Department of Psychology, University of Oviedo, Plaza Feijoo 33003, Oviedo, Spain.
J Subst Abuse Treat. 2013 Mar;44(3):349-54. doi: 10.1016/j.jsat.2012.08.018. Epub 2012 Sep 19.
Contingency management (CM) has demonstrated its efficacy for treating cocaine dependence, but there is still some controversy with regard to its dissemination. Understanding how individual differences affect CM outcomes is important for detecting barriers to its dissemination. The aim of this study is to examine the impact of socioeconomic variables in cocaine-dependent outpatients on the effectiveness of CM in a community setting. Cocaine-dependent outpatients (N=118) were randomized to community reinforcement approach (CRA) treatment or a CRA plus vouchers program. The impact of baseline economic variables, alone and in combination with treatment conditions, on abstinence and retention outcomes after 6 months of treatment was assessed. Results showed that income had no effect on retention or abstinence outcomes after 6 months of treatment in either treatment condition. The addition of a CM component was beneficial for individuals with any socioeconomic status. These results support the generalizability of CM strategies with patients of different socioeconomic status in community settings.
应急管理（CM）已被证明对治疗可卡因依赖有效，但在其推广方面仍存在一些争议。了解个体差异如何影响 CM 结果对于发现其推广的障碍很重要。本研究旨在检查社区环境中，可卡因依赖门诊患者的社会经济变量对 CM 有效性的影响。将可卡因依赖门诊患者（N=118）随机分配到社区强化治疗（CRA）或 CRA 加代金券治疗方案。评估基线经济变量，以及与治疗条件结合，对治疗 6 个月后戒断和保留结果的影响。结果表明，在两种治疗条件下，收入对治疗 6 个月后的保留或戒断结果均无影响。CM 成分的加入对任何社会经济地位的个体都有益。这些结果支持了在社区环境中，对不同社会经济地位患者实施 CM 策略的可推广性。
