National Institute of Policies on Alcohol and Drugs (INPAD) of the Department Psychiatry and Medical Psychology of the Federal University of São Paulo (UNIFESP), São Paulo, Brazil.
Department of Psychiatry and Medical Psychology of the Federal University of São Paulo- UNIFESP, São Paulo, Brazil.
Subst Abuse Treat Prev Policy. 2018 Feb 12;13(1):7. doi: 10.1186/s13011-018-0144-7.
Contingency management (CM) has recently shown efficacy in promoting abstinence and retention in treatment among crack cocaine users in Brazil. However, partially because of unawareness and resistance among health care providers, CM has not been widely employed. The objective of this study was to conduct a secondary analysis in order to evaluate how CM participants perceive their treatment experience.
Twenty-seven crack cocaine users, previously assigned to 12 weeks of CM treatment, were assessed with a structured questionnaire designed to assess their personal opinion of, difficulty in understanding, and acceptance of the CM intervention, as well as their opinion regarding its impact on their treatment responses.
Descriptive analyses showed that 92.6% of the participants found it very easy to understand the CM protocol. All participants reported liking their CM experience quite a bit. For the perceived effects of CM on their treatment response, 81.5% of the participants stated that CM helped them considerably, the mean score for the impact of CM on treatment response (out of a maximum of 10) being 9 (SD = 1.5). When asked if they believed CM could help other people with crack cocaine dependence, 92.6% of the participants stated that CM could help such people a lot and 7.4% stated that it could help them a little.
From the perspective of the patients, CM was easily assimilated, easily accepted, and had a direct positive effect on treatment response. These findings provide additional support for the incorporation of CM into substance abuse treatment services in Brazil.
在巴西，应急管理（CM）最近已显示出在促进可卡因使用者戒除和保留治疗方面的疗效。然而，部分由于卫生保健提供者缺乏认识和抵制，CM 并未得到广泛应用。本研究的目的是进行二次分析，以评估 CM 参与者如何看待他们的治疗体验。
对 27 名可卡因使用者进行评估，这些参与者先前被分配到 12 周的 CM 治疗中，他们接受了一项结构化问卷的评估，该问卷旨在评估他们对 CM 干预措施的个人看法、理解难度和接受程度，以及他们对 CM 对其治疗反应的影响的看法。
描述性分析显示，92.6%的参与者发现理解 CM 方案非常容易。所有参与者都表示非常喜欢他们的 CM 体验。对于 CM 对他们治疗反应的感知效果，81.5%的参与者表示 CM 对他们帮助很大，CM 对治疗反应的影响的平均得分为 9（标准差=1.5）。当被问及他们是否认为 CM 可以帮助其他可卡因依赖者时，92.6%的参与者表示 CM 可以帮助这些人很多，7.4%的参与者表示 CM 可以帮助他们一点。
从患者的角度来看，CM 易于理解、易于接受，并且对治疗反应有直接的积极影响。这些发现为将 CM 纳入巴西物质滥用治疗服务提供了额外的支持。
