Incentives Improve Outcome in Outpatient Behavioral Treatment of Cocaine Dependence

摘要: Objective: To assess whether incentives improved treatment outcome in ambulatory cocaine-dependent patients. Method: Forty adults were randomly assigned to behavioral with or without an added incentive program. The was based on the Community Reinforcement Approach and provided both groups. Subjects group received vouchers exchangeable for retail items contingent submitting cocaine-free urine specimens during weeks 1 through 12 of treatment, while no that period. two groups treated same 13 24. Results: Seventy-five percent patients completed 24 vs 40% ( P =.03). Average durations continuous cocaine abstinence documented via urinalysis 11.7±2.0 6.0±1.5 At after entry, voucher evidenced significantly greater improvement than no-voucher Drug scale Addiction Severity Index (ASI). only showed significant ASI Psychiatric scale. Conclusions: Incentives delivered improve cocainedependent