Contingency Management Interventions for HIV, Tuberculosis, and Hepatitis Control Among Individuals With Substance Use Disorders: A Systematized Review

Evan S Herrmann; Alexis K Matusiewicz; Maxine L Stitzer; Stephen T Higgins; Stacey C Sigmon; Sarah H Heil

doi:10.1016/j.jsat.2016.06.009

Contingency Management Interventions for HIV, Tuberculosis, and Hepatitis Control Among Individuals With Substance Use Disorders: A Systematized Review

J Subst Abuse Treat. 2017 Jan:72:117-125. doi: 10.1016/j.jsat.2016.06.009. Epub 2016 Jun 24.

Authors

Evan S Herrmann¹, Alexis K Matusiewicz², Maxine L Stitzer³, Stephen T Higgins⁴, Stacey C Sigmon⁴, Sarah H Heil⁴

Affiliations

¹ Department of Psychology, University of Vermont, Room 1415 UHC, 1 S. Prospect Street, Burlington, VT 05401. Electronic address: Herrman@nyspi.columbia.edu.
² Department of Psychiatry, University of Vermont, Room 1415 UHC, 1 S. Prospect Street, Burlington, VT 05401; Vermont Center on Behavior and Health, University of Vermont, Room 1415 UHC, 1 S. Prospect Street, Burlington, VT 05401.
³ Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, 5510 Nathan Shock Drive, Baltimore, MD, 21224.
⁴ Department of Psychology, University of Vermont, Room 1415 UHC, 1 S. Prospect Street, Burlington, VT 05401; Department of Psychiatry, University of Vermont, Room 1415 UHC, 1 S. Prospect Street, Burlington, VT 05401; Vermont Center on Behavior and Health, University of Vermont, Room 1415 UHC, 1 S. Prospect Street, Burlington, VT 05401.

Abstract

Hepatitis, HIV and tuberculosis are significant and costly public health problems that disproportionately affect individuals with substance use disorders (SUDs). Incentive-based treatment approaches (i.e., contingency management; CM) are highly effective at reducing drug use. The primary aim of this report is to review the extant literature that examines the efficacy of CM interventions for the prevention, diagnosis and treatment of hepatitis, HIV and tuberculosis among individuals with SUDs. A literature search identified 23 controlled studies on this topic. In approximately 85% of the studies, CM produced significantly better adherence to prevention, diagnosis and treatment-related medical services, with adherence rates averaging almost 35% higher among patients receiving incentives vs. control condition participants. Findings from these studies parallel the results of a meta-analysis of CM interventions for the treatment of SUDs. The results also suggest that the principles that underlie the efficacy of CM generalize across infectious disease and substance abuse treatment behaviors. The application of additional principles from the literature on CM for treatment of SUDs to interventions targeting infectious disease control would be beneficial. Further development and dissemination of these interventions has the potential to greatly impact public health.

Keywords: Contingency management intervention; HIV; Hepatitis; Incentives; Substance abuse disorder; Tuberculosis.

Publication types

Meta-Analysis
Review
Research Support, N.I.H., Extramural

MeSH terms

Behavior Therapy / methods*
Behavior Therapy / statistics & numerical data
Comorbidity*
HIV Infections* / diagnosis
HIV Infections* / drug therapy
HIV Infections* / epidemiology
HIV Infections* / prevention & control
Hepatitis* / diagnosis
Hepatitis* / drug therapy
Hepatitis* / epidemiology
Hepatitis* / prevention & control
Humans
Reward*
Substance-Related Disorders / epidemiology
Substance-Related Disorders / therapy*
Tuberculosis* / diagnosis
Tuberculosis* / drug therapy
Tuberculosis* / epidemiology
Tuberculosis* / prevention & control

Grants and funding

T32 DA007242/DA/NIDA NIH HHS/United States