Improvement in naltrexone treatment compliance with contingency management

Improvement in naltrexone treatment compliance with contingency management The efficacy of a voucher-based incentive program for improving adherence to outpatient, thrice weekly naltrexone maintenance was tested in a three group, randomized, 12-week clinical trial. Voucher incentives were given as follows: contingent group ( n =19) for each consecutive naltrexone dose ingested; non-contingent group ( n= 19) on unpredictable schedule independently of taking naltrexone; no-voucher group ( n= 20) none. Vouchers were exchangeable for goods and services. The contingent group had significantly longer treatment retention and ingested significantly more doses of naltrexone (consecutive and total) than either control group. Voucher incentives can significantly increase adherence to naltrexone maintenance in recently detoxified opioid dependent individuals. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Drug and Alcohol Dependence Elsevier

Improvement in naltrexone treatment compliance with contingency management

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Publisher
Elsevier
Copyright
Copyright © 1999 Elsevier Science Ireland Ltd
ISSN
0376-8716
DOI
10.1016/S0376-8716(98)00152-5
Publisher site
See Article on Publisher Site

Abstract

The efficacy of a voucher-based incentive program for improving adherence to outpatient, thrice weekly naltrexone maintenance was tested in a three group, randomized, 12-week clinical trial. Voucher incentives were given as follows: contingent group ( n =19) for each consecutive naltrexone dose ingested; non-contingent group ( n= 19) on unpredictable schedule independently of taking naltrexone; no-voucher group ( n= 20) none. Vouchers were exchangeable for goods and services. The contingent group had significantly longer treatment retention and ingested significantly more doses of naltrexone (consecutive and total) than either control group. Voucher incentives can significantly increase adherence to naltrexone maintenance in recently detoxified opioid dependent individuals.

Journal

Drug and Alcohol DependenceElsevier

Published: Apr 1, 1999

References

  • Naltrexone pharmacotherapy for opioid dependent federal probationers
    Cornish, J.W.; Metzger, D.; Woody, G.E.
  • High-dose naltrexone and liver function safety
    Marrazzi, M.A.; Wroblewski, J.M.; Kinzie, J.; Luby, E.D.
  • The criminality of narcotic addicts
    Nurco, D.N.; Ball, J.C.; Shaffer, J.W.; Hanlon, T.E.
  • Naltrexone in the treatment of alcoholism: a clinical review
    O’Brien, C.P.; Volpicelli, L.A.; Volpicelli, J.R.
  • Increasing opiate abstinence through voucher-based reinforcement therapy
    Silverman, K.; Wong, C.J.; Higgins, S.T.

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