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）：已对启动健康行为改变的方法进行了广泛研究，但很少有实证关注了解维持长期行为改变的因素。本申请提出通过开始检查行为治疗的基本参数和过程来开发一种长期维持行为改变的模型，该行为治疗在药物依赖个体中启动和维持药物戒断期方面非常成功。应急管理 (CM) 程序在大多数吸毒者的戒毒过程中始终有效，并且持续戒毒时间长达 6 个月。尽管这些干预措施的有效性已得到证实，但绝大多数 CM 干预措施仅维持 3 个月。我们建议研究延长药物滥用 CM 持续时间对长期戒断结果的影响。我们并不一定表明我们提出的特定 CM 程序代表了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一个实用的框架。遵循基本行为研究的原则，我们概述了一个长期行为维持模型，该模型表明，成功的长期行为改变并不注重消除旧行为，而是集中于在各种新环境中发展新行为，并为新行为提供持久的强化。该模型预测，促进长期行为改变的干预措施必须提供足够持续时间的治疗人为意外事件，以发展与吸毒不相容的新行为，并且新行为必须具有自然发生的持续意外事件。研究问题涉及 CM 持续时间、与吸毒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等问题。

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