Computerized behavior therapy for opioid-dependent outpatients: A randomized controlled trial. |
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Authors: | Bickel, Warren K. Marsch, Lisa A. Buchhalter, August R. Badger, Gary J. |
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Abstract: | The authors evaluated the efficacy of an interactive, computer-based behavioral therapy intervention, grounded in the community reinforcement approach (CRA) plus voucher-based contingency management model of behavior therapy. Our randomized, controlled trial was conducted at a university-based research clinic. Participants comprised 135 volunteer adult outpatients who met DSM-IV criteria for opioid dependence. All participants received maintenance treatment with buprenorphine and were randomly assigned to one of three treatments: (a) therapist-delivered CRA treatment with vouchers, (b) computer-assisted CRA treatment with vouchers, or (c) standard treatment. The therapist-delivered and computer-assisted CRA plus vouchers interventions produced comparable weeks of continuous opioid and cocaine abstinence (M = 7.98 and 7.78, respectively) and significantly greater weeks of abstinence than the standard intervention (M = 4.69; p |
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Keywords: | computerized treatment opioid dependence buprenorphine cognitive-behavior therapy controlled trial community reinforcement approach |
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