Abstinence incentive effects in a short-term outpatient detoxification program.
Abstinence incentive effects in a short-term outpatient detoxification program.
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短期门诊戒毒计划中的戒断激励效应。
DOI：
10.1037/1064-1297.12.4.262
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Stitzer,Maxine
中科院分区：
文献类型：
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作者：
Katz,ElizabethC;Chutuape,MaryAnn;Jones,Hendree;Jasinski,Donald;Fingerhood,Michael;Stitzer,Maxine
尽管门诊戒毒已广泛应用，但作为独立治疗的疗效有限。本研究探讨了戒断相关激励措施是否会改善门诊阿片戒毒患者的治疗结果。参与者（N = 211）在戒毒的最后一天收到一张 100 美元的代金券，无论是否戒除鸦片和可卡因。在摄入时、周三、周五（戒毒的最后一天）和接下来的周一收集尿液样本。在临时代金券参与者中，31% 的人在周五没有吸毒，而非临时代金券参与者中这一比例为 18%（Z= 2.4，p<.05）。周一，极少数（12-13%）参与者测试呈阴性。结果支持代金券能够在短暂戒毒期间适度提高戒断起始率，但表明需要额外的干预措施来维持改善。
Despite being widely available, outpatient detoxification has limited efficacy as a stand-alone treatment. This study examined whether abstinence-contingent incentives would improve outcomes for patients entering outpatient opiate detoxification. Participants (N= 211) received a $100 voucher on the last day of detoxification either contingent on opiate and cocaine abstinence or noncontingently. Urine samples were collected at intake, on Wednesday, Friday (the last day of detoxification), and the following Monday. Among contingent-voucher participants, 31% were drug-free on Friday compared with 18% of noncontingent controls (Z= 2.4, p<. 05). Few (12–13%) participants tested negative on Monday. Results support the ability of vouchers to produce modest improvements in abstinence initiation rates during brief detoxification but suggest that additional interventions are needed to sustain improvements.