title: Diffusion of contingency management and attitudes regarding its effectiveness and acceptability.
abstract: Substance abuse counselors are critical as the key arbiters of clients' acceptance and use of innovative treatment techniques, with their potential support embedded in their knowledge of and attitudes towards particular innovations. In this analysis the authors examine the role of substance abuse counselors in the adoption of a psychosocial treatment innovation, contingency management (CM). Using data collected from 1140 counselors employed in a national sample of 318 public treatment centers, the authors examine theoretical predictors of counselors' knowledge of CM, and their attitudes regarding CM's effectiveness and acceptability. Findings suggest that lack of exposure to CM through program use and innovation-specific training is the most salient barrier to CM adoption and diffusion. The study also highlights the importance of social networks in the diffusion and acceptance of treatment innovations.
authors.affiliation: Institute for Behavioral Research and the School of Social Work, The University of Georgia, Athens, Georgia 30602, USA. bbride@uga.edu
authors.forename: Brian E
authors.initials: BE
authors.lastname: Bride
authors.forename: Amanda J
authors.initials: AJ
authors.lastname: Abraham
authors.forename: Paul M
authors.initials: PM
authors.lastname: Roman
mesh_terms: D001291:Attitude of Health Personnel; D001521:Behavior Therapy / Q000379:methods*; D003376:Counseling / Q000193:education*; D005260:Female; D006801:Humans; D033181:Information Dissemination / Q000379:methods*; D008297:Male; D008875:Middle Aged; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000628:therapy*