An unexplored equity factor: differential beliefs and attitudes toward contingency management by providers’ ethnicity
Abstract Background Although considered one of the most effective interventions for substance use disorders (SUD), the widespread implementation of contingency management (CM) has remained limited. In more recent years there has been surge in the implementation of CM to address increasing rates of s...
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-023-09878-7 |
| _version_ | 1797453422173093888 |
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| author | Oladunni Oluwoye Douglas L. Weeks Michael G. McDonell |
| author_facet | Oladunni Oluwoye Douglas L. Weeks Michael G. McDonell |
| author_sort | Oladunni Oluwoye |
| collection | DOAJ |
| description | Abstract Background Although considered one of the most effective interventions for substance use disorders (SUD), the widespread implementation of contingency management (CM) has remained limited. In more recent years there has been surge in the implementation of CM to address increasing rates of substance use. Prior studies at the provider-level have explored beliefs about CM among SUD treatment providers and have tailored implementation strategies based on identified barriers and training needs, to promote implementation of CM. However, there have been no implementation strategies that have actively sought to identify or address potential differences in the beliefs about CM that could be influenced by the cultural background (e.g., ethnicity) of treatment providers. To address this knowledge gap, we examined beliefs about CM among a sample of inpatient and outpatient SUD treatment providers. Methods A cross-sectional survey of SUD treatment providers was completed by 143 respondents. The survey asked respondents about their attitudes toward CM using the Contingency Management Beliefs Questionnaire (CMBQ). Linear mixed models examined the effect of ethnicity (non-Hispanic White and Hispanic) on CMBQ subscale (general barriers, training-related barriers, CM positive-statements) scores. Results Fifty-nine percent of respondents to the CMBQ self-identified as non-Hispanic White and 41% as Hispanic. Findings revealed that treatment providers who identified as Hispanic had significantly higher scores on the general barriers (p < .001) and training-related barriers (p = .020) subscales compared to the non-Hispanic White treatment providers. Post-hoc analyses identified differences in the endorsement of specific individual scale items on the general barriers (e.g., CM interventions create extra work for me) and training-related (e.g., I want more training before implementing CM) subscales. Conclusions Dissemination and implementation strategies for CM need to consider equity-related factors at the provider-level that may be associated with the adoption and uptake of CM. |
| first_indexed | 2024-03-09T15:22:35Z |
| format | Article |
| id | doaj.art-9b75c95779cc4013afd2f567ef1befe9 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-03-09T15:22:35Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-9b75c95779cc4013afd2f567ef1befe92023-11-26T12:44:00ZengBMCBMC Health Services Research1472-69632023-08-012311710.1186/s12913-023-09878-7An unexplored equity factor: differential beliefs and attitudes toward contingency management by providers’ ethnicityOladunni Oluwoye0Douglas L. Weeks1Michael G. McDonell2Elson S. Floyd College of Medicine, Washington State UniversityElson S. Floyd College of Medicine, Washington State UniversityElson S. Floyd College of Medicine, Washington State UniversityAbstract Background Although considered one of the most effective interventions for substance use disorders (SUD), the widespread implementation of contingency management (CM) has remained limited. In more recent years there has been surge in the implementation of CM to address increasing rates of substance use. Prior studies at the provider-level have explored beliefs about CM among SUD treatment providers and have tailored implementation strategies based on identified barriers and training needs, to promote implementation of CM. However, there have been no implementation strategies that have actively sought to identify or address potential differences in the beliefs about CM that could be influenced by the cultural background (e.g., ethnicity) of treatment providers. To address this knowledge gap, we examined beliefs about CM among a sample of inpatient and outpatient SUD treatment providers. Methods A cross-sectional survey of SUD treatment providers was completed by 143 respondents. The survey asked respondents about their attitudes toward CM using the Contingency Management Beliefs Questionnaire (CMBQ). Linear mixed models examined the effect of ethnicity (non-Hispanic White and Hispanic) on CMBQ subscale (general barriers, training-related barriers, CM positive-statements) scores. Results Fifty-nine percent of respondents to the CMBQ self-identified as non-Hispanic White and 41% as Hispanic. Findings revealed that treatment providers who identified as Hispanic had significantly higher scores on the general barriers (p < .001) and training-related barriers (p = .020) subscales compared to the non-Hispanic White treatment providers. Post-hoc analyses identified differences in the endorsement of specific individual scale items on the general barriers (e.g., CM interventions create extra work for me) and training-related (e.g., I want more training before implementing CM) subscales. Conclusions Dissemination and implementation strategies for CM need to consider equity-related factors at the provider-level that may be associated with the adoption and uptake of CM.https://doi.org/10.1186/s12913-023-09878-7Contingency managementEthnicityImplementationProvidersSubstance use treatment |
| spellingShingle | Oladunni Oluwoye Douglas L. Weeks Michael G. McDonell An unexplored equity factor: differential beliefs and attitudes toward contingency management by providers’ ethnicity BMC Health Services Research Contingency management Ethnicity Implementation Providers Substance use treatment |
| title | An unexplored equity factor: differential beliefs and attitudes toward contingency management by providers’ ethnicity |
| title_full | An unexplored equity factor: differential beliefs and attitudes toward contingency management by providers’ ethnicity |
| title_fullStr | An unexplored equity factor: differential beliefs and attitudes toward contingency management by providers’ ethnicity |
| title_full_unstemmed | An unexplored equity factor: differential beliefs and attitudes toward contingency management by providers’ ethnicity |
| title_short | An unexplored equity factor: differential beliefs and attitudes toward contingency management by providers’ ethnicity |
| title_sort | unexplored equity factor differential beliefs and attitudes toward contingency management by providers ethnicity |
| topic | Contingency management Ethnicity Implementation Providers Substance use treatment |
| url | https://doi.org/10.1186/s12913-023-09878-7 |
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