CONTINGENT TAKE-HOME INCENTIVE - EFFECTS ON DRUG-USE OF METHADONE-MAINTENANCE PATIENTS
CONTINGENT TAKE-HOME INCENTIVE - EFFECTS ON DRUG-USE OF METHADONE-MAINTENANCE PATIENTS
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DOI：
10.1037/0022-006x.60.6.927
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发表时间：
1992-12-01
影响因子：
5.9
通讯作者：
FELCH, LJ
中科院分区：
文献类型：
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作者：
STITZER, ML;IGUCHI, MY;FELCH, LJ
本研究探讨了应急美沙酮带回家的特权，有效地减少正在进行的补充药物使用美沙酮维持患者。53名新的摄入者被随机分配到开始接受连续2周无药物尿液后的带回家特权或非偶然程序，其中带回家独立于尿液检测结果。权变程序产生了更多的人至少连续4周的禁欲（32%对8%）; 28%的非权变受试者也实现了禁欲后，转移到权变程序。基线无药尿率较低与成功结局密切相关，而滥用药物的类型（可卡因与苯二氮卓类药物）不影响结局。研究结果支持建议使用应急带回家的奖励，以激励美沙酮维持治疗期间禁欲。
This study examined contingent methadone take-home privileges for effectiveness in reducing on-going supplemental drug use of methadone maintenance patients. Fifty-three new intakes were randomly assigned to begin receiving take-home privileges after 2 consecutive weeks of drug-free urines or to a noncontingent procedure in which take-homes were delivered independently of urine test results. The contingent procedure produced more individuals with at least 4 consecutive weeks of abstinence (32% vs. 8%); 28% of noncontingent subjects also achieved abstinence after shifting to the contingent procedure. Lower baseline rate of drug-free urines was strongly associated with successful outcome, whereas the type of drug abused (cocaine vs. benzodiazepines) did not influence outcomes. Findings support a recommendation for using contingent take-home incentives to motivate abstinence during methadone maintenance treatment.