Contingency management for alcohol use reduction: a pilot study using a transdermal alcohol sensor.

摘要: Abstract Background Contingency management (CM) has not been thoroughly evaluated as a treatment for alcohol abuse or dependence, in part because verification of use reduction requires frequent in-person breath tests. Transdermal sensors detect regularly throughout the day, providing remote monitoring and allowing rapid reinforcement reductions use. Methods The purpose this study was to evaluate efficacy CM use, using transdermal sensor provide continuous measure Participants were 13 heavy drinking adults who wore Secure Continuous Remote Alcohol Monitoring (SCRAM) bracelet three weeks provided reports drug daily web-based surveys. In Week 1, participants asked drink usual; Weeks 2 3, they reinforced on an escalating schedule with values ranging from $5 $17 per day days when reported detected by SCRAM. Results Self-reports percent abstinent drinks week, measures average peak concentration area under curve declined significantly 2–3. A nonsignificant but large effect size tobacco also found. An adjustment SCRAM criteria detecting accurate less conservative method non-mandated clients. Conclusion support feasibility clinical purposes.