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Prize-based contingency management for the treatment of substance abusers: a meta-analysis.
- Source :
-
Addiction . Sep2014, Vol. 109 Issue 9, p1426-1436. 11p. 1 Diagram, 1 Chart, 3 Graphs. - Publication Year :
- 2014
-
Abstract
- Aim To review randomized controlled trials to assess efficacy of a prize-based contingency management procedure in reducing substance use (where a drug-free breath or urine sample provides a chance of winning a prize). Methods A meta-analysis was conducted on papers published from January 2000 to February 2013 to determine the effect size of studies comparing prize-based contingency management to a treatment-as-usual control condition (k = 19 studies). Parallel analyses evaluated the efficacy of both short- (k = nine studies) and long-term outcomes (k = six studies) of prize-based contingency management. Results The average end-of-treatment effect size (Cohen’s d) was 0.46 [95% confidence interval (CI) = 0.37, 0.54]. This effect size decreased at the short-term (≤3-month) post-intervention follow-up to 0.33 (95% CI = 0.12, 0.54) and at the 6-month follow-up time-point there was no detectable effect [d = −0.09 (95% CI = −0.28, 0.10)]. Conclusion Adding prize-based contingency management to behavioral support for substance use disorders can increase short-term abstinence, but the effect does not appear to persist to 6 months. [ABSTRACT FROM AUTHOR]
- Subjects :
- *SUBSTANCE abuse treatment
*AWARDS
*CONFIDENCE intervals
*META-analysis
*MOTIVATION (Psychology)
*RESEARCH funding
*REWARD (Psychology)
*U-statistics
*TREATMENT programs
*RANDOMIZED controlled trials
*BEHAVIOR modification
*PUBLICATION bias
*DATA analysis software
*DESCRIPTIVE statistics
*ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 09652140
- Volume :
- 109
- Issue :
- 9
- Database :
- Academic Search Index
- Journal :
- Addiction
- Publication Type :
- Academic Journal
- Accession number :
- 97444049
- Full Text :
- https://doi.org/10.1111/add.12589