Contingency Management: Duration Effects

应急管理：持续时间影响

• 批准号: 7257189
• 负责人: John M. Roll
• 金额: $ 25.5万
• 依托单位: FRIENDS RESEARCH INSTITUTE, INC.
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-07-15 至 2009-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7257189
• 关键词: Abstinence; Adverse event; Beck depression inventory; Behavior; Caring; Classification; Clinic; Clinical Trials Design; Communities; Condition; Data; Data Collection; Dependence; Disease; Drug abuse; Drug usage; Emotional; Epidemic; Exposure to; Frequencies; HIV; Individual; Intervention; Length; Locales; Maintenance; Measures; Methamphetamine; Numbers; Outcome; Participant; Patient Self-Report; Pattern; Population; Principal Investigator; Problem behavior; Procedures; Psychological reinforcement; Purpose; Randomized; Rate; Relapse; Reporting; Research; Risk Assessment; Standards of Weights and Measures; Substance abuse problem; Time; Toxicology; Urine; Visual Analogue Pain Scale; Week; base; clinically significant; contingency management; cost; craving; day; directed attention; experimental analysis; follow-up; programs; psychosocial; success; treatment program

DESCRIPTION (provided by applicant): Contingency management interventions are quite successful at initiating and maintaining clinically significant periods of abstinence. Typically, contingency management is delivered in conjunction with a psychosocial substance abuse treatment program. However, there has been scant attention directed towards how to maximally deliver the contingency management interventions as part of a larger treatment package. One issue that will be important is to determine what the optimal length of a contingency management intervention should be. This proposal describes an experimentally rigorous clinical trial designed to begin exploring this issue. Methamphetamine-dependent participants will be randomly assigned to one of four conditions: standard treatment (16 weeks of psychosocial treatment plus no contingency management), 1 month contingency management (16 weeks of psychosocial treatment with contingency management delivered during the first 4 weeks), 2 month contingency management (16 weeks of psychosocial treatment with contingency management delivered during the first 8 weeks), 4 month contingency management (16 weeks of psychosocial treatment with contingency management delivered during the entire 16 weeks). Data will be analyzed to determine if the different durations of contingency management produce different rates of initiation of abstinence or different patterns of maintenance of abstinence. Follow up data collection will be conducted for a one year period, starting at randomization, to determine if the different durations of contingency management inculcate longer periods of post-treatment abstinence or result in different patterns of relapse. The successful completion of the proposed project will serve several purposes. First, it will provide data that will be useful in determining what the optimal length of contingency management interventions should be. This will be useful as we begin to transfer the contingency management approaches into community-based treatment clinics. This may also help to contain the cost of delivering contingency management interventions if it is demonstrated that shorter durations of contingency management are as effective as longer durations. Secondly, the successful completion of the proposed research will provide additional information on the utility of treating methamphetamine dependence with contingency management. This is timely, given the burgeoning rates of methamphetamine abuse being reported.

描述(由申请人提供)： 应急管理干预在启动和维持具有临床意义的禁欲时期方面相当成功。通常，应急管理与心理社会药物滥用治疗计划一起提供。然而，很少有人关注如何最大限度地提供应急管理干预措施，作为更大的一揽子治疗方案的一部分。一个重要的问题是，确定应急管理干预的最佳期限应该是多少。该提案描述了一项实验上严格的临床试验，旨在开始探索这一问题。甲基苯丙胺依赖的参与者将被随机分配到以下四种情况之一：标准治疗(16周的社会心理治疗加上没有应急管理)、1个月的应急管理(在前4周提供16周的社会心理治疗和应急管理)、2个月的应急管理(在前8周提供16周的社会心理治疗和应急管理)、4个月的应急管理(在整个16周期间提供16周的社会心理治疗和应急管理)。将对数据进行分析，以确定应急管理的不同持续时间是否会产生不同的禁欲启动率或不同的节欲维持模式。将从随机开始进行为期一年的后续数据收集，以确定应急管理的不同持续时间是否会灌输更长的治疗后戒断期或导致不同的复发模式。拟议项目的成功完成将有几个目的。首先，它将提供有助于确定应急管理干预的最佳期限的数据。随着我们开始将应急管理办法转移到以社区为基础的治疗诊所，这将是有用的。如果证明较短期限的应急管理与较长期限的应急管理同样有效，这也可能有助于控制提供应急管理干预措施的成本。其次，拟议研究的成功完成将提供更多关于通过应急管理治疗甲基苯丙胺依赖的效用的信息。考虑到甲基苯丙胺滥用报告的迅速增长，这是及时的。

项目成果

Long-term functioning to provide empirical support for the clinical relevance of treatment outcomes for methamphetamine use disorders.

• DOI: 10.1016/j.jsat.2021.108291
• 发表时间: 2021-05
• 期刊: Journal of substance abuse treatment
• 影响因子: 3.9
• 作者: Miguel AQC;Smith CL;Burduli E;Roll JM;McPherson S
• 通讯作者: McPherson S

Duration effects in contingency management treatment of methamphetamine disorders.

甲基苯丙胺疾病的应急管理治疗中的持续效应。

• DOI: 10.1016/j.addbeh.2013.03.018
• 发表时间: 2013-09
• 期刊: ADDICTIVE BEHAVIORS
• 影响因子: 4.4
• 作者: Roll, John M.;Chudzynski, Joy;Cameron, Jennifer M.;Howell, Donelle N.;McPherson, Sterling
• 通讯作者: McPherson, Sterling