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Preferences for smartphone versus in-person delivery of contingency management: A web-based survey of Australians who use methamphetamine

September 2026
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Methamphetamine use disorder is a chronic relapsing condition affecting an estimated 7.4 million worldwide, for which there are no approved pharmacotherapies.

Smartphone delivery of contingency management (CM) could overcome barriers to dissemination of this effective treatment for methamphetamine use. This study quantified help-seeking intentions for CM and preferences for smartphone versus in-person delivery of CM amongst people who used methamphetamine. 

An open web-based cross-sectional survey of 220 Australian residents who had used methamphetamine weekly or more often in the past year was conducted. Help-seeking intentions for CM were compared to other available treatment options using the General Help Seeking Questionnaire. Preferences for three CM models: in-person voucher-based CM, in-person prize-based CM and a smartphone-delivered model of CM, were sought, along with preferences for other aspects of CM delivery. 

The researchers found strong potential demand for smartphone-delivered CM, although adjunctive counselling and withdrawal management would be needed and incentives may need to be larger than those used in conventional CM models.

R. McKetin, A. L. Robijn, S. Clay, et al., “ Preferences for Smartphone Versus In-Person Delivery of Contingency Management: A Web-Based Survey of Australians Who Use Methamphetamine,” Drug and Alcohol Review 45, no. 6 (2026): e70219, https://doi.org/10.1111/dar.70219.

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