# Incentivized Collaborative Care to Desseminate Contingency Management

> **NIH NIH R44** · DYNAMICARE HEALTH, INC. · 2024 · $894,852

## Abstract

ABSTRACT
Contingency management, an incentive-based intervention, boasts a massive research base and has been
demonstrated efficacy in increasing drug abstinence and medication adherence in people with opioid use
disorder. There is a huge gap between the evidence in support of this approach and its dissemination in
practice. A digital health program that surmounts most of the barriers to dissemination has been developed
that collects all the relevant data and implements all of the contingency management procedures
automatically. This program has been shown to be efficacious in several peer-reviewed studies. However, one
key barrier to dissemination remains. In order for contingency management to become truly impactful on a
national scale, providers must actively engage patients by informing them about it, encouraging them to use it,
assisting their enrollment, and then using the data generated by the platform to inform their ongoing care. The
best way to surmount this final barrier is to use the motivational technique of contingency management itself;
incentivize the necessary provider behaviors. Thus, this SBIR Fast Track application proposes to develop and
evaluate a novel incentivized collaborative care model for the delivery of contingency management services
for buprenorphine pharmacotherapy patients with opioid use disorders. We believe this model will have the
important secondary effect of increasing access to buprenorphine pharmacotherapy, as prescribers will be
indirectly incentivized to maximize the number of buprenorphine patients in their practice. Phase I will begin
with preparatory activities, including streamlining the enrollment system so that any buprenorphine
prescriber can use it, adding data collection systems for provider information, and data display systems that
providers can use to easily access the patient data they wish to see. A Phase I feasibility study (n = 10) will
follow. The milestones require the potential of the incentivized collaborative care model in disseminating
contingency management to be demonstrated. If successful, the feasibility study will pave the way for a
randomized controlled trial (RCT). This RCT will be the primary activity of Phase II of this SBIR award, and is
designed to evaluate the efficacy of incentivized collaborative care in the dissemination of contingency
management. Primary outcome measures will include the engagement in collaborative care in relation to the
contingency management intervention, as well as buprenorphine prescribing trends. Secondary analyses will
be designed to assess the economic effect of DynamiCare on providers. The RCT will also include exploratory
analyses of patient outcomes. Overall, this project is highly consistent with current ONDCP priorities to,
“Identify and address policy barriers related to contingency management interventions (motivational
incentives),” and “Explore reimbursement for motivational incentives and digital treatment for addiction.” If
success...

## Key facts

- **NIH application ID:** 10865024
- **Project number:** 5R44DA055396-03
- **Recipient organization:** DYNAMICARE HEALTH, INC.
- **Principal Investigator:** Anthony DeFulio
- **Activity code:** R44 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $894,852
- **Award type:** 5
- **Project period:** 2021-09-30 → 2026-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10865024

## Citation

> US National Institutes of Health, RePORTER application 10865024, Incentivized Collaborative Care to Desseminate Contingency Management (5R44DA055396-03). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/10865024. Licensed CC0.

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