A public health response to the methamphetamine epidemic: the implementation of contingency management to treat methamphetamine dependence
2006

Using Rewards to Help Methamphetamine Users

Sample size: 143 publication Evidence: moderate

Author Information

Author(s): Steven Shoptaw, Jeffrey D Klausner, Cathy J Reback, Stephen Tierney, John Stansell, C Bradley Hare, Steven Gibson, Michael Siever, William D King, Uyen Kao, Jeffrey Dang

Primary Institution: David Geffen School of Medicine at UCLA

Hypothesis

Can contingency management effectively reduce methamphetamine use among men who have sex with men?

Conclusion

The study found that contingency management is a feasible and cost-effective method to reduce methamphetamine use in community settings.

Supporting Evidence

  • 143 men sought treatment in the first 10 months of the program.
  • 77.6% of participants were HIV-infected.
  • Participants averaged 15 methamphetamine-free urine samples during treatment.
  • 60% completed 4 weeks of treatment.

Takeaway

This study shows that giving rewards to people who stop using methamphetamine can help them stay off the drug.

Methodology

Participants provided observed urine samples and received vouchers for negative samples over a 12-week period.

Potential Biases

Potential for participants to attempt to exploit the program for rewards.

Limitations

The study lacked a comparison group, limiting causal conclusions.

Participant Demographics

Participants were primarily methamphetamine-using men who have sex with men, with 77.6% being HIV-infected.

Digital Object Identifier (DOI)

10.1186/1471-2458-6-214

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