Adaptive interventions may optimize outcomes in drug courts: a pilot study.

Adaptive interventions may optimize outcomes in drug courts: a pilot study.
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自适应干预措施可以优化药物法院的结果:一项试点研究。

DOI:
10.1007/s11920-009-0056-3
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发表时间:
2009-10
影响因子:
6.7
通讯作者:
Croft, Jason R.
Croft, Jason R.
中科院分区:
医学2区
文献类型:
--
作者:
Marlowe, Douglas B.;Festinger, David S.;Arabia, Patricia L.;Dugosh, Karen L.;Benasutti, Kathleen M.;Croft, Jason R.

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适应性干预应用先验决策规则,根据参与者的临床表现或治疗表现调整治疗服务。这项试点研究(N = 30)实验研究了适应性干预轻罪毒品法庭。参与者主要被指控持有大麻(73%)或持有毒品用具(23%)。结果显示,在适应条件的参与者有相对较高的毕业率,并需要显着更少的时间从程序中毕业,并实现最终解决的情况。与毒品法庭相比,适应性干预的参与者平均花了近4个月的时间来解决他们的案件。适应性条件下的参与者还报告了对该计划以及与辅导员的治疗联盟的同等满意度。这些数据表明,适应性干预措施可以提高毒品法庭的效率和有效性,并证明在大规模毒品法庭研究中检查适应性干预措施是合理的。
Adaptive interventions apply a priori decision rules for adjusting treatment services in response to participants’ clinical presentation or performance in treatment. This pilot study (N = 30) experimentally examined an adaptive intervention in a misdemeanor drug court. The participants were primarily charged with possession of marijuana (73%) or possession of drug paraphernalia (23%). Results revealed that participants in the adaptive condition had relatively higher graduation rates and required significantly less time to graduate from the program and achieve a final resolution of the case. It took an average of nearly 4 fewer months for participants in the adaptive intervention to resolve their cases as compared to drug court as-usual. Participants in the adaptive condition also reported equivalent satisfaction with the program and therapeutic alliances with their counselors. These data suggest that adaptive interventions may enhance the efficiency and effectiveness of drug courts, and justify examining adaptive interventions in large-scale drug court studies.
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影响因子: 4.2
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