Contingent reinforcement increases cocaine abstinence during outpatient treatment and 1 year of follow-up |
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Authors: | Higgins S T Wong C J Badger G J Ogden D E Dantona R L |
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Institution: | Department of Psychiatry, University of Vermont, Burlington 05401, USA. stephen.higgins@uvm.edu |
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Abstract: | This study assessed whether contingent incentives can be used to reinforce cocaine abstinence in dependent outpatients. Seventy cocaine-dependent outpatients were randomized into 2 conditions. All participants received 24 weeks of treatment and 1 year of follow-up. The treatment provided to all participants combined counseling based on the community reinforcement approach with incentives in the form of vouchers exchangeable for retail items. In 1 condition, incentives were delivered contingent on cocaine-free urinalysis results, whereas in the other condition incentives were delivered independent of urinalysis results. Abstinence-contingent incentives significantly increased cocaine abstinence during treatment and 1 year of follow-up compared with noncontingent incentives. |
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