Improvement in naltrexone treatment compliance with contingency management

被引：120

作者：

Preston, KL ^{[1
]}

Silverman, K ^{[1
]}

Umbricht, A ^{[1
]}

DeJesus, A ^{[1
]}

Montoya, ID ^{[1
]}

Schuster, CR ^{[1
]}

机构：

[1] NIH, Addict Res Ctr, NIDA, Intramural Res Program, Baltimore, MD 21224 USA

来源：

DRUG AND ALCOHOL DEPENDENCE | 1999年 / 54卷 / 02期

关键词：

naltrexone; opioid-dependence; treatment; contingency management; treatment compliance;

D O I：

10.1016/S0376-8716(98)00152-5

中图分类号：

R194 [卫生标准、卫生检查、医药管理];

学科分类号：

摘要：

The efficacy of a voucher-based incentive program for improving adherence to outpatient, thrice weekly naltrexone maintenance was tested in a three group, randomized, la-week clinical trial. Voucher incentives were given as follows: contingent group (n = 19) for each consecutive naltrexone dose ingested; non-contingent group (n = 19) on unpredictable schedule independently of taking naltrexone; no-voucher group (pr = 20) none. Vouchers were exchangeable for goods and services. The contingent group had significantly longer treatment retention and ingested significantly more doses of naltrexone (consecutive and total) than either control group. Voucher incentives can significantly increase adherence to naltrexone maintenance in recently detoxified opioid dependent individuals. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.

引用

页码：127 / 135

页数：9