Web-based behavioral treatment for substance use disorders as a partial replacement of standard methadone maintenance treatment.

Abstract:

:This study is the first experimental trial to evaluate the effectiveness of a Web-based behavioral intervention when deployed in a model where it partially substituted for standard counseling in a community-based specialty addiction treatment program. New opioid-dependent intakes in methadone maintenance treatment (n=160) were randomly assigned for 12months to either: (1) standard treatment or (2) reduced standard treatment plus a Web-based psychosocial intervention, the Therapeutic Education System (TES). Results demonstrated that replacing a portion of standard treatment with TES resulted in significantly greater rates of objectively measured opioid abstinence (48% vs. 37% abstinence across all study weeks; F(1, 158)=5.90, p<.05 and 59% vs. 43% abstinence on weeks participants provided urine samples for testing; F(1, 158)=8.81, p<.01). This result was robust and was evident despite how opioid abstinence was operationally defined and evaluated. The potential implications for service delivery models within substance abuse treatment programs and other healthcare entities are discussed.

journal_name

J Subst Abuse Treat

authors

Marsch LA,Guarino H,Acosta M,Aponte-Melendez Y,Cleland C,Grabinski M,Brady R,Edwards J

doi

10.1016/j.jsat.2013.08.012

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

43-51

issue

1

eissn

0740-5472

issn

1873-6483

pii

S0740-5472(13)00200-6

journal_volume

46

pub_type

杂志文章,随机对照试验
  • Substance use disorder treatment services for pregnant and postpartum women in residential and outpatient settings.

    abstract::The increasing prevalence of opioid use disorders among pregnant and postpartum women (PPW) has generated a need for greater availability of specialized programs offering evidence-based and comprehensive substance use disorder treatment services tailored to this population. In this study, we used data from the 2007 to...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2019.12.005

    authors: Meinhofer A,Hinde JM,Ali MM

    更新日期:2020-03-01 00:00:00

  • Comparing intentions to reduce substance use and willingness to seek help among transgender and cisgender participants from the Global Drug Survey.

    abstract:INTRODUCTION:Transgender (trans) people experience stressors related to their minority status which have been associated with increased rates of psychoactive substance use and related harm. Despite this, there is a paucity of evidence relating to the treatment needs of trans people who use psychoactive substances, beyo...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2020.03.001

    authors: Connolly D,Davies E,Lynskey M,Barratt MJ,Maier L,Ferris J,Winstock A,Gilchrist G

    更新日期:2020-05-01 00:00:00

  • Childhood sexual abuse characteristics, intimate partner violence exposure, and psychological distress among women in methadone treatment.

    abstract::Traumatic experiences and their biopsychosocial sequelae present complex challenges in substance use treatment. For women with substance use problems, childhood sexual abuse (CSA), intimate partner violence exposure (IPV), posttraumatic stress disorder (PTSD), and overall psychological distress are often co-occurring ...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2012.01.005

    authors: Engstrom M,El-Bassel N,Gilbert L

    更新日期:2012-10-01 00:00:00

  • Gender differences in the impact of comprehensive services in substance abuse treatment.

    abstract::This study examines the impact of comprehensive services on treatment outcomes for women and men. The study uses data collected from 1992 to 1997 for the National Treatment Improvement Evaluation Study, a prospective, cohort study of substance abuse treatment programs and their clients. The analytic sample consists of...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2004.08.004

    authors: Marsh JC,Cao D,D'Aunno T

    更新日期:2004-12-01 00:00:00

  • Gender differences in income after substance abuse treatment.

    abstract::This study asked whether men and women who enrolled in substance use treatment reported similar changes in income from work, public assistance, and crime over time. Income data were analyzed for 261 substance users (77 women, 184 men) who entered day or residential treatment, and completed Addiction Severity Index mea...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/s0740-5472(01)00163-5

    authors: Oggins J,Guydish J,Delucchi K

    更新日期:2001-04-01 00:00:00

  • Influence of a targeted performance measure for brief intervention on gender differences in receipt of brief intervention among patients with unhealthy alcohol use in the Veterans Health Administration.

    abstract:AIMS:Women are less likely than men to receive brief intervention (BI) for unhealthy alcohol use. In 2007, the U.S. Veterans Health Administration (VA) used a national performance measure to implement BI. Although AUDIT-C scores ≥3 for women and ≥4 for men optimize sensitivity and specificity for identifying unhealthy ...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2017.07.009

    authors: Williams EC,Lapham GT,Rubinsky AD,Chavez LJ,Berger D,Bradley KA

    更新日期:2017-10-01 00:00:00

  • Correlates of lifetime blunt/spliff use among cigarette smokers in substance use disorders treatment.

    abstract:BACKGROUND:Co-use of tobacco and cannabis has been associated with greater dependence on and lower quit rates for both substances. Tobacco/cannabis co-use among individuals with substance use disorders (SUDs), a population with high rates of cigarette smoking, may hinder the effectiveness of smoking cessation intervent...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2020.108064

    authors: Campbell BK,Le T,Kapiteni K,Gubner NR,Guydish J

    更新日期:2020-09-01 00:00:00

  • Directly administered antiretroviral therapy: pilot study of a structural intervention in methadone maintenance.

    abstract::Devising interventions to provide integrated treatment for addiction and medical problems is an urgent issue. This study piloted a structural intervention, Directly Administered Antiretroviral Therapy (DAART), to assist methadone-maintenance patients in HIV medication adherence. Twenty-four participants received: (1) ...

    journal_title:Journal of substance abuse treatment

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.jsat.2012.08.014

    authors: Sorensen JL,Haug NA,Larios S,Gruber VA,Tulsky J,Powelson E,Logan DP,Shapiro B

    更新日期:2012-12-01 00:00:00

  • Assessing Change Readiness and Treatment Eagerness among Psychoactive Substance Users in Northern Nigeria.

    abstract::Studies on psychoactive substance use in Nigeria had focused on prevalence and rarely on treatment implication(s) of large rates reported. Further challenge was to find suitable instruments to monitor change readiness as well as predict treatment outcomes along motivation continuum and according to resilience characte...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2015.06.012

    authors: Abiola T,Udofia O,Sheikh TL,Sanni K

    更新日期:2015-11-01 00:00:00

  • Impact of psychiatric comorbidity on treatment of adolescent drug abusers.

    abstract::Comorbidity of substance abuse disorders (SUD) and psychiatric disorders is one of the most important areas of investigation in contemporary drug abuse treatment research. This study examined the impact of psychiatric comorbidity on the treatment of 182 adolescent drug abusers in a randomized clinical trial comparing ...

    journal_title:Journal of substance abuse treatment

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/S0740-5472(03)00166-1

    authors: Rowe CL,Liddle HA,Greenbaum PE,Henderson CE

    更新日期:2004-03-01 00:00:00

  • A controlled trial of amlodipine for cocaine dependence: a negative report.

    abstract::Preclinical models of cocaine dependence have shown favorable reductions in cocaine use using dihydropyridine calcium channel antagonists. This is one of the first reports testing the efficacy of the long-acting calcium channel antagonist, amlodipine, for the treatment of cocaine dependence. This was a 12-week, double...

    journal_title:Journal of substance abuse treatment

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.jsat.2004.12.006

    authors: Malcolm R,LaRowe S,Cochran K,Moak D,Herron J,Brady K,Hedden S,Woolson R,Halushka P

    更新日期:2005-03-01 00:00:00

  • Measurement of self-reported HIV risk behaviors in injection drug users: comparison of standard versus timeline follow-back administration procedures.

    abstract::This study compares the frequencies of retrospective self-reported HIV high-risk drug use and sexual behaviors in 127 out-of-treatment injection drug users using the HIV Risk Questionnaire (HRQ) across two administration methods: (a) a brief standard quantity-frequency approach covering the past 30 days and (b) a leng...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2009.06.004

    authors: Copersino ML,Meade CS,Bigelow GE,Brooner RK

    更新日期:2010-01-01 00:00:00

  • Reimagining patient-centered care in opioid treatment programs: Lessons from the Bronx during COVID-19.

    abstract::Opioid treatment programs (OTPs) operate within a rigid set of clinical guidelines and regulations that specify the number of required OTP visits for supervised administration of methadone. To ensure physical distancing in light of COVID-19, the federal government loosened regulations to allow for additional flexibili...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2020.108219

    authors: Joseph G,Torres-Lockhart K,Stein MR,Mund PA,Nahvi S

    更新日期:2021-03-01 00:00:00

  • When women resist treatment: approaches for counselors.

    abstract::This article focuses on the problem of treatment resistance in women. Causes are explored, including psychological and situational factors. Techniques for recognizing and reducing resistance are offered, including implications for treatment planning and program design. Counselors are given a sense of perspective that ...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/0740-5472(84)90052-7

    authors: Wildwind L

    更新日期:1984-01-01 00:00:00

  • Predictors of success in smoking cessation among Italian adults motivated to quit.

    abstract::We examined the role of sexual gender, age, working status, education, cigarettes per day, Fagerström test, age of onset, pharmacologic intervention (bupropion or varenicline), 10 sessions of cognitive-behavioral group counseling therapy (GCT) conducted over 6 weeks, and level of attendance of the counseling program a...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2012.12.004

    authors: Iliceto P,Fino E,Pasquariello S,D'Angelo Di Paola ME,Enea D

    更新日期:2013-05-01 00:00:00

  • Treatment readiness training and probationers' evaluation of substance abuse treatment in a criminal justice setting.

    abstract::Clients who are legally coerced into substance abuse treatment often have low intrinsic motivation to participate, are less ready for treatment, and are consequently more problematic to treat and less satisfied with their treatment than are voluntary clients. A set of readiness training activities, designed to promote...

    journal_title:Journal of substance abuse treatment

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0740-5472(00)00139-2

    authors: Sia TL,Dansereau DF,Czuchry ML

    更新日期:2000-12-01 00:00:00

  • Patterns of drinking and drinking outcomes among drug misusers. 1-year follow-up results.

    abstract::This article investigates patterns of drinking and drinking outcomes among 753 drug-misusing clients recruited to the National Treatment Outcome Research Study (NTORS). More than one third of those who were drinking at intake reported problematic or highly problematic patterns of alcohol consumption. About one third o...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0740-5472(99)00097-5

    authors: Gossop M,Marsden J,Stewart D,Rolfe A

    更新日期:2000-07-01 00:00:00

  • Recovery and URICA stage-of-change scores in three marijuana treatment studies.

    abstract::Data from three outpatient studies of treatment of marijuana dependence were used to test whether behavior change parallels stage movement in the transtheoretical model of change (TMC). This study examined one putative assumption of the TMC: individuals remaining in the preaction stages of change (i.e., precontemplati...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2008.03.004

    authors: Callaghan RC,Taylor L,Moore BA,Jungerman FS,Vilela FA,Budney AJ

    更新日期:2008-12-01 00:00:00

  • "Painting a picture of the client": implementing the Addiction Severity Index in community treatment programs.

    abstract::This article discusses the implementation of the Drug Evaluation Network System (DENS) version of the Addiction Severity Index (ASI) among substance abuse treatment providers in Los Angeles County. Thirty-two trained and certified treatment professionals from 14 programs participated in focus group interviews about th...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2005.08.005

    authors: Spear SE,Brown AH,Rawson RA

    更新日期:2005-12-01 00:00:00

  • Recovery training and self help: a relapse-prevention program for treated opiate addicts.

    abstract::Recovery Training and Self Help (RTSH) is a new form of psychosocial treatment for drug addiction. Developed as an outpatient group aftercare modality for opiate addicts in New England and Hong Kong, it significantly reduced the probability of relapse to illicit opiates and helped unemployed subjects find work. Based ...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/0740-5472(86)90003-6

    authors: McAuliffe WE,Ch'ien JM

    更新日期:1986-01-01 00:00:00

  • A pilot study of Counsel to Quit®: Evaluating an Ask Advise Refer (AAR)-based tobacco cessation training for medical and mental healthcare providers.

    abstract:INTRODUCTION:Despite tobacco use as the largest preventable cause of premature death in the US, many healthcare providers continue to lack the knowledge and confidence in employing the Ask, Advise, Refer (AAR) model in tobacco cessation treatment delivery. This pilot study evaluated the feasibility and effectiveness of...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2019.01.024

    authors: Chavarria J,Liu M,Kast L,Salem E,King AC

    更新日期:2019-04-01 00:00:00

  • What works for whom and why: A narrative systematic review of interventions for reducing post-traumatic stress disorder and problematic substance use among women with experiences of interpersonal violence.

    abstract:BACKGROUND AND AIMS:Women with histories of interpersonal violence (IPV) experience high levels of post-traumatic stress disorder (PTSD), problematic substance use, and repeat victimization. Previous systematic reviews considering the effectiveness of integrated trauma-specific treatments to address PTSD and substance ...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2018.12.007

    authors: Bailey K,Trevillion K,Gilchrist G

    更新日期:2019-04-01 00:00:00

  • An inpatient profile of patients with a substance abuse diagnosis in Maryland.

    abstract::We provide a descriptive analysis of patients with a substance abuse diagnosis in Maryland hospitals in 1991. The intent of the study was not to model relationships between substance abuse and other outcomes (e.g., length of stay), but was to obtain a better understanding of the population receiving inpatient care and...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/s0740-5472(96)00124-9

    authors: Bradley CJ,Zarkin GA

    更新日期:1997-03-01 00:00:00

  • A naturalistic follow-up study of French-speaking opiate-maintained heroin-addicted patients: effect on biopsychosocial status.

    abstract::The purpose of this study was to evaluate the impact of opiate maintenance pharmacotherapy (OMP) on the biopsychosocial status of opiate-addicted patients in a cultural environment (France) that is not favorable to OMP and where methadone is not available. Buprenorphine and laudanum (opium tincture), which, to our kno...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/0740-5472(94)90008-6

    authors: Auriacombe M,Grabot D,Daulouède JP,Vergnolle JP,O'Brien C,Tignol J

    更新日期:1994-11-01 00:00:00

  • The role of perceived treatment need in explaining racial/ethnic disparities in the use of substance abuse treatment services.

    abstract:OBJECTIVE:The current study examined the role of perceived treatment need in explaining racial/ethnic disparities in treatment utilization for a substance use disorder (SUD). METHODS:We pooled data from the National Survey on Drug Use and Health survey for years 2014-2017. The analytic sample included adult white, Bla...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2020.108105

    authors: Pinedo M,Villatoro AP

    更新日期:2020-11-01 00:00:00

  • Relationship between time spent in treatment and client outcomes from therapeutic communities.

    abstract::Research found that therapeutic communities and other types of residential programs are effective in reducing drug use, unemployment, and criminal behavior and that length of time spent in treatment is an important predictor of client outcomes from programs. Studies vary considerably, however, in terms of the amount o...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/0740-5472(94)90061-2

    authors: Condelli WS,Hubbard RL

    更新日期:1994-01-01 00:00:00

  • Conditioned responses in a methadone population. A comparison of laboratory, clinic, and natural settings.

    abstract::The incidence of conditioned high, craving, and withdrawal in methadone-maintained patients was compared across three settings: an artificial laboratory setting, clinic extinction sessions, and in self-reports from the natural home environment. A significant proportion of methadone patients showed increased craving an...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/0740-5472(86)90018-8

    authors: Childress AR,McLellan AT,O'Brien CP

    更新日期:1986-01-01 00:00:00

  • Contextual barriers to successful reentry of recovering drug offenders.

    abstract::Recidivism among recovering ex-offenders is usually conceptualized as an outcome of the interplay between personal traits and treatment interventions. This focus on the individual, to the exclusion of the sociolegal context in which recovery and reintegration take place, has limited extant policy initiatives. Recidivi...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2006.05.010

    authors: Sung HE,Richter L

    更新日期:2006-12-01 00:00:00

  • Community opioid treatment perspectives on contingency management: perceived feasibility, effectiveness, and transportability of social and financial incentives.

    abstract::Treatment community reluctance toward contingency management (CM) may be better understood by eliciting views of its feasibility, effectiveness, and transportability when social versus financial incentives are utilized. This mixed method study involved individual staff interviews representing three personnel tiers (an...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2013.01.014

    authors: Hartzler B,Rabun C

    更新日期:2013-08-01 00:00:00

  • The role of vocational behaviors preceding and during 12-step oriented treatment.

    abstract::This study examined the role of vocational behaviors in the treatment of 80 crack users. The study had two general aims: (a) to predict which crack users had acquired jobs after 30 days in treatment; and (b) to examine if vocational behaviors assessed at admission and follow-up accounted for variations in recovery mot...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/s0740-5472(97)00177-3

    authors: Kingree JB

    更新日期:1997-11-01 00:00:00