Day treatment for cocaine dependence: incremental utility over outpatient counseling and voucher incentives.

Abstract:

:Urban, poor, crack cocaine-dependent clients were randomly assigned to outpatient addiction counseling (n=39) or day treatment (n=40). Participants in both conditions received equivalent individual cognitive-behavioral counseling and earned equivalent payment vouchers for providing cocaine-negative urine samples. However, day treatment participants attended significantly more psychoeducational and recreational groups and received two meals per day. Prior to random assignment, more participants expressed a preference for day treatment and participants were more likely to return for an initial appointment following assignment to day treatment. However, no significant between-groups differences in tenure or abstinence were detected during the 3-month course of treatment. These null findings were attributable to an absence of a dose-response effect for the group interventions in the day treatment condition. In addition, there may have been a ceiling effect from the vouchers, which masked the influence of the additional day treatment components.

journal_name

Addict Behav

journal_title

Addictive behaviors

authors

Marlowe DB,Kirby KC,Festinger DS,Merikle EP,Tran GQ,Platt JJ

doi

10.1016/s0306-4603(01)00248-9

keywords:

subject

Has Abstract

pub_date

2003-03-01 00:00:00

pages

387-98

issue

2

eissn

0306-4603

issn

1873-6327

pii

S0306460301002489

journal_volume

28

pub_type

临床试验,杂志文章,随机对照试验
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