TY - JOUR
T1 - Technology transfer through performance management
T2 - The effects of graphical feedback and positive reinforcement on drug treatment counselors' behavior
AU - Andrzejewski, Matthew E.
AU - Kirby, Kimberly C.
AU - Morral, Andrew R.
AU - Iguchi, Martin Y.
N1 - Funding Information:
We thank Rebecca Sheppard, Karen Mosher Waite, Monica Cain, Heidi Kooiman, and Dana Becker for their assistance in executing the study. Thanks also to Stephen Weinstein and the counselors, staff, and patients of the Thomas Jefferson University Narcotics Addiction Research Project. We appreciate the feedback and comments from Dr Philip N. Hineline, Dr Saul Axelrod, and Dr Donald Hantula on earlier drafts of this manuscript. This research was supported by NIDA grant R01-DA10778.
PY - 2001/7/1
Y1 - 2001/7/1
N2 - After drug treatment counselors at a community-based methadone treatment clinic were trained in implementing a contingency management (CM) intervention, baseline measures of performance revealed that, on average, counselors were meeting the performance criteria specified by the treatment protocol about 42% of the time. Counselors were exposed to graphical feedback and a drawing for cash prizes in an additive within-subjects design to assess the effectiveness of these interventions in improving protocol adherence. Counselor performance measures increased to 71% during the graphical feedback condition, and to 81% during the drawing. Each counselor's performance improved during the intervention conditions. Additional analyses suggested that counselors did not have skill deficits that hindered implementation. Rather, protocol implementation occurred more frequently when consequences were added, thereby increasing the overall proportion of criteria met. Generalizations, however, may be limited due to a small sample size and possible confounding of time and intervention effects. Nonetheless, present results show promise that feedback and positive reinforcement could be used to improve technology transfer of behavioral interventions into community clinic settings.
AB - After drug treatment counselors at a community-based methadone treatment clinic were trained in implementing a contingency management (CM) intervention, baseline measures of performance revealed that, on average, counselors were meeting the performance criteria specified by the treatment protocol about 42% of the time. Counselors were exposed to graphical feedback and a drawing for cash prizes in an additive within-subjects design to assess the effectiveness of these interventions in improving protocol adherence. Counselor performance measures increased to 71% during the graphical feedback condition, and to 81% during the drawing. Each counselor's performance improved during the intervention conditions. Additional analyses suggested that counselors did not have skill deficits that hindered implementation. Rather, protocol implementation occurred more frequently when consequences were added, thereby increasing the overall proportion of criteria met. Generalizations, however, may be limited due to a small sample size and possible confounding of time and intervention effects. Nonetheless, present results show promise that feedback and positive reinforcement could be used to improve technology transfer of behavioral interventions into community clinic settings.
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U2 - 10.1016/S0376-8716(00)00207-6
DO - 10.1016/S0376-8716(00)00207-6
M3 - Article
C2 - 11376922
AN - SCOPUS:0035400638
SN - 0376-8716
VL - 63
SP - 179
EP - 186
JO - Drug and Alcohol Dependence
JF - Drug and Alcohol Dependence
IS - 2
ER -