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首页> 外文期刊>Journal of substance abuse treatment >Community opioid treatment perspectives on contingency management: Perceived feasibility, effectiveness, and transportability of social and financial incentives
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Community opioid treatment perspectives on contingency management: Perceived feasibility, effectiveness, and transportability of social and financial incentives

机译：社区阿片类药物对应急管理的看法：社会和经济激励措施的可行性，有效性和可移植性

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摘要

Treatment community reluctance toward contingency management (CM) may be better understood by eliciting views of its feasibility, effectiveness, and transportability when social versus financial incentives are utilized. This mixed method study involved individual staff interviews representing three personnel tiers (an executive, clinical supervisor, and two front-line clinicians) at 16 opiate treatment programs. Interviews included Likert ratings of feasibility, effectiveness, and transportability of each incentive type, and content analysis of corresponding interviewee narrative. Multi-level modeling analyses indicated that social incentives were perceived more feasible, more effective, and more transportable than financial incentives, with results pervading personnel tier. Content analysis suggested that the more positive perception of social incentives was most often due to expected logistical advantages, positive impacts on patient quality-of-life, and philosophical congruence among staff. Weaker perception of financial incentives was most often influenced by concerns about costs, patient dissatisfaction, and staff philosophical incongruence. Implications for CM dissemination are discussed.
机译：当利用社会和经济激励措施时，对治疗社区的不情愿性进行应急管理（CM），可能会更好地理解其可行性，有效性和可运输性。这项混合方法研究涉及16个阿片类药物治疗计划中代表三个人员层级（管理人员，临床主管和两名一线临床医生）的个人员工访谈。访谈包括对每种激励类型的可行性，有效性和可移植性进行李克特评分，以及对相应受访者叙述的内容分析。多层次建模分析表明，与经济激励相比，社会激励被认为更可行，更有效，更易于转移，其结果遍及人员层级。内容分析表明，对社会激励的更积极的认识通常归因于预期的后勤优势，对患者生活质量的积极影响以及员工之间的哲学一致性。人们对费用，对患者的不满以及员工的哲学上的不一致感到担忧，这往往是对财务奖励措施认识较弱的原因。讨论了CM传播的含义。

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