Counselor attitudes toward the use of motivational incentives in addiction treatment

Lori J. Ducharme, Hannah K. Knudsen, Amanda J. Abraham, Paul M. Roman

Research output: Contribution to journalArticlepeer-review

40 Scopus citations


Counselor attitudes toward evidence-based practices, such as motivational incentives/contingency management (MI/CM), are important in bridging the gap between research and practice. Mailed surveys from 1,959 substance abuse treatment counselors showed ambivalence toward MI/CM and strong disagreement with using monetary rewards for achievement of treatment goals. Attitudes were associated with counselors' educational attainment, a 12-step treatment ideology, affiliation with NIDA's Clinical Trials Network, and working in opioid treatment programs. Exposure to MI/CM via training was more strongly associated with attitudes when counselors worked in programs that had adopted MI/CM. While there is substantial resistance to MI/CM, dissemination and training about the essential elements of MI/CM may enhance counselors' receptivity toward this intervention.

Original languageEnglish
Pages (from-to)496-503
Number of pages8
JournalAmerican Journal on Addictions
Issue number6
StatePublished - Nov 2010

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health


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