Abstract:
OBJECTIVES:Contingency management (CM) is a treatment for substance misuse that involves the provision of incentives. This review examines the hypothesis that adding another formal psychotherapy, such as cognitive-behavioural therapy (CBT) or motivational enhancement therapy (MET), to CM improves substance use outcomes at both treatment end and at post-treatment follow-up compared with CM only. DATA SOURCES:Searches were performed in December 2017 and July 2019 of seven electronic bibliographic databases (MEDLINE, PsycINFO, EMBASE, Scopus, Web of Science, CINAHL, PsycEXTRA), as well as online trial registries and EThoS, and were followed by reference list screening. ELIGIBILITY CRITERIA:Included studies were randomised controlled trials of adults (18-65) who were using illicit substances, alcohol or tobacco. Studies featured an experimental arm delivering CM combined with a structured evidence-based psychotherapeutic intervention and a CM-only arm. Studies published up to July 2019 were included. DATA EXTRACTION AND SYNTHESIS:The primary outcome was biometrically verified point prevalent abstinence (PPA) at treatment end. Secondary outcomes included biometrically verified PPA at post-treatment follow-up and self-reported days of use at treatment end and post-treatment follow-up. Pooled risk ratios for PPA outcomes and standardised mean differences for days of use were calculated using random effects models. Risk of bias was assessed using the Grading of Recommendations Assessment, Development and Evaluation. RESULTS:12 studies (n=1654) were included. The primary analysis found no evidence of a synergistic effect in PPA at treatment end (relative risk (RR) 0.97, 95% CI 0.85 to 1.09; p=0.57). Sensitivity analysis of studies featuring CBT/MET also found no evidence of an effect (RR 0.92; 95% CI 0.79 to 1.08; p=0.32). None of the secondary outcomes showed any evidence of benefit. CONCLUSION:The results of the meta-analyses found no evidence that combining CM with another intervention improves the short-term or long-term effects of CM treatment.
journal_name
BMJ Openjournal_title
BMJ openauthors
Sheridan Rains L,Steare T,Mason O,Johnson Sdoi
10.1136/bmjopen-2019-034735subject
Has Abstractpub_date
2020-10-08 00:00:00pages
e034735issue
10issn
2044-6055pii
bmjopen-2019-034735journal_volume
10pub_type
杂志文章相关文献
BMJ Open文献大全abstract:OBJECTIVE:To review the epidemiology of pertussis-related intensive care unit (ICU) admissions across Australia, over a 17-year period. DESIGN:Retrospective descriptive study. SETTING:Australian ICUs contributing data to the Australian and New Zealand Paediatric Intensive Care (ANZPIC) Registry. The number of contrib...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010386
更新日期:2016-04-06 00:00:00
abstract:OBJECTIVES:To explore the effect of interaction between ACE genotype and salt intake on hypertension among Chinese Kazakhs, and to compare applications of interactions between logistic model and generalised partially linear tree-based regression (GPLTR) model. DESIGN:Population-based cross-sectional study. SETTING:Ho...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-014246
更新日期:2017-05-17 00:00:00
abstract:INTRODUCTION:Smokeless tobacco (ST) was consumed by 356 million people globally in 2017. Recent evidence shows that ST consumption is responsible for an estimated 652 494 all-cause deaths across the globe annually. The WHO Framework Convention on Tobacco Control (FCTC) was negotiated in 2003 and ratified in 2005 to imp...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-042860
更新日期:2020-12-24 00:00:00
abstract:INTRODUCTION:Carotid intima-media thickness (CIMT) is a surrogate marker of atherosclerosis that is measured in adults and children to better understand the natural history of cardiovascular disease (CVD). In adults, CIMT is predictive of myocardial infarction and stroke. In children and adolescents, CIMT is used to as...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019644
更新日期:2018-06-04 00:00:00
abstract:OBJECTIVE:To describe pattern 1 injuries caused by the antipersonnel improvised explosive device (AP-IED) in comparison to those previously described for antipersonnel mines (APM). DESIGN:Prospective cohort study of 100 consecutive pedestrian victims of an AP-IED, with traumatic amputation without regard for gender, n...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-014697
更新日期:2017-08-07 00:00:00
abstract:OBJECTIVES:Injury is an important issue in public health. Spinal curvature disorders are deformities characterised by excessive curves of the spine. The prevalence of spinal curvature disorders is not low, but its relationship with injury has not been studied. The aim of this study is to investigate whether spinal curv...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023604
更新日期:2019-01-17 00:00:00
abstract:INTRODUCTION:HIV epidemic is increasing among men who have sex with men (MSM) in China, yet HIV testing uptake remains low. As an emerging approach, HIV self-testing (HIVST) has the potential to promote HIV testing coverage and frequency in this population. However, evidence of the effectiveness on implementation of HI...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2018-024423
更新日期:2018-12-14 00:00:00
abstract:OBJECTIVES:Estimate the prevalence of genital warts (GW) and GW-related healthcare resource use and costs among male and female patients seeking treatment in South Korea. DESIGN:To estimate GW prevalence, physicians in five major South Korean regions recorded daily logs of patients (n=71 655) seeking care between July...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-014217
更新日期:2017-07-02 00:00:00
abstract:INTRODUCTION:Repetitive transcranial magnetic stimulation (rTMS), a non-invasive brain stimulation approach, might be a promising technique in the management of insomnia. A systematic review of the available literature on this topic is warranted. The systematic review described in this protocol aims to investigate the ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029206
更新日期:2019-07-16 00:00:00
abstract:OBJECTIVES:This study aims to provide a comprehensive description of noise levels in operating rooms (ORs) in a tertiary care hospital in China. Additionally, the study aims to examine the deviation in noise levels from international and internal standards as well as the differences in noise levels by category of surge...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-016316
更新日期:2017-09-18 00:00:00
abstract:OBJECTIVES:Cancer is the leading cause of death among Asian Americans. Chinese Americans comprise the largest Asian American ethnic group. Low health literacy (LHL) is associated with lower cancer screening rates, but this association has not been studied in Chinese Americans. We examined the relationship between LHL a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006104
更新日期:2015-01-05 00:00:00
abstract:OBJECTIVE:To examine the associations between consumption of sweetened products, daytime sleepiness (DS) and psychological distress (PD) in a Catholic Middle-Eastern Canadian community, and to test the hypothesis that the association between DS and consumption of sweetened products is mediated by PD. DESIGN:A cross-se...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-002298
更新日期:2013-02-13 00:00:00
abstract:OBJECTIVE:American Indians (AI) have a high prevalence of electronic nicotine delivery system (ENDS) use. However, little information exists on (ENDS) use, either alone or in combination with cigarettes (dual use), among AI. The objective of this small-scaled study was to examine use behaviours and dependence among exc...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-018469
更新日期:2017-12-19 00:00:00
abstract:OBJECTIVES:To examine the prevalence of binge drinking in adolescence and its persistence into adulthood in an Australian cohort. DESIGN:15-year prospective cohort study. SETTING:Victoria, Australia. PARTICIPANTS:1943 adolescents were recruited from secondary schools at age 14-15 years. PRIMARY OUTCOME MEASURES:Lev...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003015
更新日期:2013-08-19 00:00:00
abstract:INTRODUCTION:Social participation is an important part of a young person's life. It influences the social experience, social-emotional development and dimensions of competence experience. This applies to people with or without physical disabilities or chronic diseases. Currently, there is no reliable assessment tool fo...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028529
更新日期:2019-02-24 00:00:00
abstract:OBJECTIVES:To assess people's procedural preferences for making medical surrogate decisions, from the perspectives of both a potential surrogate and an incapacitated patient. DESIGN:Computer-assisted telephone interviews. Respondents were randomly assigned either the role of an incapacitated patient or that of a poten...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-022289
更新日期:2018-07-25 00:00:00
abstract:INTRODUCTION:Health literacy research has focused predominantly on the adult population, and much less is understood about this concept from an adolescent perspective. The tools currently available to measure adolescent health literacy have been adapted from adult versions. This limits their applicability to young peop...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039920
更新日期:2020-11-11 00:00:00
abstract:INTRODUCTION:Cancer is one of the leading causes of death globally and many jurisdictions have developed population-based cancer screening programmes to reduce the public health burden of disease. However, screening participation remains suboptimal. Social media and other mobile health (mHealth) technologies are increa...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035411
更新日期:2020-02-05 00:00:00
abstract:INTRODUCTION:Evidence from animal studies suggest that the rate of ageing may be influenced not only by genetic and lifestyle factors, but also by the prenatal environment. We have previously shown that people who were exposed to famine during early gestation performed worse on a selective attention task, which may be ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003167
更新日期:2013-06-20 00:00:00
abstract:OBJECTIVE:Conduct an economic evaluation based on best currently available evidence comparing alternative treatments levonorgestrel-releasing intrauterine system, depot-medroxyprogesterone acetate, combined oral contraceptive pill (COCP) and 'no treatment' to prevent recurrence of endometriosis after conservative surge...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010580
更新日期:2016-04-15 00:00:00
abstract:OBJECTIVES:People interact with their work environment through being, to a greater or lesser extent, compatible with aspects of their setting. This interaction between person and environment is particularly relevant in healthcare settings where compatibility affects not only the healthcare professionals, but also poten...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026266
更新日期:2019-05-09 00:00:00
abstract:INTRODUCTION:This protocol describes an observational study which set out to assess whether frailty and/or multimorbidity correlates with short-term and medium-term outcomes in patients diagnosed with COVID-19 in a European, multicentre setting. METHODS AND ANALYSIS:Over a 3-month period we aim to recruit a minimum of...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040569
更新日期:2020-09-29 00:00:00
abstract:INTRODUCTION:Sarcopenia (or loss of muscle mass and function) is a relatively new area within the field of musculoskeletal research and medicine. Investigating whether there is a social gradient, including occupation type and income level, of sarcopenia, as observed for other diseases, will contribute significantly to ...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2017-019088
更新日期:2018-01-13 00:00:00
abstract:INTRODUCTION:Osteoarthritis (OA) is the leading cause of disability and pain in older adults. Although increasing physical activity (PA) can help reduce symptoms, patients with lower-limb OA are less active than the general public. Although physiotherapists commonly deliver PA programmes, they lack knowledge of key bar...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029199
更新日期:2019-10-28 00:00:00
abstract:OBJECTIVE:The development of cynicism in medicine, defined as a decline in empathy and emotional neutralisation during medical training, is a significant concern for medical educators. We sought to use online medical student discussion groups to provide insight into how cynicism in medicine is perceived, the consequenc...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-022883
更新日期:2018-10-18 00:00:00
abstract:OBJECTIVE:Nearly 100 000 primary total knee replacements (TKR) are performed in the UK annually. The primary aim of TKR is pain relief, but 10%-34% of patients report chronic pain. The aim of this systematic review was to evaluate the effectiveness of presurgical interventions in preventing chronic pain after TKR. DES...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033248
更新日期:2020-01-20 00:00:00
abstract:OBJECTIVE:To explore whether a preconsultation web-based intervention enables patients with diabetes to articulate their agenda in a consultation in the hospital outpatient clinic with their diabetologist. METHODS AND DESIGN:A qualitative study embedded in a pragmatic pilot randomised controlled trial. SETTING:Two ci...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2018-026588
更新日期:2019-06-14 00:00:00
abstract:OBJECTIVES:To analyse the completeness of reporting of blinding in randomised controlled trials (RCTs) of interventions in anaesthesiology, the actual blinding status of various persons associated with an RCT and trial authors' interpretation of blinding terminology related to RCTs. METHODS:This was a methodological s...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035168
更新日期:2020-04-12 00:00:00
abstract:OBJECTIVE:To examine the impact of caesarean section on breastfeeding indicators-early initiation of breastfeeding, exclusive breastfeeding under 6 months and children ever breastfed (at least once)-in sub-Saharan Africa. DESIGN:Secondary analysis of Demographic and Health Surveys (DHS). SETTING:Thirty-three low-inco...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2018-027497
更新日期:2019-09-04 00:00:00
abstract:OBJECTIVE:To identify associations between the weight groups underweight (UW), overweight (OW) and obesity (OB) at 5 years of age and exposures related to pregnancy, anthropometric measures at birth, sociodemographic factors, and family health, anthropometric measures and habits. DESIGN:Regional cohort study. SETTING...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-014548
更新日期:2017-08-18 00:00:00