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Medicine and Health Sciences

UCHC Articles - Research

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Contingency management

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Prize Contingency Management For Smoking Cessation: A Randomized Trial, Nancy M. Petry, Sheila M. Alessi Jul 2014

Prize Contingency Management For Smoking Cessation: A Randomized Trial, Nancy M. Petry, Sheila M. Alessi

UCHC Articles - Research

Abstract

Background

Adjunctive behavioral smoking cessation treatments have the potential to improve outcomes beyond standard care. The present study had two aims: 1) compare standard care (SC) for smoking (four weeks of brief counseling and monitoring) to SC plus prize-based contingency management (CM), involving the chance to earn prizes on days with demonstrated smoking abstinence (carbon monoxide (CO) ≤6ppm); and 2) compare the relative efficacy of two prize reinforcement schedules - one a traditional CM schedule, and the second an early enhanced CM schedule providing greater reinforcement magnitude in the initial week of treatment but equal overall reinforcement.

Methods

Participants …


Contingency Management Delivered By Community Therapists In Outpatient Settings, Nancy M. Petry, Sheila M. Alessi Mar 2012

Contingency Management Delivered By Community Therapists In Outpatient Settings, Nancy M. Petry, Sheila M. Alessi

UCHC Articles - Research

Abstract

Background

Few community-based clinicians have been trained to deliver contingency management (CM) treatments, and little data exist regarding the efficacy of CM when administered by clinicians.

Method

Fifteen clinicians from four intensive outpatient treatment programs received training in CM. Following a didactics seminar and a period in which clinicians delivered CM to pilot patients while receiving weekly supervision, clinicians treated 43 patients randomized to standard care or CM, without supervision. In both treatment conditions, urine and breath samples were collected up to twice weekly for 12 weeks, and CM patients earned the opportunity to win prizes ranging in value …


Identifying Provider Beliefs Related To Contingency Management Adoption Using The Contingency Management Beliefs Questionnaire, Carla J. Rash, Nancy M. Petry Mar 2012

Identifying Provider Beliefs Related To Contingency Management Adoption Using The Contingency Management Beliefs Questionnaire, Carla J. Rash, Nancy M. Petry

UCHC Articles - Research

Abstract

Background

Contingency management (CM) is a widely recognized empirically-supported addiction treatment; however, dissemination and adoption of CM into routine clinical practice has been slow. Assessment of beliefs about CM may highlight key barriers and facilitators of adoption and inform dissemination efforts. In the present study, we developed a 35-item questionnaire (Contingency Management Beliefs Questionnaire; CMBQ) assessing CM beliefs and examined the relation of these beliefs to clinician characteristics and clinical practices.

Methods

The web-based study was completed by 617 substance abuse treatment providers. We examined the factor structure using exploratory factor analysis (EFA) in a randomly selected half-sample ( …


The Impact Of Contingency Management On Quality Of Life Among Cocaine Abusers With And Without Alcohol Dependence, Nancy M. Petry, Sheila M. Alessi, Leonardo F. Andrade Jan 2012

The Impact Of Contingency Management On Quality Of Life Among Cocaine Abusers With And Without Alcohol Dependence, Nancy M. Petry, Sheila M. Alessi, Leonardo F. Andrade

UCHC Articles - Research

The use of quality of life measures (QOL) in substance abuse treatment research is important because it may lead to a broader understanding of patients’ health status and effects of interventions. Despite the high rates of comorbid cocaine and alcohol use disorders, little is known about the QOL of this population, and even less about the impact of an efficacious behavioral treatment, contingency management (CM), on QOL. In this study, data from three clinical trials were retrospectively analyzed to examine QOL in outpatient cocaine abusers with and without alcohol dependence (AD) and the impact of CM on QOL over time …


Increased Drinking In A Trial Of Treatments For Marijuana Dependence: Substance Substitution?, Ronald M. Kadden, Mark D. Litt, Elise Kabela-Cormier, Nancy M. Petry Oct 2009

Increased Drinking In A Trial Of Treatments For Marijuana Dependence: Substance Substitution?, Ronald M. Kadden, Mark D. Litt, Elise Kabela-Cormier, Nancy M. Petry

UCHC Articles - Research

This report examines whether participants in a study of treatments for marijuana dependence may have increased their use of alcohol when they reduced or ceased marijuana use. Participants were randomly assigned to one of four psychosocial treatments and followed at 3-month intervals for one-year. Findings are from 207 cases with data at posttreatment and at least one other follow-up. 73% of cases reported an increase of at least 10% in drinking days over their level at intake, and 65% reported an increase of at least 10% in drinks per drinking day. Drinking increases were not related to treatment condition nor …