Contingency Management Treatments: Reinforcing Abstinence Versus Adherence With Goal-Related Activities

Contingency management (CM) interventions usually reinforce submission of drug-negative specimens, but they can also reinforce adherence with goal-related activities. This study compared the efficacy of the 2 approaches. Substance-abusing outpatients ( N = 131) were randomly assigned to 1 of 3 12-we...

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Bibliographic Details
Published in:Journal of consulting and clinical psychology 2006-06, Vol.74 (3), p.592-601
Main Authors: Petry, Nancy M, Alessi, Sheila M, Carroll, Kathleen M, Hanson, Tressa, MacKinnon, Stephen, Rounsaville, Bruce, Sierra, Sean
Format: Article
Language:English
Subjects:
Abstinence
Adult
Biological and medical sciences
Clinical Diagnosis
Cocaine
Cocaine-Related Disorders - prevention & control
Community Mental Health Services
Comparative Analysis
Contingencies
Contingency Management
Drug Abstinence
Drug abuse
Drug prevention
Female
Goals
Human
Humans
Intervention
Interventions
Longitudinal Studies
Male
Medical sciences
Outcomes of Treatment
Outpatient
Patient Compliance
Patients
Psychological aspects
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Reinforcement (Psychology)
Self Control
Social Behavior
Social support
Substance Abuse
Substance abuse treatment
Substance Use Treatment
Substance-Related Disorders - prevention & control
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Summary:Contingency management (CM) interventions usually reinforce submission of drug-negative specimens, but they can also reinforce adherence with goal-related activities. This study compared the efficacy of the 2 approaches. Substance-abusing outpatients ( N = 131) were randomly assigned to 1 of 3 12-week treatments: standard treatment (ST), ST with CM for submitting negative urine toxicology screens, or ST with CM for completing goal-related activities. CM patients remained in treatment longer and achieved more abstinence than ST patients, but the CM condition that reinforced submission of negative samples resulted in better outcomes than the CM condition that reinforced goal-related activities. Abstinence at 6- and 9-month follow-ups did not differ by group, but longest duration of abstinence achieved during treatment was associated with abstinence posttreatment.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.74.3.592