Practice Makes Progress? Homework Assignments and Outcome in Treatment of Cocaine Dependence.
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The relationship between treatment outcome and the extent to which participants completed homework assignments was evaluated among 60 cocaine-dependent individuals assigned to cognitive-behavioral therapy (CBT). Homework was assigned in 72% of all sessions and initiated by participants in 48% of the sessions in which it was assigned. Completion of homework was unrelated to participants' baseline characteristics and several indicators of treatment compliance. Participants who completed more homework assignments demonstrated significantly greater increases in the quantity and quality of their coping skills and used significantly less cocaine during treatment and through a 1-year follow-up. These data suggest that the extent to which participants are willing to complete extrasession assignments may be an important mediator of response to CBT.
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Break down of coping skills in high-risk situations is associated with cocaine and other substance abuse.
“For example, break down of coping skills in high-risk situations is associated with cocaine and other substance abuse.”
From Mediators and Mechanisms of Change in Psychotherapy Research (2007) · cites this paper as Carroll et al. 2005
The Results (page unavailable) link improved coping responses in high-risk situations with fewer stated intentions to use cocaine, and the Discussion (page unavailable) reports that homework completion was associated with both improved coping skills and less cocaine use. The paper does not establish that a breakdown of coping skills is associated with abuse of other substances; its outcome findings concern cocaine dependence. (LLM, conf=0.84)
Experimental — accuracy not yet measuredA role-play measure (Cocaine Risk Response Test) has been developed, evaluated, and integrated into controlled treatment research to evaluate the mediator.
“A role-play measure (Cocaine Risk Response Test) has been developed, evaluated, and integrated into controlled treatment research to evaluate the mediator (Carroll et al. 1999, 2005).”
From Mediators and Mechanisms of Change in Psychotherapy Research (2007) · cites this paper as Carroll et al. 2005
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- Authors
- Carroll, K. M., Nich, C., & Ball, S. A.
- Affiliations
- Yale University (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2005-08
- Volume
- 73
- Issue
- 4
- Pages
- 749-755
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- PMC
- PMC2365906
- OpenAlex
- W2041658593
- Cited by
- 75
- References
- 20
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 3 · 2020: 2 · 2018: 4 · 2017: 3 · 2016: 2 · 2015: 9 · 2014: 6 · 2013: 7 · 2012: 1
- FWCI
- 3.12
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (K05-DA00457, K05DA000089, R01-DA10679, P50DA009241, K05DA000457, R01DA010679, P50-DA-0-9241)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- cocaine dependence, homework completion, cognitive behavioral therapy, treatment outcomes, coping strategies, medication adherence, substance use reduction, relapse prevention
- MeSH terms
- Adaptation, Psychological, Adult, Female, Humans, Periodicity, Practice, Psychological, Cognitive Behavioral Therapy, Treatment Outcome, Cocaine-Related Disorders
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