Historique
Périodique
Contingency management in group treatment: a demonstration project in an HIV drop-in center
(Contraintes thérapeutiques dans un traitement de groupe : démonstration d'un projet dans un centre de soin du VIH)
Auteur(s) :
PETRY, N. M. ;
MARTIN, B. ;
FINNOCCHE, C.
Année
2001
Page(s) :
89-96
Langue(s) :
Anglais
Refs biblio. :
27
Domaine :
Drogues illicites / Illicit drugs
Discipline :
MAL (Maladies infectieuses / Infectious diseases)
Thésaurus mots-clés
TRAITEMENT
;
VIH
;
THERAPIE DE GROUPE
;
MOTIVATION
Thésaurus géographique
ETATS-UNIS
Note générale :
Journal of Substance Abuse Treatment, 2001, 21, (1), 89-96
Note de contenu :
graph.
Résumé :
ENGLISH :
This study describes a contingency management intervention applied in group treatment. In an HIV drop-in center, groups were held on Tuesdays and Thursdays for 35 weeks. An ABB'CA design was used, in which reinforcers were available in non-A phases. In the initial B phase, reinforcers were available only on Tuesdays, and they switched to Thursdays in the B' and C phases. The reinforcer was a drawing that was associated with the possibility of winning a prize. Reinforcers were provided for attending group and completing steps related to treatment goals. The number of drawings escalated with weeks of consecutive attendance and activity completion in the B phases; in the C phase, a fixed number of draws were provided. Overall, the procedure increased attendance, with an average of 0.7 clients (range 0-4) per session in the initial baseline phase to an average of seven clients (range 2-12) during reinforcement phases. The percentage of activities completed also rose from 25% during baseline to 65% during reinforcement phases. These data suggest the feasibility of a group-based contingency management intervention. (Editor's abstract.)
Affiliation :
Dept. Psychiat., Univ. Connecticut Hlth. Ctr., Farmington, CT. E-mail : petry@psychiatry.uchc.edu
Etats-Unis. United States.
Etats-Unis. United States.