Historique
Périodique
Behavioral contingencies improve counseling attendance in an adaptive treatment model
(La gestion des comportements imprévus améliore l'observance des consultations dans le cadre d'un modèle de traitement par étapes)
Auteur(s) :
BROONER, R. K. ;
KIDORF, M. S. ;
KING, V. L. ;
STOLLER, K. B. ;
PEIRCE, J. M. ;
BIGELOW, G. E. ;
KOLODNER, K.
Année
2004
Page(s) :
223-232
Langue(s) :
Anglais
Refs biblio. :
55
Domaine :
Drogues illicites / Illicit drugs
Note générale :
Journal of Substance Abuse Treatment, 2004, 27, (3), 223-232
Note de contenu :
graph. ; tabl. ; fig.
Résumé :
ENGLISH :
Poor patient adherence remains a serious obstacle to improving the effectiveness of many drug abuse therapies and the overall quality of care delivered in programs. The present study evaluated the utility and efficacy of incorporating behavioral contingencies in a stepped care treatment approach to motivate patient attendance to the varying amounts of prescribed weekly counseling. Study participants were opioid-dependent patients (n = 127) newly admitted to an ambulatory treatment program that provides methadone. Participants were randomly assigned to a Motivated Stepped Care condition (MSC; n = 65) with behavioral contingencies to specifically motivate counseling attendance vs. a Standard Stepped Care condition (SSC; n = 62) without these contingencies. The MSC vs. SSC condition was associated with a higher rate of counseling attendance (83% vs. 44%, p < .001) and a lower rate of poor treatment response (46% vs. 79%, p < .001). The behavioral contingencies were well tolerated and strongly associated with excellent attendance across both lower and higher doses of weekly counseling. (Editor's abstract.)
Affiliation :
Addiction Treatment Services, Johns Hopkins Bayview Medical Center, 5510 Nathan Shock Drive, Suite 1500, Baltimore, MD 21224. E-mail : rkbrooneraol.com
Etats-Unis. United States.
Etats-Unis. United States.