Contingency Management for Attendance to Group Substance Abuse Treatment Administered by Clinicians in Community Clinics

Ledgerwood, David M.; Alessi, Sheila M.; Hanson, Tressa; Godley, Andrew; Petry, Nancy M.

doi:10.1901/jaba.2008.41-517

Cited by 68 publications

(71 citation statements)

References 23 publications

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“…In these situations, motivation of mothers to complete treatment was compromised and parenting practice opportunities at home were limited. We believe a formalized incentive program to assist mothers in treatment completion may have been helpful along these lines (Ledgerwood, Alessi, Hanson, Godley, & Petry, 2008). …”

Section: Discussionmentioning

confidence: 99%

A controlled evaluation of family behavior therapy in concurrent child neglect and drug abuse.

Donohue¹,

Azrin²,

Bradshaw³

et al. 2014

Journal of Consulting and Clinical Psychology

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Objective Approximately 50% of Child Protective Service (CPS) referrals abuse drugs; yet, existing treatment studies in this population have been limited to case examinations. Therefore, a family-based behavioral therapy was evaluated in mothers referred from CPS for child neglect and drug abuse utilizing a controlled experimental design. Method 72 mothers evidencing drug abuse or dependence and child neglect were randomly assigned to Family Behavior Therapy (FBT) or Treatment as Usual (TAU). Participants were assessed at baseline, 6- month-, and 10-month post-randomization. Results As hypothesized, intent-to-treat repeated measures analyses revealed mothers referred for child neglect not due to their children being exposed to illicit drugs demonstrated better outcomes in child maltreatment potential from baseline to 6- and 10-month post-randomization assessments when assigned to FBT, as compared with TAU mothers and FBT mothers who were referred due to child drug exposure. Similar results occurred for hard drug use from baseline to 6- and 10-month post-randomization. However, TAU mothers referred due to child drug exposure were also found to decrease their hard drug use more than TAU mothers of non-drug exposed children and FBT mothers of drug exposed children at 6- and 10-month post-randomization. Although effect sizes for mothers assigned to FBT were slightly larger for marijuana use than TAU (medium vs. large), these differences were not statistically significant. Specific to secondary outcomes, mothers in FBT, relative to TAU, increased time employed from baseline to 6- and 10-month post-randomization. Mothers in FBT, compared to TAU, also decreased HIV risk from baseline to 6-month post-randomization. There were no differences in outcome between FBT and TAU for number of days children were in CPS custody and alcohol intoxication, although FBT mothers demonstrated marginal decreases (p = .058) in incarceration from baseline to 6-month post-randomization relative to TAU mothers. Conclusion Family-based behavioral treatment programs offer promise in mothers who have been reported to CPS for concurrent substance abuse and child neglect of their children. However, continued intervention development in this population is very much needed.

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Section: Discussionmentioning

confidence: 99%

A controlled evaluation of family behavior therapy in concurrent child neglect and drug abuse.

Donohue¹,

Azrin²,

Bradshaw³

et al. 2014

Journal of Consulting and Clinical Psychology

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show abstract

“…For this reason, we caution readers not to over-interpret abstinence outcomes (Table 2), which are provided for descriptive purposes only. To address attrition, future studies should incorporate innovative techniques, such as retention-targeted contingency management (Carroll et al, 2006;Festinger, Marlowe, Dugosh, Croft, & Arabia, 2008;Ledgerwood, Alessi, Hanson, Godley, & Petry, 2008;Sinha, Easton, Renee-Aubin, & Caroll, 2003), and should be conservatively powered in anticipation of elevated dropout rates compared with adult studies.…”

Section: Discussionmentioning

confidence: 99%

Varenicline versus Bupropion XL for Smoking Cessation in Older Adolescents: A Randomized, Double-Blind Pilot Trial

Gray

Carpenter

Lewis

et al. 2011

Nicotine & Tobacco Research

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“…Such interventions are commonly referred to under the heading of Contingency Management (CM) in the substance abuse area (e.g., Higgins, Silverman, & Heil, 2008). These incentive-based interventions have been shown to be highly effective at producing healthy behavior change, including, for example, abstinence from substance abuse (Dallery, Glenn, & Raiff, 2007; Higgins et al, 1994), increases in physical activity (Kurti & Dallery, 2013; Pope & Harvey-Berino, 2013), greater medication adherence (Rigsby et al, 2000; Sorensen et al, 2007) and improvements in attendance at therapy sessions (Ledgerwood, Alessi, Hanson, Godley, & Petry, 2008). …”

mentioning

confidence: 99%

A review of the literature on remote monitoring technology in incentive-based interventions for health-related behavior change.

Kurti

Davis

Redner

et al. 2016

Translational Issues in Psychological Science

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Use of technology (e.g., Internet, cell phones) to allow remote implementation of incentives interventions for health-related behavior change is growing. To our knowledge, there has yet to be a systematic review of this literature reported. The present report provides a systematic review of the controlled studies where technology was used to remotely implement financial incentive interventions targeting substance use and other health behaviors published between 2004 and 2015. For inclusion in the review, studies had to use technology to remotely accomplish one of the following two aims alone or in combination: (a) monitor the target behavior, or (b) deliver incentives for achieving the target goal. Studies also had to examine financial incentives (e.g., cash, vouchers) for health-related behavior change, be published in peer-reviewed journals, and include a research design that allowed evaluation of the efficacy of the incentive intervention relative to another condition (e.g., non-contingent incentives, treatment as usual). Of the 39 reports that met inclusion criteria, 18 targeted substance use, 10 targeted medication adherence or home-based health monitoring, and 11 targeted diet, exercise, or weight loss. All 39 (100%) studies used technology to facilitate remote monitoring of the target behavior, and 26 (66.7%) studies also incorporated technology in the remote delivery of incentives. Statistically significant intervention effects were reported in 71% of studies reviewed. Overall, the results offer substantial support for the efficacy of remotely implemented incentive interventions for health-related behavior change, which have the potential to increase the cost-effectiveness and reach of this treatment approach.

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Contingency Management for Attendance to Group Substance Abuse Treatment Administered by Clinicians in Community Clinics

Cited by 68 publications

References 23 publications

A controlled evaluation of family behavior therapy in concurrent child neglect and drug abuse.

A controlled evaluation of family behavior therapy in concurrent child neglect and drug abuse.

Varenicline versus Bupropion XL for Smoking Cessation in Older Adolescents: A Randomized, Double-Blind Pilot Trial

A review of the literature on remote monitoring technology in incentive-based interventions for health-related behavior change.

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