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Effectiveness of abstinence-based incentives: Interaction with intake stimulant test results.
Authors:Stitzer  Maxine L; Petry  Nancy; Peirce  Jessica; Kirby  Kimberly; Killeen  Therese; Roll  John; Hamilton  John; Stabile  Patricia Q; Sterling  Robert; Brown  Chanda; Kolodner  Ken; Li  Rui
Abstract:Intake urinalysis test result (drug positive vs. negative) has been previously identified as a strong predictor of drug abuse treatment outcome, but there is little information about how this prognostic factor may interact with the type of treatment delivered. The authors used data from a multisite study of abstinence incentives for stimulant abusers enrolled in outpatient counseling treatment (N. M. Petry, J. M. Peirce, et al., 2005) to examine this question. The first study urine was used to stratify participants into stimulant negative (n = 306) versus positive (n = 108) subgroups. Abstinence incentives significantly improved retention in those testing negative but not in those testing positive. Findings suggest that stimulant abusers presenting to treatment with a stimulant-negative urine benefit from abstinence incentives, but alternative treatment approaches are needed for those who test stimulant positive at intake. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
Keywords:drug abuse treatment  stimulants  abstinence incentives  contingency management  intake urine test results  treatment retention
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