Computer-Assisted Behavioral Therapy and Contingency Management for Cannabis Use Disorder
Computer-assisted behavioral treatments hold promise for enhancing access to and reducing costs of treatments for substance use disorders. This study assessed the efficacy of a computer-assisted version of an efficacious, multicomponent treatment for cannabis use disorders (CUD), that is, motivation...
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| Veröffentlicht in: | Psychology of addictive behaviors 2015-09, Vol.29 (3), p.501-511 |
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| container_title | Psychology of addictive behaviors |
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| creator | Budney, Alan J. Stanger, Catherine Tilford, J. Mick Scherer, Emily B. Brown, Pamela C. Li, Zhongze Li, Zhigang Walker, Denise D. |
| description | Computer-assisted behavioral treatments hold promise for enhancing access to and reducing costs of treatments for substance use disorders. This study assessed the efficacy of a computer-assisted version of an efficacious, multicomponent treatment for cannabis use disorders (CUD), that is, motivational enhancement therapy, cognitive-behavioral therapy, and abstinence-based contingency-management (MET/CBT/CM). An initial cost comparison was also performed. Seventy-five adult participants, 59% Black, seeking treatment for CUD received either, MET only (BRIEF), therapist-delivered MET/CBT/CM (THERAPIST), or computer-delivered MET/CBT/CM (COMPUTER). During treatment, the THERAPIST and COMPUTER conditions engendered longer durations of continuous cannabis abstinence than BRIEF (p < .05), but did not differ from each other. Abstinence rates and reduction in days of use over time were maintained in COMPUTER at least as well as in THERAPIST. COMPUTER averaged approximately $130 (p < .05) less per case than THERAPIST in therapist costs, which offset most of the costs of CM. Results add to promising findings that illustrate potential for computer-assisted delivery methods to enhance access to evidence-based care, reduce costs, and possibly improve outcomes. The observed maintenance effects and the cost findings require replication in larger clinical trials. |
| doi_str_mv | 10.1037/adb0000078 |
| format | Article |
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Mick ; Scherer, Emily B. ; Brown, Pamela C. ; Li, Zhongze ; Li, Zhigang ; Walker, Denise D.</creator><contributor>Petry, Nancy M ; Winters, Ken C</contributor><creatorcontrib>Budney, Alan J. ; Stanger, Catherine ; Tilford, J. Mick ; Scherer, Emily B. ; Brown, Pamela C. ; Li, Zhongze ; Li, Zhigang ; Walker, Denise D. ; Petry, Nancy M ; Winters, Ken C</creatorcontrib><description>Computer-assisted behavioral treatments hold promise for enhancing access to and reducing costs of treatments for substance use disorders. This study assessed the efficacy of a computer-assisted version of an efficacious, multicomponent treatment for cannabis use disorders (CUD), that is, motivational enhancement therapy, cognitive-behavioral therapy, and abstinence-based contingency-management (MET/CBT/CM). An initial cost comparison was also performed. Seventy-five adult participants, 59% Black, seeking treatment for CUD received either, MET only (BRIEF), therapist-delivered MET/CBT/CM (THERAPIST), or computer-delivered MET/CBT/CM (COMPUTER). During treatment, the THERAPIST and COMPUTER conditions engendered longer durations of continuous cannabis abstinence than BRIEF (p < .05), but did not differ from each other. Abstinence rates and reduction in days of use over time were maintained in COMPUTER at least as well as in THERAPIST. COMPUTER averaged approximately $130 (p < .05) less per case than THERAPIST in therapist costs, which offset most of the costs of CM. Results add to promising findings that illustrate potential for computer-assisted delivery methods to enhance access to evidence-based care, reduce costs, and possibly improve outcomes. The observed maintenance effects and the cost findings require replication in larger clinical trials.</description><identifier>ISSN: 0893-164X</identifier><identifier>EISSN: 1939-1501</identifier><identifier>DOI: 10.1037/adb0000078</identifier><identifier>PMID: 25938629</identifier><language>eng</language><publisher>United States: American Psychological Association</publisher><subject>Abstinence ; Adult ; Behavior modification ; Behavior Therapy ; Cannabis ; Clinical research ; Clinical trials ; Cognitive behavioral therapy ; Cognitive Behavioral Therapy - methods ; Computer Assisted Therapy ; Contingency learning ; Contingency Management ; Drug Abuse ; Efficacy ; Female ; Health care expenditures ; Help seeking behavior ; Human ; Humans ; Male ; Marijuana ; Marijuana Abuse - therapy ; Middle Aged ; Motivation ; Motivational interviewing ; Motivational Interviewing - methods ; Psychotherapy, Brief - methods ; Substance use disorder ; Substance-Related Disorders ; Therapy, Computer-Assisted - methods ; Tobacco Use Disorder ; Treatment Outcome ; Young Adult</subject><ispartof>Psychology of addictive behaviors, 2015-09, Vol.29 (3), p.501-511</ispartof><rights>2015 American Psychological Association</rights><rights>(c) 2015 APA, all rights reserved).</rights><rights>2015, American Psychological Association</rights><rights>Copyright American Psychological Association Sep 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a470t-e449a811470cd33310bd4d2b0115cf1bef9818fb247f06f2b986a44e94a83fe3</citedby><orcidid>0000-0002-3811-5239</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925,30999</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25938629$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Petry, Nancy M</contributor><contributor>Winters, Ken C</contributor><creatorcontrib>Budney, Alan J.</creatorcontrib><creatorcontrib>Stanger, Catherine</creatorcontrib><creatorcontrib>Tilford, J. Mick</creatorcontrib><creatorcontrib>Scherer, Emily B.</creatorcontrib><creatorcontrib>Brown, Pamela C.</creatorcontrib><creatorcontrib>Li, Zhongze</creatorcontrib><creatorcontrib>Li, Zhigang</creatorcontrib><creatorcontrib>Walker, Denise D.</creatorcontrib><title>Computer-Assisted Behavioral Therapy and Contingency Management for Cannabis Use Disorder</title><title>Psychology of addictive behaviors</title><addtitle>Psychol Addict Behav</addtitle><description>Computer-assisted behavioral treatments hold promise for enhancing access to and reducing costs of treatments for substance use disorders. This study assessed the efficacy of a computer-assisted version of an efficacious, multicomponent treatment for cannabis use disorders (CUD), that is, motivational enhancement therapy, cognitive-behavioral therapy, and abstinence-based contingency-management (MET/CBT/CM). An initial cost comparison was also performed. Seventy-five adult participants, 59% Black, seeking treatment for CUD received either, MET only (BRIEF), therapist-delivered MET/CBT/CM (THERAPIST), or computer-delivered MET/CBT/CM (COMPUTER). During treatment, the THERAPIST and COMPUTER conditions engendered longer durations of continuous cannabis abstinence than BRIEF (p < .05), but did not differ from each other. Abstinence rates and reduction in days of use over time were maintained in COMPUTER at least as well as in THERAPIST. COMPUTER averaged approximately $130 (p < .05) less per case than THERAPIST in therapist costs, which offset most of the costs of CM. Results add to promising findings that illustrate potential for computer-assisted delivery methods to enhance access to evidence-based care, reduce costs, and possibly improve outcomes. The observed maintenance effects and the cost findings require replication in larger clinical trials.</description><subject>Abstinence</subject><subject>Adult</subject><subject>Behavior modification</subject><subject>Behavior Therapy</subject><subject>Cannabis</subject><subject>Clinical research</subject><subject>Clinical trials</subject><subject>Cognitive behavioral therapy</subject><subject>Cognitive Behavioral Therapy - methods</subject><subject>Computer Assisted Therapy</subject><subject>Contingency learning</subject><subject>Contingency Management</subject><subject>Drug Abuse</subject><subject>Efficacy</subject><subject>Female</subject><subject>Health care expenditures</subject><subject>Help seeking behavior</subject><subject>Human</subject><subject>Humans</subject><subject>Male</subject><subject>Marijuana</subject><subject>Marijuana Abuse - therapy</subject><subject>Middle Aged</subject><subject>Motivation</subject><subject>Motivational interviewing</subject><subject>Motivational Interviewing - methods</subject><subject>Psychotherapy, Brief - methods</subject><subject>Substance use disorder</subject><subject>Substance-Related Disorders</subject><subject>Therapy, Computer-Assisted - methods</subject><subject>Tobacco Use Disorder</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0893-164X</issn><issn>1939-1501</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kUFrFDEYhoModlu9-AMk0JtlNJlkZpKL0I5tFSpeVtBT-Gbmy27KbjJNZgr7782ytbYXc_kI38PLk7yEvOPsI2ei-QRDx_anUS_IgmuhC14x_pIsmNKi4LX8dUSOU7rNiGCqfk2OykoLVZd6QX63YTvOE8biPCWXJhzoBa7h3oUIG7pcY4RxR8EPtA1-cn6Fvt_R7-BhhVv0E7Uh0ha8h84l-jMh_eJSiAPGN-SVhU3Ctw_zhCyvLpft1-Lmx_W39vymANmwqUApNSjO86UfhBCcdYMcyo5xXvWWd2i14sp2pWwsq23ZaVWDlKglKGFRnJDPh9hx7rY49Nkpm5sxui3EnQngzPONd2uzCvdGVvkHVJMDTh8CYribMU3mNszRZ2XDlRC64XUp_0vVipWMM1Zl6sOB6mNIKaJ99ODM7Lsy_7rK8Pun5o_o33IycHYAYAQzpl0PcXL9BlM_x5hfsw8zpTbC5LrFH1YAnvE</recordid><startdate>20150901</startdate><enddate>20150901</enddate><creator>Budney, Alan J.</creator><creator>Stanger, Catherine</creator><creator>Tilford, J. 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| ispartof | Psychology of addictive behaviors, 2015-09, Vol.29 (3), p.501-511 |
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| language | eng |
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| source | MEDLINE; EBSCOhost APA PsycARTICLES; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Abstinence Adult Behavior modification Behavior Therapy Cannabis Clinical research Clinical trials Cognitive behavioral therapy Cognitive Behavioral Therapy - methods Computer Assisted Therapy Contingency learning Contingency Management Drug Abuse Efficacy Female Health care expenditures Help seeking behavior Human Humans Male Marijuana Marijuana Abuse - therapy Middle Aged Motivation Motivational interviewing Motivational Interviewing - methods Psychotherapy, Brief - methods Substance use disorder Substance-Related Disorders Therapy, Computer-Assisted - methods Tobacco Use Disorder Treatment Outcome Young Adult |
| title | Computer-Assisted Behavioral Therapy and Contingency Management for Cannabis Use Disorder |
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