Home > Prizes for abstinence [contingency management] work ... at first.

[Drug and Alcohol Findings] (2016) Prizes for abstinence [contingency management] work ... at first. Drug and Alcohol Findings Bulletin (16 May 2016)

URL: http://findings.org.uk/PHP/dl.php?file=Benishek_LA...

Systematically giving substance use patients a chance to win valuable prizes if they test abstinent offers a lower-cost alternative to ‘contingency management’ systems which provide rewards each time, but does it work? Across 18 studies the answer was ‘Yes,’ though effects soon faded.

Key points from summary and commentary
• Systematically giving substance use patients the chance to win prizes if they test abstinent offers a lower-cost alternative to other ‘contingency management’ systems which reward every eligible negative test.
• The featured analysis amalgamated findings on these prize-based systems and found a substantial overall effect during the incentives period which had faded to around zero six months after incentives ended.
• More sustained benefits have been found by integrating contingency management with ‘talking’ therapies, and larger effects have been found with higher value rewards


Item Type:Evidence resource
Publication Type:Review
Drug Type:Alcohol or other drugs in general
Intervention Type:AOD disorder treatment method, Psychosocial treatment method, Rehabilitation/Recovery
Source:Drug and Alcohol Findings
Date:May 2016
Number:16 May 2016
EndNote:View
Subjects:A Substance use, abuse, and dependence > Prevalence > Substance use behaviour > Abstinence
A Substance use, abuse, and dependence > Natural history of substance use > Recovery
F Concepts in psychology > Motivation
F Concepts in psychology > Specific attitude and behaviour > choice-making behaviour
HJ Treatment method > Psychosocial treatment method
HJ Treatment method > Treatment outcome
J Health care, prevention and rehabilitation > Risk and protective factors > Risk factors
J Health care, prevention and rehabilitation > Treatment and maintenance > Treatment factors

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