Effects of contingent payment on compliance with a naltrexone regimen

J. Grabowski, C. P. O'brien, R. Greenstein, J. Ternes, M. Long, S. Steinberg-Donato

Research output: Contribution to journalArticlepeer-review

39 Scopus citations


The effects of several schedules of payment on duration and patterns of compliance with a naltrexone regimen were examined. Patients were paid under contingencies based on either number of doses ingested or on a fixed time schedule. Reinforcement schedules based on number of doses ingested produced more consistent treatment-oriented behavior than a time-based schedule. Covariation between behavior and alternating contingencies (A-B-A) indicated that the schedules served as one determinant of the pattern of attendance. Both types of schedules contributed to increased duration of treatment compared to previous noncontingent payment. The issue of using extrinsic reinforcers such as monetary payment to enhance compliance is discussed and additional procedures are suggested.

Original languageEnglish (US)
Pages (from-to)355-365
Number of pages11
JournalAmerican Journal of Drug and Alcohol Abuse
Issue number3
StatePublished - 1979

Bibliographical note

Funding Information:
Supported in part by grant DA 001218, National Institute On Drug Abuse. assistance provided by Ruth Williams is gratefully acknowledged.


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