title: Training workshops positively impact beliefs about contingency management in a nationwide dissemination effort.
abstract: In 2011, the Veterans Administration called for nationwide implementation of contingency management (CM) in its intensive outpatient substance use disorders treatment programs, and this study evaluated the impact of the initial 1 and ½ day training workshops on knowledge and perceptions about CM among 159 clinical leaders from 113 clinics. Workshop attendance significantly increased CM-related knowledge (d=1.88) and changed attendees' perceptions of CM (ds=0.26-0.74). Endorsement of barriers to CM adoption decreased and positive impressions of CM increased. These perceptions about CM emerged as key correlates of post-training preparedness to implement CM. Results suggest that training workshops can be an effective avenue for increasing CM-related knowledge, as well as addressing persistent misperceptions about CM that may impede adoption efforts. Continued efforts to introduce educational materials and offer training and consultation opportunities may increase understanding about this evidence-based intervention among clinicians, thereby leading to improved patient outcomes.
authors.affiliation: Calhoun Cardiology Center - Behavioral Health, University of Connecticut Health Center, Farmington, CT 06030-3944, USA. carlarash@gmail.com
authors.forename: Carla J
authors.initials: CJ
authors.lastname: Rash
authors.forename: Dominick
authors.initials: D
authors.lastname: Dephilippis
authors.forename: James R
authors.initials: JR
authors.lastname: McKay
authors.forename: Michelle
authors.initials: M
authors.lastname: Drapkin
authors.forename: Nancy M
authors.initials: NM
authors.lastname: Petry
mesh_terms: D000553:Ambulatory Care / Q000379:methods; D001291:Attitude of Health Personnel; D004059:Diffusion of Innovation; D019317:Evidence-Based Medicine / Q000193:education / Q000379:methods; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000193:education*; D006801:Humans; D008297:Male; D012054:Reinforcement, Psychology; D016320:Substance Abuse Treatment Centers / Q000379:methods*; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D014481:United States; D014493:United States Department of Veterans Affairs
keywords: Clinicians; Contingency management; Implementation; Substance use disorders; Training; Workshops