copyright Statement | © 2022 The Authors. Drug and Alcohol Review published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
Digital Object Identifier (DOI) | https://doi.org/10.1111/dar.13555 |
Language | English |
https://repository.mdx.ac.uk/item/8q1yy
Download files
Publisher's version
59
total views23
total downloads0
views this month0
downloads this month
Export as
Related outputs
Addiction specialists' perspectives on digital contingency management and its role within UK drug and alcohol services: a qualitative exploration
Getty, C., Metrebian, N., Neale, J., Weaver, T. and Strang, J. 2025. Addiction specialists' perspectives on digital contingency management and its role within UK drug and alcohol services: a qualitative exploration. Drug and Alcohol Review. https://doi.org/10.1111/dar.14046The Offender Personality Disorder (OPD) pathway for men in England and Wales: a qualitative study of pathway user views about services, perceived impact on psychological wellbeing, and implications for desistance
Jarrett, M., Trebilcock, J., Weaver, T., Forrester, A., Cambell, C., Khondoker, M., Vamvakas, G., Barrett, B. and Moran, P.A. 2024. The Offender Personality Disorder (OPD) pathway for men in England and Wales: a qualitative study of pathway user views about services, perceived impact on psychological wellbeing, and implications for desistance. Criminal Justice and Behavior. 52 (1), pp. 98-118. https://doi.org/10.1177/00938548241286829Becoming an Open Dialogue practitioner: a qualitative study of practitioners’ training experiences and transitioning to practice
Anestis, E., Weaver, T., Melia, C., Clarke, K. and Pilling, S. 2024. Becoming an Open Dialogue practitioner: a qualitative study of practitioners’ training experiences and transitioning to practice. Frontiers in Psychology. 15, p. 1432327. https://doi.org/10.3389/fpsyg.2024.1432327The effectiveness of the Offender Personality Disorder Pathway: a propensity score-matched analysis
Vamvakas, G., Jarrett, M., Barrett, B., Campbell, C., Forrester, A., Trebilcock, J., Walker, J., Weaver, T., Khondoker, M. and Moran, P. 2024. The effectiveness of the Offender Personality Disorder Pathway: a propensity score-matched analysis. Psychology, Crime and Law. https://doi.org/10.1080/1068316x.2024.2310532Monitoring cardiovascular disease risk in individuals with severe mental illness in an inpatient mental health setting: a secondary data analysis.
Mwebe, H., Volante, M. and Weaver, T. 2020. Monitoring cardiovascular disease risk in individuals with severe mental illness in an inpatient mental health setting: a secondary data analysis. British Journal of Mental Health Nursing. 9 (3), pp. 1-14. https://doi.org/10.12968/bjmh.2020.0005Monitoring cardiovascular disease risk in individuals with severe mental illness in an inpatient mental health setting: a secondary data analysis
Mwebe, H., Volante, M. and Weaver, T. 2020. Monitoring cardiovascular disease risk in individuals with severe mental illness in an inpatient mental health setting: a secondary data analysis. British Journal of Cardiac Nursing. 15 (11), pp. 1-15. https://doi.org/10.12968/bjca.2020.0157Open Dialogue compared to treatment as usual for adults experiencing a mental health crisis: Protocol for the ODDESSI multi-site cluster randomised controlled trial.
Pilling, S., Clarke, K., Parker, G., James, K., Landau, S., Weaver, T., Razzaque, R. and Craig, T. 2022. Open Dialogue compared to treatment as usual for adults experiencing a mental health crisis: Protocol for the ODDESSI multi-site cluster randomised controlled trial. Contemporary Clinical Trials. 113. https://doi.org/10.1016/j.cct.2021.106664Causes of and alternatives to medication for behaviours that challenge in people with intellectual disabilities: direct care providers' perspectives
Deb, S., Limbu, B., Unwin, G. and Weaver, T. 2022. Causes of and alternatives to medication for behaviours that challenge in people with intellectual disabilities: direct care providers' perspectives. International Journal of Environmental Research and Public Health. 19 (16), pp. 1-14. https://doi.org/10.3390/ijerph19169988Patients' beliefs towards contingency management: target behaviours, incentives and the remote application of these interventions
Getty, C., Weaver, T., Lynskey, M., Kirby, K., Dallery, J. and Metrebian, N. 2022. Patients' beliefs towards contingency management: target behaviours, incentives and the remote application of these interventions. Drug and Alcohol Review. 41 (1), pp. 96-105. https://doi.org/10.1111/dar.13314Using a pragmatically adapted, low-cost contingency management intervention to promote heroin abstinence in individuals undergoing treatment for heroin use disorder in UK drug services (PRAISE): a cluster randomised trial
Metrebian, N., Weaver, T., Goldsmith, K., Pilling, S., Hellier, J., Pickles, A., Shearer, J., Byford, S., Mitcheson, L., Bijral, P., Bogdan, N., Bowden-Jones, O., Day, E., Dunn, J., Glasper, A., Finch, E., Forshall, S., Akhtar, S., Bajaria, J., Bennett, C., Bishop, E., Charles, V., Davey, C., Desai, R., Goodfellow, C., Haque, F., Little, N., McKechnie, H., Mosler, F., Morris, J., Mutz, J., Pauli, R., Poovendran, D., Phillips, E. and Strang, J. 2021. Using a pragmatically adapted, low-cost contingency management intervention to promote heroin abstinence in individuals undergoing treatment for heroin use disorder in UK drug services (PRAISE): a cluster randomised trial. BMJ Open. 11 (7). https://doi.org/10.1136/bmjopen-2020-046371