Pilot trial investigating a brief behavioral economic intervention as an adjunctive treatment for alcohol use disorder
Behavioral economic research suggests that increasing the salience of a delayed reward may improve capacity for delaying gratification and increase behavior allocated toward obtaining larger, delayed substance-free reward rather than smaller, more immediate reward such as alcohol use. This study aim...
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| Veröffentlicht in: | Journal of substance abuse treatment 2020-06, Vol.113, p.108002-9, Article 108002 |
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| container_title | Journal of substance abuse treatment |
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| creator | Meshesha, Lidia Z. Soltis, Kathryn E. Wise, Edward A. Rohsenow, Damaris J. Witkiewitz, Katie Murphy, James G. |
| description | Behavioral economic research suggests that increasing the salience of a delayed reward may improve capacity for delaying gratification and increase behavior allocated toward obtaining larger, delayed substance-free reward rather than smaller, more immediate reward such as alcohol use. This study aimed to improve the efficacy of outpatient alcohol use disorder (AUD) treatment by adding elements that target behavioral economic mechanisms of change.
Forty-one (N = 41) adults in outpatient AUD treatment were recruited and 37 participants were retained at follow-up. Following baseline assessment, participants received either the Substance Free Activity Session (SFAS), a single-session behavioral economic–informed intervention focused on increasing future orientation and engagement in values-based substance-free activities or a health education control intervention. Participants in both conditions received weekly prompts (via text or email) relevant to their respective intervention for four weeks. Participants (68.3% male; 70.7% Caucasian, M age = 38.24, SD = 12.69) reported an average of 3.95 (SD = 4.72) binge drinking episodes (4/5 drinks per occasion for a woman/man) and 5.05 (SD = 5.32) drinks per drinking day 30-days prior to treatment entry.
The study provided initial support for the feasibility and acceptability of implementing the SFAS within a treatment setting. Participants reported high levels of satisfaction with the SFAS (M = 9.08 (SD = 0.94), on a scale of 1–10). At 3-month follow-up, the SFAS was associated with reductions in the proportion of activity participation and enjoyment (reinforcement) related to substance-use relative to substance-free activities and in alcohol demand compared to control.
These preliminary results provide initial support for targeting behavioral economic mechanisms of change in an outpatient AUD treatment with a single-session intervention plus remote delivery of booster prompts.
•Feasibility and acceptability of behavioral economic (BE) intervention in AUD treatment.•The intervention lowered substance-related reward and alcohol demand.•There is initial support for targeting BE mechanisms of change in alcohol treatment. |
| doi_str_mv | 10.1016/j.jsat.2020.108002 |
| format | Article |
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Forty-one (N = 41) adults in outpatient AUD treatment were recruited and 37 participants were retained at follow-up. Following baseline assessment, participants received either the Substance Free Activity Session (SFAS), a single-session behavioral economic–informed intervention focused on increasing future orientation and engagement in values-based substance-free activities or a health education control intervention. Participants in both conditions received weekly prompts (via text or email) relevant to their respective intervention for four weeks. Participants (68.3% male; 70.7% Caucasian, M age = 38.24, SD = 12.69) reported an average of 3.95 (SD = 4.72) binge drinking episodes (4/5 drinks per occasion for a woman/man) and 5.05 (SD = 5.32) drinks per drinking day 30-days prior to treatment entry.
The study provided initial support for the feasibility and acceptability of implementing the SFAS within a treatment setting. Participants reported high levels of satisfaction with the SFAS (M = 9.08 (SD = 0.94), on a scale of 1–10). At 3-month follow-up, the SFAS was associated with reductions in the proportion of activity participation and enjoyment (reinforcement) related to substance-use relative to substance-free activities and in alcohol demand compared to control.
These preliminary results provide initial support for targeting behavioral economic mechanisms of change in an outpatient AUD treatment with a single-session intervention plus remote delivery of booster prompts.
•Feasibility and acceptability of behavioral economic (BE) intervention in AUD treatment.•The intervention lowered substance-related reward and alcohol demand.•There is initial support for targeting BE mechanisms of change in alcohol treatment.</description><identifier>ISSN: 0740-5472</identifier><identifier>EISSN: 1873-6483</identifier><identifier>DOI: 10.1016/j.jsat.2020.108002</identifier><identifier>PMID: 32359674</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Alcohol related disorders ; Alcohol use ; Alcoholism ; Behavior change ; Brief interventions ; Change agents ; Delayed ; Drinking behavior ; Drinks ; Economic research ; Efficacy ; Email ; Feasibility ; Future ; Gratification ; Health education ; Outpatient treatment ; Reinforcement ; Substance abuse ; Substance abuse treatment</subject><ispartof>Journal of substance abuse treatment, 2020-06, Vol.113, p.108002-9, Article 108002</ispartof><rights>2020 Elsevier Inc.</rights><rights>Copyright © 2020 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Jun 2020</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c511t-2610e55fdb541b557c1d1a853d9f3f32cbd997b801b2aeac7054bda1cdebadd93</citedby><cites>FETCH-LOGICAL-c511t-2610e55fdb541b557c1d1a853d9f3f32cbd997b801b2aeac7054bda1cdebadd93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jsat.2020.108002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,777,781,882,3537,27905,27906,30980,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32359674$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Meshesha, Lidia Z.</creatorcontrib><creatorcontrib>Soltis, Kathryn E.</creatorcontrib><creatorcontrib>Wise, Edward A.</creatorcontrib><creatorcontrib>Rohsenow, Damaris J.</creatorcontrib><creatorcontrib>Witkiewitz, Katie</creatorcontrib><creatorcontrib>Murphy, James G.</creatorcontrib><title>Pilot trial investigating a brief behavioral economic intervention as an adjunctive treatment for alcohol use disorder</title><title>Journal of substance abuse treatment</title><addtitle>J Subst Abuse Treat</addtitle><description>Behavioral economic research suggests that increasing the salience of a delayed reward may improve capacity for delaying gratification and increase behavior allocated toward obtaining larger, delayed substance-free reward rather than smaller, more immediate reward such as alcohol use. This study aimed to improve the efficacy of outpatient alcohol use disorder (AUD) treatment by adding elements that target behavioral economic mechanisms of change.
Forty-one (N = 41) adults in outpatient AUD treatment were recruited and 37 participants were retained at follow-up. Following baseline assessment, participants received either the Substance Free Activity Session (SFAS), a single-session behavioral economic–informed intervention focused on increasing future orientation and engagement in values-based substance-free activities or a health education control intervention. Participants in both conditions received weekly prompts (via text or email) relevant to their respective intervention for four weeks. Participants (68.3% male; 70.7% Caucasian, M age = 38.24, SD = 12.69) reported an average of 3.95 (SD = 4.72) binge drinking episodes (4/5 drinks per occasion for a woman/man) and 5.05 (SD = 5.32) drinks per drinking day 30-days prior to treatment entry.
The study provided initial support for the feasibility and acceptability of implementing the SFAS within a treatment setting. Participants reported high levels of satisfaction with the SFAS (M = 9.08 (SD = 0.94), on a scale of 1–10). At 3-month follow-up, the SFAS was associated with reductions in the proportion of activity participation and enjoyment (reinforcement) related to substance-use relative to substance-free activities and in alcohol demand compared to control.
These preliminary results provide initial support for targeting behavioral economic mechanisms of change in an outpatient AUD treatment with a single-session intervention plus remote delivery of booster prompts.
•Feasibility and acceptability of behavioral economic (BE) intervention in AUD treatment.•The intervention lowered substance-related reward and alcohol demand.•There is initial support for targeting BE mechanisms of change in alcohol treatment.</description><subject>Alcohol related disorders</subject><subject>Alcohol use</subject><subject>Alcoholism</subject><subject>Behavior change</subject><subject>Brief interventions</subject><subject>Change agents</subject><subject>Delayed</subject><subject>Drinking behavior</subject><subject>Drinks</subject><subject>Economic research</subject><subject>Efficacy</subject><subject>Email</subject><subject>Feasibility</subject><subject>Future</subject><subject>Gratification</subject><subject>Health education</subject><subject>Outpatient treatment</subject><subject>Reinforcement</subject><subject>Substance abuse</subject><subject>Substance abuse treatment</subject><issn>0740-5472</issn><issn>1873-6483</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp9kUuLFDEUhYMoTjv6B1xIwI2bavOsSoEIw-ALBnSh65DHre4UVZUxSRX4703T46AuZpNA7ndP7rkHoZeU7Cmh7dtxP2ZT9oyw04MihD1CO6o63rRC8cdoRzpBGik6doGe5TySSjCinqILzrjs207s0PYtTLHgkoKZcFg2yCUcTAnLARtsU4ABWziaLcRUAXBxiXNwlSyQNlhKiAs2GZt6-nFdXAkbVDUwZa5VPMSEzeTiMU54zYB9yDF5SM_Rk8FMGV7c3Zfox8cP368_NzdfP325vrppnKS0NKylBKQcvJWCWik7Rz01SnLfD3zgzFnf951VhFpmwLiOSGG9oc6DNd73_BK9P-vernYG7-pM1Ye-TWE26ZeOJuh_K0s46kPcdEd7VT-vAm_uBFL8udbt6DlkB9NkFohr1oz3itbhiKjo6__QMa5pqfY0E0K0inWif5iiUlULnFeKnSmXYs4JhvuRKdGn8PWoT-HrU_j6HH5tevW32fuWP2lX4N0ZgLryLUDS2QVYHPiQwBXtY3hI_zcZ2MM2</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Meshesha, Lidia Z.</creator><creator>Soltis, Kathryn E.</creator><creator>Wise, Edward A.</creator><creator>Rohsenow, Damaris J.</creator><creator>Witkiewitz, Katie</creator><creator>Murphy, James G.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K7.</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200601</creationdate><title>Pilot trial investigating a brief behavioral economic intervention as an adjunctive treatment for alcohol use disorder</title><author>Meshesha, Lidia Z. ; 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This study aimed to improve the efficacy of outpatient alcohol use disorder (AUD) treatment by adding elements that target behavioral economic mechanisms of change.
Forty-one (N = 41) adults in outpatient AUD treatment were recruited and 37 participants were retained at follow-up. Following baseline assessment, participants received either the Substance Free Activity Session (SFAS), a single-session behavioral economic–informed intervention focused on increasing future orientation and engagement in values-based substance-free activities or a health education control intervention. Participants in both conditions received weekly prompts (via text or email) relevant to their respective intervention for four weeks. Participants (68.3% male; 70.7% Caucasian, M age = 38.24, SD = 12.69) reported an average of 3.95 (SD = 4.72) binge drinking episodes (4/5 drinks per occasion for a woman/man) and 5.05 (SD = 5.32) drinks per drinking day 30-days prior to treatment entry.
The study provided initial support for the feasibility and acceptability of implementing the SFAS within a treatment setting. Participants reported high levels of satisfaction with the SFAS (M = 9.08 (SD = 0.94), on a scale of 1–10). At 3-month follow-up, the SFAS was associated with reductions in the proportion of activity participation and enjoyment (reinforcement) related to substance-use relative to substance-free activities and in alcohol demand compared to control.
These preliminary results provide initial support for targeting behavioral economic mechanisms of change in an outpatient AUD treatment with a single-session intervention plus remote delivery of booster prompts.
•Feasibility and acceptability of behavioral economic (BE) intervention in AUD treatment.•The intervention lowered substance-related reward and alcohol demand.•There is initial support for targeting BE mechanisms of change in alcohol treatment.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32359674</pmid><doi>10.1016/j.jsat.2020.108002</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of substance abuse treatment, 2020-06, Vol.113, p.108002-9, Article 108002 |
| issn | 0740-5472 1873-6483 |
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| source | Elsevier ScienceDirect Journals; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Alcohol related disorders Alcohol use Alcoholism Behavior change Brief interventions Change agents Delayed Drinking behavior Drinks Economic research Efficacy Feasibility Future Gratification Health education Outpatient treatment Reinforcement Substance abuse Substance abuse treatment |
| title | Pilot trial investigating a brief behavioral economic intervention as an adjunctive treatment for alcohol use disorder |
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