PMID- 26613565
OWN - NLM
STAT- MEDLINE
DCOM- 20161031
LR  - 20161230
IS  - 1097-4679 (Electronic)
IS  - 0021-9762 (Linking)
VI  - 72
IP  - 1
DP  - 2016 Jan
TI  - Improved Clinical Functioning for Patients Receiving Fee Discounts That Reward 
      Treatment Engagement.
PG  - 15-21
LID - 10.1002/jclp.22236 [doi]
AB  - OBJECTIVE: Financial incentives may have utility in promoting psychotherapy 
      attendance and adherence, leading to improved clinical functioning. This study 
      presents results from a novel application of financial incentives-a progressively 
      lowered pay scale that rewards therapy attendance and adherence. METHOD: Overall, 
      110 outpatients participated; 56 patients (51%) were enrolled in the financial 
      incentives condition and received a 5% fee discount-applied iteratively across 
      sessions-if they followed defined criteria (e.g., completed homework). RESULTS: 
      There were no statistically significant differences between groups in terms of 
      the number of sessions attended, therapy duration, and number of no-shows and 
      cancellations. However, adjusting for Global Assessment of Functioning (GAF) at 
      intake, patients receiving the financial incentives had significantly higher GAF 
      rating at termination compared with those who did not receive the intervention. 
      CONCLUSIONS: Financial incentives that reward therapy attendance and adherence 
      with discounted fees is associated with improved clinical functioning.
CI  - (c) 2015 Wiley Periodicals, Inc.
FAU - Stanley, Ian H
AU  - Stanley IH
AD  - Florida State University.
FAU - Chu, Carol
AU  - Chu C
AD  - Florida State University.
FAU - Brown, Tiffany A
AU  - Brown TA
AD  - Florida State University.
FAU - Sawyer, Kathryn A
AU  - Sawyer KA
AD  - University of Washington School of Medicine.
FAU - Joiner, Thomas E Jr
AU  - Joiner TE Jr
AD  - Florida State University.
LA  - eng
PT  - Journal Article
DEP - 20151127
PL  - United States
TA  - J Clin Psychol
JT  - Journal of clinical psychology
JID - 0217132
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Female
MH  - Humans
MH  - Male
MH  - Mental Disorders/*therapy
MH  - Middle Aged
MH  - *Motivation
MH  - *Patient Compliance
MH  - Psychotherapy/economics/*methods
MH  - *Reward
MH  - Treatment Outcome
MH  - Young Adult
OTO - NOTNLM
OT  - adherence
OT  - attendance
OT  - financial incentive
OT  - homework
OT  - psychotherapy
EDAT- 2015/11/28 06:00
MHDA- 2016/11/01 06:00
CRDT- 2015/11/28 06:00
PHST- 2015/11/28 06:00 [entrez]
PHST- 2015/11/28 06:00 [pubmed]
PHST- 2016/11/01 06:00 [medline]
AID - 10.1002/jclp.22236 [doi]
PST - ppublish
SO  - J Clin Psychol. 2016 Jan;72(1):15-21. doi: 10.1002/jclp.22236. Epub 2015 Nov 27.