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Contingency management for treatment of substance use disorders: a meta-analysis.

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Title: Contingency management for treatment of substance use disorders: a meta-analysis.
Authors: Prendergast, Michael (AUTHOR), Podus, Deborah (AUTHOR), Finney, John (AUTHOR), Greenwell, Lisa (AUTHOR), Roll, John (AUTHOR)
Source: Addiction. Nov2006, Vol. 101 Issue 11, p1546-1560. 15p. 4 Charts.
Subjects: Contingency theory (Management), Substance abuse treatment, Meta-analysis, Temperance, Psychiatric drugs, Reinforcement (Psychology), Clinical trials, Methadone treatment programs, Moderator variables, Therapeutics
Abstract: Aims To examine the effectiveness of contingency management (CM) techniques in treating substance use disorders (i.e. illicit drugs, alcohol, tobacco). Design Meta-analysis was used to determine the average effect size and potential moderators in 47 comparisons of the effectiveness of CM from studies based on a treatment–control group design and published between 1970 and 2002. Findings The mean effect size (ES) of CM was positive, with a magnitude of d = 0.42 using a fixed effects model. The magnitude of the ES declined over time, following treatment. CM was more effective in treating opiate use ( d = 0.65) and cocaine use ( d = 0.66), compared with tobacco ( d = 0.31) or multiple drugs ( d = 0.42). Larger effect sizes were associated with higher researcher involvement, earlier studies and shorter treatment duration. Conclusions Study findings suggest that CM is among the more effective approaches to promoting abstinence during the treatment of substance use disorders. CM improves the ability of clients to remain abstinent, thereby allowing them to take fuller advantage of other clinical treatment components. [ABSTRACT FROM AUTHOR]
Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Contingency management for treatment of substance use disorders: a meta-analysis.
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  Data: <searchLink fieldCode="AR" term="%22Prendergast%2C+Michael%22">Prendergast, Michael</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Podus%2C+Deborah%22">Podus, Deborah</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Finney%2C+John%22">Finney, John</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Greenwell%2C+Lisa%22">Greenwell, Lisa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Roll%2C+John%22">Roll, John</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Addiction%22">Addiction</searchLink>. Nov2006, Vol. 101 Issue 11, p1546-1560. 15p. 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Contingency+theory+%28Management%29%22">Contingency theory (Management)</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse+treatment%22">Substance abuse treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Meta-analysis%22">Meta-analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Temperance%22">Temperance</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+drugs%22">Psychiatric drugs</searchLink><br /><searchLink fieldCode="DE" term="%22Reinforcement+%28Psychology%29%22">Reinforcement (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+trials%22">Clinical trials</searchLink><br /><searchLink fieldCode="DE" term="%22Methadone+treatment+programs%22">Methadone treatment programs</searchLink><br /><searchLink fieldCode="DE" term="%22Moderator+variables%22">Moderator variables</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink>
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  Data: Aims To examine the effectiveness of contingency management (CM) techniques in treating substance use disorders (i.e. illicit drugs, alcohol, tobacco). Design Meta-analysis was used to determine the average effect size and potential moderators in 47 comparisons of the effectiveness of CM from studies based on a treatment–control group design and published between 1970 and 2002. Findings The mean effect size (ES) of CM was positive, with a magnitude of d = 0.42 using a fixed effects model. The magnitude of the ES declined over time, following treatment. CM was more effective in treating opiate use ( d = 0.65) and cocaine use ( d = 0.66), compared with tobacco ( d = 0.31) or multiple drugs ( d = 0.42). Larger effect sizes were associated with higher researcher involvement, earlier studies and shorter treatment duration. Conclusions Study findings suggest that CM is among the more effective approaches to promoting abstinence during the treatment of substance use disorders. CM improves the ability of clients to remain abstinent, thereby allowing them to take fuller advantage of other clinical treatment components. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=22615127
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              Text: Nov2006
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