Journal
SUBSTANCE ABUSE
Volume 31, Issue 3, Pages 127-135Publisher
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/08897077.2010.495310
Keywords
Contingency management; counselor attitudes; diffusion; evidence-based practice; motivational incentives
Categories
Funding
- National Institute on Drug Abuse [K01DA024718, R01DA013110]
- NATIONAL INSTITUTE ON DRUG ABUSE [K01DA024718, R01DA014482, R01DA013110] Funding Source: NIH RePORTER
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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.
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