物质使用障碍持续护理的收缩、促进和强化：一项随机临床试验。

Contracting, prompting, and reinforcing substance use disorder continuing care: a randomized clinical trial.

作者信息

Lash Steven J, Stephens Robert S, Burden Jennifer L, Grambow Steven C, DeMarce Josephine M, Jones Mark E, Lozano Brian E, Jeffreys Amy S, Fearer Stephanie A, Horner Ronnie D

机构信息

Mental Health Service Line, Salem Veterans Affairs Medical Center, Salem, VA, USA.

出版信息

Psychol Addict Behav. 2007 Sep;21(3):387-97. doi: 10.1037/0893-164X.21.3.387.

DOI:10.1037/0893-164X.21.3.387

PMID:17874889

Abstract

Although continuing care is strongly related to positive treatment outcomes for substance use disorder (SUD), participation rates are low and few effective interventions are available. In a randomized clinical trial with 150 participants (97% men), 75 graduates of a residential Veterans Affairs Medical Center SUD program who received an aftercare contract, attendance prompts, and reinforcers (CPR) were compared to 75 graduates who received standard treatment (STX). Among CPR participants, 55% completed at least 3 months of aftercare, compared to 36% in STX. Similarly, CPR participants remained in treatment longer than those in STX (5.5 vs. 4.4 months). Additionally, CPR participants were more likely to be abstinent compared to STX (57% vs. 37%) after 1 year. The CPR intervention offers a practical means to improve adherence among individuals in SUD treatment.

摘要

尽管持续护理与物质使用障碍（SUD）的积极治疗结果密切相关，但参与率较低且可用的有效干预措施较少。在一项有150名参与者（97%为男性）的随机临床试验中，将75名接受了后续护理合同、出勤提示和强化措施（CPR）的退伍军人事务部医疗中心住院SUD项目毕业生与75名接受标准治疗（STX）的毕业生进行了比较。在CPR参与者中，55%完成了至少3个月的后续护理，而STX组为36%。同样，CPR参与者接受治疗的时间比STX组更长（5.5个月对4.4个月）。此外，1年后，CPR参与者比STX组更有可能保持戒断状态（57%对37%）。CPR干预为提高SUD治疗个体的依从性提供了一种实用方法。