Contingency management: schedule effects
Abstract
Contingency management interventions provide reinforcement for abstaining from drugs and withhold reinforcement when drug use is detected. Previous work demonstrates that the reinforcement schedule with which reinforcement is delivered modulates the efficacy of the intervention. This pilot study explores the effects of reinforcement in methamphetamine-dependent individuals. Results suggest that schedules incorporating an increasing magnitude of reinforcement for consecutive abstinences with a reset in reinforcer magnitude for a positive drug test produce superior results.
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Various pharmacologic and psychosocial therapies for MUD/PMU have been explored in the literature.
“Although various pharmacologic (e.g., bupropion [22, 23], mirtazapine [24, 25], varenicline [26]) and psychosocial (e.g., cognitive behavioural therapy [27], contingency management [28, 29], Matrix model [30]) therapies for MUD/PMU have been explored in the literature, the best approach to treatment remains unclear.”
From Psychosocial and pharmacologic interventions for problematic methamphetamine use: Findings from a scoping review of the literature (2023) · cites this paper as [28]
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- Authors
- Roll, J. M., & Shoptaw, S.
- Affiliations
- Washington State University Spokane (US)
- Corresponding author
- Roll, John M.
- ORCID
- Roll, John M.
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2006-09
- Volume
- 144
- Issue
- 1
- Pages
- 91-93
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2085455377
- Cited by
- 54
- References
- 9
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 8 · 2022: 4 · 2021: 1 · 2020: 2 · 2019: 3 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 3 · 2013: 1 · 2012: 5
- FWCI
- 2.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r03da013941-02, 5r21da014392-02)
- National Institute on Drug Abuse (P50 DA-12755, R03DA13941, P50DA012755, R 21 DA 14392)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- contingency management, reinforcement schedules, methamphetamine dependence, drug abstinence, reinforcement magnitude, drug testing, treatment efficacy
- MeSH terms
- Adolescent, Adult, Female, Humans, Male, Methamphetamine, Middle Aged, Motivation, Pilot Projects, Reinforcement Schedule, Token Economy, Substance Abuse Detection, Treatment Outcome, Amphetamine-Related Disorders
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