A Behavioral Model for Maintenance of Drug Abstinence

维持戒毒的行为模型

• 批准号: 7257181
• 负责人: KIMBERLY C KIRBY
• 金额: $ 39.22万
• 依托单位: TREATMENT RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-26 至 2009-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7257181
• 关键词: Abstinence; Address; Aftercare; Attention; Behavior; Behavior Therapy; Behavioral; Behavioral Model; Behavioral Research; Cocaine Abuse; Communities; Development; Drug abuse; Drug usage; Drug user; Effectiveness of Interventions; Event; Extinction (Psychology); Goals; Health Personnel; Health behavior change; Individual; Intervention; Link; Location; Maintenance; Mediation; Methods; Modeling; Numbers; Outcome; Outpatients; Participant; Patients; Pharmaceutical Preparations; Principal Investigator; Procedures; Process; Psychological reinforcement; Randomized; Research; Snow; Societies; Specific qualifier value; Standards of Weights and Measures; Study models; Time; base; behavior change; contingency management; cost; desire; drug abstinence; drug abuser; falls; pleasure; programs; reinforcer; social; treatment duration

DESCRIPTION (provided by applicant): Methods for initiating health behavior change have been studied extensively, but little empirical attention has been given to understanding factors that sustain long-term behavior changes. This application proposes to develop a model for long-term maintenance of behavior change by beginning to examine the basic parameters and processes of a behavioral treatment that has been extremely successful in initiating and sustaining periods of drug abstinence among drug dependent individuals. Contingency management (CM) procedures have been consistently effective in initiating drug abstinence in the majority of drug users and have sustained continuous abstinence for periods of up to 6 months. Despite the documented effectiveness of these interventions, the vast majority of CM interventions are kept in place for only 3 months. We propose to examine the effects of extending the duration of CM for drug abuse on long-term abstinence outcomes. We are not necessarily suggesting that the particular CM procedures we are proposing represent an immediately practical method of promoting long-term behavior change. We are suggesting that they provide a practical framework for beginning to investigate a behavioral model of maintaining drug abstinence. Following the tenets of basic behavioral research, we have outlined a model for long-term behavior maintenance that suggests that successful long-term behavior change does not focus on undoing old behaviors, but concentrates on developing new behaviors in a wide variety of new contexts, and provides enduring reinforcement for the new behaviors. This model predicts that interventions that promote long-term behavior change must provide a sufficient duration of treatment-contrived contingencies to develop new behaviors that are incompatible with drug use, and the new behaviors must have naturally-occurring sustaining contingencies. Research questions address issues of CM duration, the development of new behaviors incompatible with drug use, and the availability of natural maintaining contingencies of reinforcement.

描述（由申请人提供）：已经对启动健康行为改变的方法进行了广泛的研究，但是几乎没有对了解长期行为变化的因素的经验关注。该应用建议通过研究行为治疗的基本参数和过程来开发一个模型，以长期维持行为改变，该参数和过程在启动和维持依赖药物依赖的个体的药物戒酒时期非常成功。应急管理（CM）程序在大多数吸毒者的戒酒中一直有效，并且在长达6个月内持续持续禁欲。尽管这些干预措施有记录的有效性，但绝大多数CM干预措施仅保存了3个月。我们建议检查延长CM持续时间对药物滥用的持续时间对长期禁欲结果的影响。我们不一定建议我们提出的特定CM程序代表了一种促进长期行为改变的立即实用方法。我们建议它们为开始研究维持戒毒的行为模型提供了一个实用的框架。遵循基本行为研究的宗旨，我们概述了长期行为维护的模型，该模型表明，成功的长期行为变化并不集中于撤消旧行为，而是集中于在各种新环境中开发新的行为，并为新行为提供持久的增强。该模型预测，促进长期行为变化的干预措施必须提供足够的治疗激动偶然性持续时间，以发展与药物使用不相容的新行为，并且新行为必须具有自然存在的持续偶然性。研究问题解决了CM持续时间的问题，与吸毒不符不相容的新行为的发展以及自然维持强化意外事件的可用性。

项目成果

Resets do not appear to increase the rate of adverse events or prolong relapse in voucher-based reinforcement therapy.

在基于凭证的强化治疗中，重置似乎不会增加不良事件的发生率或延长复发时间。

• DOI: 10.1016/j.jsat.2010.04.002
• 发表时间: 2010
• 期刊: Journal of substance abuse treatment
• 影响因子: 3.9
• 作者: Versek,BrianE;Carpenedo,CarolynM;Rosenwasser,BethJ;Dugosh,KarenLeggett;Bresani,Elena;Kirby,KimberlyC
• 通讯作者: Kirby,KimberlyC

Extended voucher-based reinforcement therapy for long-term drug abstinence.

针对长期戒毒的延长基于凭证的强化治疗。

• DOI: 10.5993/ajhb.34.6.12
• 发表时间: 2010
• 期刊: American journal of health behavior
• 影响因子: 2.3
• 作者: Carpenedo,CarolynM;Kirby,KimberlyC;Dugosh,KarenL;Rosenwasser,BethJ;Thompson,DonaldL
• 通讯作者: Thompson,DonaldL