Improving treatment outcomes for pregnant drug-dependent women using low-magnitude voucher incentives
Improving treatment outcomes for pregnant drug-dependent women using low-magnitude voucher incentives
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DOI：
10.1016/s0306-4603(98)00119-1
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发表时间：
2000-03-01
影响因子：
4.4
通讯作者：
Svikis, DS
中科院分区：
文献类型：
--
作者：
Jones, HE;Haug, NA;Svikis, DS
本研究的目的是检验低强度行为激励在改善戒断治疗患者出勤率和维持美沙酮治疗患者戒断非法药物方面的有效性。受试者被随机分配到激励条件或控制条件，两组患者的目标行为不同（戒断治疗组和美沙酮治疗组戒断）。对照组没有任何奖励，而奖励受试者在前7天的强化门诊治疗期间可以每天获得5美元的代金券。结果显示，5美元/天并没有显著提高戒断治疗患者的出勤率，也没有影响美沙酮治疗患者的戒断。数据表明，低幅度的代金券激励提高了美沙酮治疗受试者的治疗出勤率。虽然适度的金钱激励在提高美沙酮治疗患者的出勤率方面有一定的效用，但在这一高危人群中，需要更有效的干预措施来提高出勤率并保持戒断。(C) 2000 Elsevier Science Ltd.
The aim of this study was to examine the effectiveness of low-magnitude behavioral incentives in improving attendance for abstinence-treated patients and sustaining illicit-drug abstinence for methadone-treated patients. Subjects were randomly assigned to either incentive or control conditions, with target behaviors differing for the two patient groups (attendance for abstinence-treated and abstinence for methadone-treated patients). Controls received no incentives, whereas incentive subjects could earn $5/day in vouchers during the first 7 days of an intensive outpatient treatment. Results showed that $5/day did not significantly improve attendance in abstinence-treated patients or impact drug abstinence in methadone-treated patients. The data suggest that low-magnitude voucher incentives enhanced treatment attendance by methadone-treated subjects. Although modest monetary incentives had some utility in improving attendance in methadone-treated patients, more potent interventions are needed to improve attendance and maintain abstinence in this high-risk population. (C) 2000 Elsevier Science Ltd.