Digital Contingency Management for Substance Use Disorder Treatment: A 12-Month Quasi-Experimental Design (Preprint) Article Swipe
Xiaoni Zhang
,
Valerie Gray Hardcastle
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.2196/preprints.73617
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.2196/preprints.73617
BACKGROUND Although contingency management (CM) has shown some efficacy in substance use disorder treatment, digital contingency management (DCM) needs more evidence supporting its value in treating substance misuse. OBJECTIVE This study aims to evaluate the effectiveness of DCM in treating substance use disorder by examining two key outcome variables: abstinence and appointment attendance. METHODS A 12-month quasi-experimental design was conducted by enrolling patients into two groups using an alternating assignment process: one group receiving treatment-as-usual plus DCM and the other receiving treatment-as-usual with no contingency management. Propensity score matching was conducted to match groups on covariates. After matching, t-tests were conducted to examine the difference between groups on urine abstinence and appointment attendance rates. RESULTS Two cohorts of propensity-matched patients (66 interventions and 59 controls) were analyzed. Abstinence was significantly higher in the digital contingency management group (mean = 0.92, 95% CI: 0.88–0.96) than in the treatment-as-usual group (mean = 0.85, 95% CI: 0.79–0.90; P-value < .01). Appointment attendance also demonstrated significant differences between the groups, with the DCM group achieving a mean rate of 0.69 (95% CI: 0.65–0.74) compared to 0.50 (95% CI: 0.45–0.55) in the TAU group (P-value < .001). This notable increase highlights the role of DCM in fostering engagement with care, an essential factor for successful treatment outcomes. CONCLUSIONS The results suggest that DCM can be an effective treatment modality for substance use disorder. CLINICALTRIAL
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Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.2196/preprints.73617
- https://s3.ca-central-1.amazonaws.com/assets.jmir.org/assets/preprints/preprint-73617-submitted.pdf
- OA Status
- gold
- References
- 26
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- OpenAlex ID
- https://openalex.org/W4408255211
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4408255211Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.2196/preprints.73617Digital Object Identifier
- Title
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Digital Contingency Management for Substance Use Disorder Treatment: A 12-Month Quasi-Experimental Design (Preprint)Work title
- Type
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preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-03-07Full publication date if available
- Authors
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Xiaoni Zhang, Valerie Gray HardcastleList of authors in order
- Landing page
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https://doi.org/10.2196/preprints.73617Publisher landing page
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https://s3.ca-central-1.amazonaws.com/assets.jmir.org/assets/preprints/preprint-73617-submitted.pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://s3.ca-central-1.amazonaws.com/assets.jmir.org/assets/preprints/preprint-73617-submitted.pdfDirect OA link when available
- Concepts
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Preprint, Contingency management, Contingency, Substance use, Randomized controlled trial, Psychology, Medicine, Psychiatry, Computer science, World Wide Web, Surgery, Philosophy, Linguistics, Intervention (counseling)Top concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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26Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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