Secades-Villa Roberto, García-Rodríguez Olaya, Higgins Stephen T, Fernández-Hermida José R, Carballo José L
Department of Psychology, University of Oviedo, Oviedo, Spain.
J Subst Abuse Treat. 2008 Mar;34(2):202-7. doi: 10.1016/j.jsat.2007.03.006. Epub 2007 May 23.
The aim of this study was to assess the efficacy of the community reinforcement approach (CRA) plus vouchers treatment in achieving cocaine abstinence and treatment retention among patients enrolled in an outpatient program for cocaine dependence in Spain. Forty-three patients were randomly assigned to one of two treatment conditions in a community setting: CRA plus vouchers or standard care. Of the patients who received the CRA plus vouchers program, 73% completed 24 weeks of treatment, as compared with 42% of the patients who received standard care who did. In the CRA plus vouchers group, 40% of the patients achieved 24 weeks of continuous cocaine abstinence, as compared with 21% of the patients in the standard care group who did. These results support the effectiveness and generalizability of the CRA plus vouchers treatment in a community setting outside of the United States. Further follow-up is required to confirm the long-term maintenance of the results.
本研究的目的是评估社区强化疗法（CRA）加代金券治疗在西班牙参加可卡因依赖门诊项目的患者中实现可卡因戒断和治疗保留率的疗效。43名患者在社区环境中被随机分配到两种治疗条件之一：CRA加代金券或标准护理。接受CRA加代金券项目的患者中，73%完成了24周的治疗，而接受标准护理的患者中这一比例为42%。在CRA加代金券组中，40%的患者实现了24周的持续可卡因戒断，而标准护理组中这一比例为21%。这些结果支持了CRA加代金券治疗在美国以外社区环境中的有效性和普遍性。需要进一步随访以确认结果的长期维持情况。
