Contingency management is effective across cocaine-dependent outpatients with different socioeconomic status
Abstract 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 t...
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| Veröffentlicht in: | Journal of substance abuse treatment 2013-04, Vol.44 (3), p.349-354 |
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| creator | Secades-Villa, Roberto, Ph.D García-Fernández, Gloria, Ph.D Peña-Suárez, Elsa, Ph.D García-Rodríguez, Olaya, Ph.D Sánchez-Hervás, Emilio, Ph.D Fernández-Hermida, José Ramón, Ph.D |
| description | Abstract 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. |
| doi_str_mv | 10.1016/j.jsat.2012.08.018 |
| format | Article |
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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.</description><identifier>ISSN: 0740-5472</identifier><identifier>EISSN: 1873-6483</identifier><identifier>DOI: 10.1016/j.jsat.2012.08.018</identifier><identifier>PMID: 22999380</identifier><identifier>CODEN: JSATEG</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Abstinence ; Addictive behaviors ; Adult ; Adult and adolescent clinical studies ; Biological and medical sciences ; Cocaine ; Cocaine-Related Disorders - psychology ; Cocaine-Related Disorders - therapy ; Community setting ; Contingency learning ; Contingency management ; Desintoxication. Drug withdrawal ; Dissemination ; Drug addiction ; Economic status ; Female ; Humans ; Impact analysis ; Income ; Male ; Medical sciences ; Miscellaneous ; Ochnaceae ; Outpatients ; Patient Compliance - statistics & numerical data ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Reinforcement (Psychology) ; Retention ; Socioeconomic Factors ; Socioeconomic status ; Substance abuse treatment ; Substance Abuse Treatment Centers - methods ; Token Economy ; Treatment Outcome ; Treatments</subject><ispartof>Journal of substance abuse treatment, 2013-04, Vol.44 (3), p.349-354</ispartof><rights>Elsevier Inc.</rights><rights>2013 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2013 Elsevier Inc. All rights reserved.</rights><rights>Copyright Pergamon Press Inc. Apr 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c502t-35f068f07cc8cd84ac6b054a370ee940c9f0e7809d0492fbe4d4ac7e697d29f43</citedby><cites>FETCH-LOGICAL-c502t-35f068f07cc8cd84ac6b054a370ee940c9f0e7809d0492fbe4d4ac7e697d29f43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0740547212001535$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,30976,30977,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27105360$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22999380$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Secades-Villa, Roberto, Ph.D</creatorcontrib><creatorcontrib>García-Fernández, Gloria, Ph.D</creatorcontrib><creatorcontrib>Peña-Suárez, Elsa, Ph.D</creatorcontrib><creatorcontrib>García-Rodríguez, Olaya, Ph.D</creatorcontrib><creatorcontrib>Sánchez-Hervás, Emilio, Ph.D</creatorcontrib><creatorcontrib>Fernández-Hermida, José Ramón, Ph.D</creatorcontrib><title>Contingency management is effective across cocaine-dependent outpatients with different socioeconomic status</title><title>Journal of substance abuse treatment</title><addtitle>J Subst Abuse Treat</addtitle><description>Abstract 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.</description><subject>Abstinence</subject><subject>Addictive behaviors</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Biological and medical sciences</subject><subject>Cocaine</subject><subject>Cocaine-Related Disorders - psychology</subject><subject>Cocaine-Related Disorders - therapy</subject><subject>Community setting</subject><subject>Contingency learning</subject><subject>Contingency management</subject><subject>Desintoxication. Drug withdrawal</subject><subject>Dissemination</subject><subject>Drug addiction</subject><subject>Economic status</subject><subject>Female</subject><subject>Humans</subject><subject>Impact analysis</subject><subject>Income</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Ochnaceae</subject><subject>Outpatients</subject><subject>Patient Compliance - statistics & numerical data</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Reinforcement (Psychology)</subject><subject>Retention</subject><subject>Socioeconomic Factors</subject><subject>Socioeconomic status</subject><subject>Substance abuse treatment</subject><subject>Substance Abuse Treatment Centers - methods</subject><subject>Token Economy</subject><subject>Treatment Outcome</subject><subject>Treatments</subject><issn>0740-5472</issn><issn>1873-6483</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkl2L1DAUhoso7uzqH_BCCiLsTevJR9sUZEEGv2DBC_U6ZJKTNbVNxiZdmX9v6owu7IVeJZDnPck5T4riGYGaAGlfDfUQVaopEFqDqIGIB8WGiI5VLRfsYbGBjkPV8I6eFecxDgBAKYjHxRmlfd8zAZti3AafnL9Brw_lpLy6wQl9Kl0s0VrUyd1iqfQcYix10Mp5rAzu0ZuVCkvaq-TyNpY_XfpWGpdD83oUg3YBdfBhcrqMSaUlPikeWTVGfHpaL4qv795-2X6orj-9_7h9c13pBmiqWGOhFRY6rYU2givd7qDhinWA2HPQvQXsBPQGeE_tDrnJTIdt3xnaW84uistj3f0cfiwYk5xc1DiOymNYoiSMMsYBBPwfpR1rMghtRl_cQ4ewzD43kqlWCCY4FZmiR-r3zGa0cj-7Sc0HSUCu2uQgV21y1SZByKwth56fSi-7Cc3fyB9PGXh5AlTUarSz8trFO64j0LB25V4fOczjvXU4y6izHo3GzVmmNMH9-x1X9-J6dN7lG7_jAeNdvzLmjPy8frD1fxEKQBrWsF-SBMvV</recordid><startdate>20130401</startdate><enddate>20130401</enddate><creator>Secades-Villa, Roberto, Ph.D</creator><creator>García-Fernández, Gloria, Ph.D</creator><creator>Peña-Suárez, Elsa, Ph.D</creator><creator>García-Rodríguez, Olaya, Ph.D</creator><creator>Sánchez-Hervás, Emilio, Ph.D</creator><creator>Fernández-Hermida, José Ramón, Ph.D</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K7.</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20130401</creationdate><title>Contingency management is effective across cocaine-dependent outpatients with different socioeconomic status</title><author>Secades-Villa, Roberto, Ph.D ; García-Fernández, Gloria, Ph.D ; Peña-Suárez, Elsa, Ph.D ; García-Rodríguez, Olaya, Ph.D ; Sánchez-Hervás, Emilio, Ph.D ; Fernández-Hermida, José Ramón, Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c502t-35f068f07cc8cd84ac6b054a370ee940c9f0e7809d0492fbe4d4ac7e697d29f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Abstinence</topic><topic>Addictive behaviors</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Biological and medical sciences</topic><topic>Cocaine</topic><topic>Cocaine-Related Disorders - psychology</topic><topic>Cocaine-Related Disorders - therapy</topic><topic>Community setting</topic><topic>Contingency learning</topic><topic>Contingency management</topic><topic>Desintoxication. Drug withdrawal</topic><topic>Dissemination</topic><topic>Drug addiction</topic><topic>Economic status</topic><topic>Female</topic><topic>Humans</topic><topic>Impact analysis</topic><topic>Income</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Ochnaceae</topic><topic>Outpatients</topic><topic>Patient Compliance - statistics & numerical data</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Reinforcement (Psychology)</topic><topic>Retention</topic><topic>Socioeconomic Factors</topic><topic>Socioeconomic status</topic><topic>Substance abuse treatment</topic><topic>Substance Abuse Treatment Centers - methods</topic><topic>Token Economy</topic><topic>Treatment Outcome</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Secades-Villa, Roberto, Ph.D</creatorcontrib><creatorcontrib>García-Fernández, Gloria, Ph.D</creatorcontrib><creatorcontrib>Peña-Suárez, Elsa, Ph.D</creatorcontrib><creatorcontrib>García-Rodríguez, Olaya, Ph.D</creatorcontrib><creatorcontrib>Sánchez-Hervás, Emilio, Ph.D</creatorcontrib><creatorcontrib>Fernández-Hermida, José Ramón, Ph.D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of substance abuse treatment</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Secades-Villa, Roberto, Ph.D</au><au>García-Fernández, Gloria, Ph.D</au><au>Peña-Suárez, Elsa, Ph.D</au><au>García-Rodríguez, Olaya, Ph.D</au><au>Sánchez-Hervás, Emilio, Ph.D</au><au>Fernández-Hermida, José Ramón, Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Contingency management is effective across cocaine-dependent outpatients with different socioeconomic status</atitle><jtitle>Journal of substance abuse treatment</jtitle><addtitle>J Subst Abuse Treat</addtitle><date>2013-04-01</date><risdate>2013</risdate><volume>44</volume><issue>3</issue><spage>349</spage><epage>354</epage><pages>349-354</pages><issn>0740-5472</issn><eissn>1873-6483</eissn><coden>JSATEG</coden><abstract>Abstract 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.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>22999380</pmid><doi>10.1016/j.jsat.2012.08.018</doi><tpages>6</tpages></addata></record> |
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| subjects | Abstinence Addictive behaviors Adult Adult and adolescent clinical studies Biological and medical sciences Cocaine Cocaine-Related Disorders - psychology Cocaine-Related Disorders - therapy Community setting Contingency learning Contingency management Desintoxication. Drug withdrawal Dissemination Drug addiction Economic status Female Humans Impact analysis Income Male Medical sciences Miscellaneous Ochnaceae Outpatients Patient Compliance - statistics & numerical data Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Public health. Hygiene Public health. Hygiene-occupational medicine Reinforcement (Psychology) Retention Socioeconomic Factors Socioeconomic status Substance abuse treatment Substance Abuse Treatment Centers - methods Token Economy Treatment Outcome Treatments |
| title | Contingency management is effective across cocaine-dependent outpatients with different socioeconomic status |
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