Adding voucher-based incentives to coping skills and motivational enhancement improves outcomes during treatment for marijuana dependence.
Abstract
Sixty individuals seeking outpatient treatment for marijuana dependence were randomly assigned to 1 of 3 treatments: motivational enhancement (M), M plus behavioral coping skills therapy (MBT), or MBT plus voucher-based incentives (MBTV). In the voucher-based incentive program, participants earned vouchers exchangeable for retail items contingent on them submitting cannabinoid-negative urine specimens. MBTV engendered significantly greater durations of documented marijuana abstinence during treatment compared with MBT and M, and a greater percentage of participants in the MBTV group compared with the MBT or M groups were abstinent at the end of treatment. No significant differences in marijuana abstinence were observed between the MBT and M groups. The positive effects of the voucher program in this study support the utility of incentive-based interventions for the treatment of substance dependence disorders including marijuana dependence.
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Studies that report follow-up data report abstinence rates between 0% and 30% at 3-month follow-up and about half that or less at 9-to 12-month follow-up.
“Some studies have failed to report follow-up data (Stephens et al., 2002), but those that have report abstinence rates between 0% and 30% at 3-month follow-up (e.g., Budney et al., 2000;Stephens et al., 2000) and about half that or less at 9-to 12-month follow-up (e.g., Budney et al., 2000;Copeland et al., 2001;Stephens et al., 1994Stephens et al., , 2000)).”
From A preliminary investigation of acceptance and commitment therapy as a treatment for Marijuana dependence in adults (2007) · cites this paper as Budney et al., 2000
Treatment options for marijuana dependence include relapse prevention, motivational enhancement procedures, cognitive behavior therapy and coping skills training, and voucher-based motivational incentives.
“Treatment options include relapse prevention (Stephens et al., 1994(Stephens et al., , 2000)), motivational enhancement procedures (Budney et al., 2000;Stephens et al., 2002), cognitive behavior therapy and coping skills training (Budney et al.;Copeland et al., 2001;Stephens et al., 2002), and voucher-based motivational incentives (Budney et al.).”
From A preliminary investigation of acceptance and commitment therapy as a treatment for Marijuana dependence in adults (2007) · cites this paper as Budney et al., 2000
High attrition is a common problem in marijuana abuse treatment research.
“However, high attrition is a common problem in marijuana abuse treatment research (e.g., Budney et al., 2000).”
From A preliminary investigation of acceptance and commitment therapy as a treatment for Marijuana dependence in adults (2007) · cites this paper as Budney et al., 2000
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References 48 · Cited by 318
- Authors
- Budney, A. J., Higgins, S. T., Radonovich, K. J., & Novy, P. L.
- Affiliations
- University of Vermont (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2000-12
- Volume
- 68
- Issue
- 6
- Pages
- 1051-1061
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2019780771
- Cited by
- 318
- References
- 48
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 8 · 2023: 2 · 2022: 7 · 2021: 5 · 2020: 5 · 2019: 6 · 2018: 13 · 2017: 11 · 2016: 9 · 2015: 16 · 2014: 8 · 2013: 16 · 2012: 12
- FWCI
- 8.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Drug Abuse (R-29DA08655)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Keywords
- cannabis use disorder, motivation enhancement, substance use abstinence, outpatient care, incentive-based interventions, urine drug testing
- MeSH terms
- Adaptation, Psychological, Adult, Ambulatory Care, Behavior Therapy, Marijuana Abuse, Female, Humans, Male, Motivation, Token Economy
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