Titre : | Improving on-time counseling attendance in a methadone treatment program: a contingency management approach |
Titre traduit : | (Améliorer la participation régulière aux consultations d'accompagnement dans un programme de traitement à la méthadone : une approche par le management des contingents) |
Auteurs : | G. L. RHODES ; K. K. SAULES ; T. C. HELMUS ; ROLL J. ; R. S. BESHEARS ; D. M. LEDGERWOOD ; C. R. SCHUSTER |
Type de document : | Périodique |
Année de publication : | 2003 |
Format : | 759-773 / fig. |
Note générale : |
American Journal of Drug and Alcohol Abuse (The), 2003, 29, (4), 759-773 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés ACCOMPAGNEMENT ; CONSEIL ; TRAITEMENT DE MAINTENANCE ; METHADONE ; EFFICACITE |
Résumé : |
ENGLISH : Two studies were conducted to investigate the effectiveness of contingency management techniques in promoting punctual counseling attendance among methadone maintenance patients. In Study 1, 50 participants were recruited from an inner-city methadone maintenance program. Study 1 used an A-B-A design with baseline, intervention, and return-to-baseline phases. On-time attendance was reinforced during the intervention phase with a voucher that was redeemable for a draw out of a box containing 100 tokens with values varying from $0.00 to $100.00. Methadone maintenance patients who exhibited poor attendance during baseline showed a significant positive response during the contingency management intervention phase. Study 2 used the same design as Study 1 except that the 52 participants were randomized into reinforcement groups that received either the variable rate of reinforcement as in Study 1 or a fixed value reinforcer of $3.25. As in Study 1, Poor Attenders significantly improved counseling attendance during the intervention. There were no differences between the variable and fixed reinforcement groups. Overall, results suggest that targeting Poor Attenders with contingency management techniques may be a cost-effective method of improving counseling attendance. Targeting Poor Attenders early in treatment may be especially important for improving treatment outcomes. (Author' s abstract) |
Note de contenu : | fig. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 28 |
Affiliation : |
Psychology Clinic, Eastern Michigan Univ., 611 W. Cross St., Ypsilanti, MI 48197 Etats-Unis. United States. |
Numéro Toxibase : | 207284 |
Centre Emetteur : | 02 Coordonnateur |
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