The impact of pay-for-performance on therapists' intentions to deliver high-quality treatment

Abstract This article examined the extent to which assignment to a pay-for-performance (P4P) experimental condition impacted therapists' intentions to deliver high-quality treatment and the extent to which therapists' intentions could be explained by the theory of planned behavior. Data we...

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Bibliographic Details
Published in:Journal of substance abuse treatment 2011-07, Vol.41 (1), p.97-103
Main Authors: Garner, Bryan R., Ph.D, Godley, Susan H., Rh.D, Bair, Christin M.L., B.S
Format: Article
Language:English
Subjects:
Addictive behaviors
Adolescent
Adolescents
Adult
Adult and adolescent clinical studies
Biological and medical sciences
Clinical Competence
Desintoxication. Drug withdrawal
Drug addiction
Evidence-Based Practice
Female
Humans
Intentions
Male
Medical sciences
Middle Aged
Miscellaneous
Pay-for-performance
Performance related pay
Planned behaviour theory
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public health. Hygiene
Public health. Hygiene-occupational medicine
Quality of Health Care - economics
Substance abuse
Substance use treatment
Substance-Related Disorders - therapy
Therapists
Treatment
Treatments
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Summary:Abstract This article examined the extent to which assignment to a pay-for-performance (P4P) experimental condition impacted therapists' intentions to deliver high-quality treatment and the extent to which therapists' intentions could be explained by the theory of planned behavior. Data were collected from 95 therapists who agreed to participate in a P4P experiment related to their implementation of an evidence-based treatment (EBT) for adolescents with substance use problems. Relative to those in the control condition, therapists in the P4P condition reported significantly greater intentions to achieve monthly competence ( B = 1.41, p < .001) and deliver a targeted threshold level of treatment to clients ( B = 1.31, p < .001). In addition, therapists' intentions could be partially explained by the theory of planned behavior. Meta-analyses have found intentions to be one of the best predictors of behavior; thus, these findings provide initial support for using P4P approaches as a method of increasing the quality of substance use treatment.
ISSN:0740-5472
1873-6483
DOI:10.1016/j.jsat.2011.01.012