Association for Behavior Analysis International

The Association for Behavior Analysis International® (ABAI) is a nonprofit membership organization with the mission to contribute to the well-being of society by developing, enhancing, and supporting the growth and vitality of the science of behavior analysis through research, education, and practice.


49th Annual Convention; Denver, CO; 2023

Event Details

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Invited Paper Session #21
CE Offered: BACB
Using Contingency Management to Improve Attendance at Cardiac Rehabilitation Among Patients With Medicaid
Saturday, May 27, 2023
11:00 AM–11:50 AM
Hyatt Regency, Centennial Ballroom D
Area: BPN; Domain: Applied Research
Chair: August F. Holtyn (National Institutes of Health)
CE Instructor: Diann Gaalema, Ph.D.
Presenting Author: DIANN GAALEMA (University of Vermont)

Contingency management is based on the principles of positive reinforcement and has been used to improve a variety of health-related behaviors. In this talk I will review two NIH-funded trials on using contingency management to improve attendance at a secondary prevention program (cardiac rehabilitation) among patients enrolled in Medicaid. In the first trial, contingency management was tested for improving attendance at cardiac rehabilitation against a control condition. In the second trial, we tested the effects of contingency management, case management (informed by the community reinforcement approach), and their combination, on improving attendance. I will review the effects of contingency management on cardiac rehabilitation attendance across the two trials as well as comment on selected secondary outcomes of clinical interest such as improvements in cardiorespiratory fitness, changes in anxious and depressive symptomology, and hospitalizations. Additionally, I will share initial findings about the benefits of adding case management to the contingency management model.

Instruction Level: Basic
Target Audience:


Learning Objectives: At the conclusion of the presentation, participants will be able to: (1) Understand why secondary prevention is critical in patients with cardiovascular disease; (2) Learn why those who are enrolled in Medicaid are a population most in need of intervention; (3) Understand how contingency management can be applied to secondary prevention; (4) Identify how other interventions can work in conjunction with contingency management to improve outcomes.
DIANN GAALEMA (University of Vermont)
Dr. Diann Gaalema is an Associate Professor of Psychiatry and Psychology at the University of Vermont. Her current research interests include health-related behavior change and the use of tobacco in vulnerable populations such as those with chronic medical conditions. Currently she is the PI of a NHLBI funded study aimed at increasing cardiac rehabilitation participation among lower socioeconomic status patients and is the site-PI on a NIDA/FDA funded study examining the effects of cigarettes of varying nicotine levels and e-cigarettes on behavior in those with depression or anxiety disorders.



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