Preferences for clinic privileges, retail items and social activities in an outpatient buprenorphine treatment program
Preferences for clinic privileges, retail items and social activities in an outpatient buprenorphine treatment program
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DOI：
10.1016/0740-5472(95)02060-8
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发表时间：
1996-01-01
影响因子：
3.9
通讯作者：
Badger, GJ
中科院分区：
文献类型：
--
作者：
Amass, L;Bickel, WK;Badger, GJ
本研究评估了门诊阿片类药物依赖治疗项目中使用的各种门诊特权、零售项目和社会活动的偏好。53名接受丁丙诺啡治疗至少30天的阿片类药物依赖患者按最理想（1级）到最不理想（1级等于该类别中项目的数量）的顺序排列为II诊所特权，19个零售项目和8个社会活动。其他问题决定了对咨询频率和剂量水平的偏好。诊所特权的前三名平均排名是阿片类药物阴性尿50美元现金（2.8），丁丙诺啡带回家剂量（3.6），阿片类药物阴性尿代金券积分（4.7）。零售商品的前三名平均排名分别是餐厅礼券（4.1）、电影通行证（4.9）和录像带电影和播放器租赁（6.8）。社交活动的平均排名前三名分别是看电影（2.4分）、烧烤（3.8分）和徒步旅行（4.3分）。没有关于咨询频率增加或减少的偏好报道。74%的受试者倾向于增加丁丙诺啡的剂量，平均增加60.84%，独立于目前的剂量。与先前美沙酮治疗的结果一致，现金支付阿片类药物阴性尿液和假回家用药是排名最高的诊所特权。这些结果表明，在门诊阿片类药物治疗期间，各种零售项目和社会活动也可能有助于加强积极的治疗结果。
This study evaluated preferences for various clinic privileges, retail items, and social activities for use in an outpatient opioid dependence treatment program. Fifty-three opioid-dependent patients who received treatment with buprenorphine for at least 30 days rank ordered II clinic privileges, 19 retail items, and 8 social activities from the most desirable (a rank of 1) to the least desirable (a rank equal to the number of items in that category). Additional questions determined preference for counseling frequency and dosing levels. The top three mean rankings for clinic privileges were $50 cash for opioid-negative urines (2.8), take-home doses of buprenorphine (3.6), and voucher points for opioid-negative urines (4.7). The top three mean rankings for retail items were restaurant gift certificates (4.1), movie passes (4.9), and videotape movie and player rentals (6.8). The top three mean rankings for social activities were movies (2.4), barbecues (3.8), and hiking trips (4.3). There was no preference reported for increases or decreases in counseling frequency. Seventy-four percent of subjects preferred to increase their buprenorphine dose by an average of 60.84% independent of their present dose. Consistent with previous findings from methadone treatment, cash payments for opioid-negative urines and fake-home medication were the highest ranked clinic privileges. These-results suggest that various retail items and social activities may also be useful for reinforcing positive treatment outcomes during outpatient opioid treatment.