Contracting, prompting, and reinforcing substance use disorder continuing care: A randomized clinical trial
Contracting, prompting, and reinforcing substance use disorder continuing care: A randomized clinical trial
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DOI：
10.1037/0893-164x.21.3.387
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发表时间：
2007-09-01
影响因子：
3.4
通讯作者：
Homer, Ronnie D.
中科院分区：
文献类型：
--
作者：
Lash, Steven J.;Stephens, Robert S.;Homer, Ronnie D.
虽然持续护理与物质使用障碍（SUD）的积极治疗结果密切相关，但参与率很低，有效的干预措施很少。在一项有150名参与者（97%为男性）的随机临床试验中，将75名接受善后合同，出勤提示和急救人员（CPR）的住宅退伍军人事务医疗中心SUD计划的毕业生与75名接受标准治疗（STX）的毕业生进行了比较。在CPR参与者中，55%完成了至少3个月的善后护理，而STX的这一比例为36%。同样，CPR参与者比STX参与者保持治疗的时间更长（5.5对4.4个月）。此外，CPR参与者在1年后比STX更有可能禁欲（57%对37%）。CPR干预提供了一种实用的方法来提高SUD治疗中个体的依从性。
Although continuing care is strongly related to positive treatment outcomes for substance use disorder (SUD), participation rates are low and few effective interventions are available. In a randomized clinical trial with 150 participants (97% men), 75 graduates of a residential Veterans Affairs Medical Center SUD program who received an aftercare contract, attendance prompts, and reinforcers (CPR) were compared to 75 graduates who received standard treatment (STX). Among CPR participants, 55% completed at least 3 months of aftercare, compared to 36% in STX. Similarly, CPR participants remained in treatment longer than those in STX (5.5 vs. 4.4 months). Additionally, CPR participants were more likely to be abstinent compared to STX (57% vs. 37%) after 1 year. The CPR intervention offers a practical means to improve adherence among individuals in SUD treatment.