A randomized controlled trial of the effects of working memory training in methadone maintenance patients

Rass, Olga; Schacht, Rebecca L.; Buckheit, Katherine; Johnson, Matthew W.; Strain, Eric C.; Mintzer, Miriam Z.

doi:10.1016/j.drugalcdep.2015.08.012

Cited by 82 publications

(97 citation statements)

References 101 publications

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“…Decreases in delay discounting following working memory training have been observed in treatment-seeking stimulant users (Bickel et al, 2011) as well as decreases in alcohol consumption in problem drinkers (Houben et al, 2011) and a longer duration of treatment effects among obese children (Verbeken et al, 2013). However, we note that some studies have failed to find a working memory training effect (e.g., Rass et al, 2015). …”

Section: Translates Knowledge Into Effective Behavior-change Intervenmentioning

confidence: 55%

Some current dimensions of the behavioral economics of health-related behavior change

Bickel

Moody

Higgins

2016

Preventive Medicine

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Health-related behaviors such as tobacco, alcohol and other substance use, poor diet and physical inactivity, and risky sexual practices are important targets for research and intervention. Health-related behaviors are especially pertinent targets in the United States, which lags behind most other developed nations on common markers of population health. In this essay we examine the application of behavioral economics, a scientific discipline that represents the intersection of economics and psychology, to the study and promotion of health-related behavior change. More specifically, we review what we consider to be some core dimensions of this discipline when applied to the study health-related behavior change. Behavioral economics (1) provides novel conceptual systems to inform scientific understanding of health behaviors, (2) translates scientific understanding into practical and effective behavior-change interventions, (3) leverages varied aspects of behavior change beyond increases or decreases in frequency, (4) recognizes and exploits trans-disease processes and interventions, and (5) leverages technology in efforts to maximize efficacy, cost effectiveness, and reach. These dimensions are overviewed and their implications for the future of the field discussed.

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Section: Translates Knowledge Into Effective Behavior-change Intervenmentioning

confidence: 55%

Some current dimensions of the behavioral economics of health-related behavior change

Bickel

Moody

Higgins

2016

Preventive Medicine

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“…We observed very high attendance rates when participants could earn a total of $240 for attendance over a 4-week period. Attendance compensation has also been included in prior studies with a similar sample/setting, yet reported lower attendance rates than found here (e.g., Bell, Vissicchio, & Weinstein, in press; Eack et al, 2015; Rass et al, 2015). The magnitude of compensation for attendance (which appears slightly higher than prior studies), in addition to weekly bonuses contingent on perfect attendance, likely contributed to the strong attendance rates in this study.…”

Section: 1 Discussionmentioning

confidence: 76%

“…Despite the strong evidence base on the effectiveness of CR for improving cognitive impairments among schizophrenic populations (McGurk, Twamley, Sitzer, McHugo, & Mueser, 2007; Medalia & Choi, 2009; Til Wykes, Huddy, Cellard, McGurk, & Czobor, 2011), tests of CR in individuals with SUDs have yielded mixed results. Some studies have shown training-related improvement in attention and working memory (e.g., Goldstein, Haas, Shemansky, Barnett, & Salmon-Cox, 2005; Rass et al, 2015; Rupp, Kemmler, Kurz, Hinterhuber, & Fleischhacker, 2012), and others limited or no cognitive benefit (e.g., Bickel, Yi, Landes, Hill, & Baxter, 2011; Peterson, Patterson, Pillman, & Battista, 2002). …”

Section: 1 Introductionmentioning

confidence: 99%

Performance-Based Contingency Management in Cognitive Remediation Training: A Pilot Study

Kiluk

Buck

Devore

et al. 2017

Journal of Substance Abuse Treatment

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Impairments in attention, working memory, and executive function are common among substance users and may adversely affect SUD treatment outcomes. The ability of cognitive remediation (CR) interventions to improve these deficits is hindered in part because levels of engagement in CR training may be inadequate to achieve benefit. This pilot study aimed to increase CR engagement and improve outcome by implementing contingency management (CM) procedures that reinforce performance improvements on CR tasks. Participants were forty individuals (50% male; 65% African American) in an outpatient substance use treatment facility with mild cognitive impairment who had ≥ 30-days of abstinence from alcohol and drugs. They were randomized to standard (CR-S; n = 21) or CM-enhanced (CR-CM; n = 19) cognitive remediation training. CR consisted of 1-hour sessions, three times per week for four weeks (12 sessions). A neuropsychological assessment battery was administered prior to and after the four-week intervention. Both groups had high rates of CR session attendance (mean CR-S = 11.7, CR-CM = 10.9 sessions). Performance on 8 of the 9 CR tasks significantly improved over time for both conditions, with the CR-CM condition demonstrating greater improvement on a CR Sequenced Recall task [F(1,37) = 5.81, p < .05]. Significant improvement was also evident on 4 of 9 neuropsychological assessment measures, with the CR-CM condition showing differential improvement on the Trail Making Test – Part B [F (1,37) = 5.34, p < .05]. These findings support the feasibility of using CM procedures to enhance substance users’ engagement with CR training and suggest the potential value of more research in this area.

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“…Like prospective memory, working memory is impaired in substance-using populations (Crean, Crane, & Mason, 2011; Jovanovski, Erb, & Zakzanis, 2005; Martin et al, 2003; Mintzer & Stitzer, 2002; Murphy, Wareing, Fisk, & Montgomery, 2009; Ornstein et al, 2000; Rendell et al, 2009). Working memory training programs have shown improvements in working memory, decision making, or drug-related outcomes in substance-using populations (Bickel, Yi, Landes, Hill, & Baxter, 2011; Houben, Wiers, & Jansen, 2011; Rass et al, 2015). Given the importance of working memory for implementation of intentions and for deficits in substance users, a prospective memory intervention would benefit from incorporating working memory training.…”

mentioning

confidence: 99%

Initial feasibility and validity of a prospective memory training program in a substance use treatment population.

Sweeney¹,

Rass²,

Johnson³

et al. 2016

Experimental and Clinical Psychopharmacology

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Individuals with substance use disorders have shown deficits in the ability to implement future intentions, called prospective memory. Deficits in prospective memory and working memory, a critical underlying component of prospective memory, likely contribute to substance use treatment failures. Thus, improvement of prospective memory and working memory in substance use patients is an innovative target for intervention. We sought to develop a feasible and valid prospective memory training program that incorporates working memory training and may serve as a useful adjunct to substance use disorder treatment. We administered a single session of the novel prospective memory and working memory training program to participants (n = 22; 13 male; 9 female) enrolled in outpatient substance use disorder treatment and correlated performance to existing measures of prospective memory and working memory. Generally accurate prospective memory performance in a single session suggests feasibility in a substance use treatment population. However, training difficulty should be increased to avoid ceiling effects across repeated sessions. Consistent with existing literature, we observed superior performance on event-based relative to time-based prospective memory tasks. Performance on the prospective memory and working memory training components correlated with validated assessments of prospective memory and working memory, respectively. Correlations between novel memory training program performance and established measures suggest that our training engages appropriate cognitive processes. Further, differential event- and time-based prospective memory task performance suggests internal validity of our training. These data support development of this intervention as an adjunctive therapy for substance use disorders.

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A randomized controlled trial of the effects of working memory training in methadone maintenance patients

Cited by 82 publications

References 101 publications

Some current dimensions of the behavioral economics of health-related behavior change

Some current dimensions of the behavioral economics of health-related behavior change

Performance-Based Contingency Management in Cognitive Remediation Training: A Pilot Study

Initial feasibility and validity of a prospective memory training program in a substance use treatment population.

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