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首页> 外文期刊>Experimental and clinical psychopharmacology >A Randomized Controlled Trial of Contingency Management for Smoking Abstinence Versus Contingency Management for Shaping Cessation: One-Year Outcome
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A Randomized Controlled Trial of Contingency Management for Smoking Abstinence Versus Contingency Management for Shaping Cessation: One-Year Outcome

机译：对吸烟戒烟的随机对照试验与塑造戒烟的应急管理 - 一年的结果

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This study analyzed whether a contingency management (CM) for shaping cessation period implemented prior to an abstinence-only period (CMS) improves outcomes relative to CM that reinforces only a fixed abstinence criteria (CMA) among treatment-seeking patients in a community setting. A total of 110 patients were randomly assigned to 1 of 2 treatment conditions: CMA (N = 55) or CMS (N = 55). All participants received cognitive-behavioral treatment (CBT) implemented in 6 group-based sessions. CMA participants earned voucher-based incentives contingent on providing biochemical evidence of smoking abstinence. CMS reinforced closer approximations to smoking abstinence. At posttreatment, patients assigned to the CMA group achieved the same rates of smoking abstinence (point-prevalence) as those in the CMS group (94.5%; p > .05). At the 6-month follow-up, 43.6% of the patients who received CMA maintained smoking abstinence in comparison to 32.7% in the CMS group (p > .05). At the 12-month follow-up, 40% of the participants assigned to the CMA group were abstinent, in comparison to 29.1% who received CMS (p > .05). There were no statistically significant differences in continuous smoking abstinence between the treatment conditions in any of the follow-ups (p > .05). These results offer a novel contribution by suggesting that CM was associated with enduring effects up to 12 months after the end of treatment and that CM for shaping cessation period implemented prior to an abstinence-only period (CMS) improves outcomes relative to CM that reinforces only a fixed abstinence criteria (CMA) among treatment-seeking patients in a community setting.
机译：该研究分析了在仅禁止禁止期间（CMS）之前实施的戒烟时间（CMS）在禁止期间实施的停止期间的应急管理（CM）改善了CM的结果，这些结果在社区环境中仅加强了寻求治疗患者的固定禁欲标准（CMA）。总共110名患者被随机分配给2个处理条件的1个：CMA（n = 55）或CMS（n = 55）。所有参与者都接受了在基于6个组的会议中实施的认知行为治疗（CBT）。 CMA参与者赢得了基于优惠券的激励措施，而不是提供吸烟禁欲的生化证据。 CMS加强了对吸烟禁欲的更接近近似。在后处理，分配给CMA集团的患者达到了与CMS组中的吸烟禁欲（Poct-Pevaliences）相同的速率（94.5％; p> .05）。在6个月的随访中，43.6％的患者患者在CMS组中比较32.7％保持吸烟禁欲（P> .05）。在12个月的随访中，分配给CMA集团的40％的参与者被禁止，相比，收到CMS的29.1％（P> .05）。在任何随访中的治疗条件之间的连续吸烟禁欲没有统计学上显着的差异（P> .05）。这些结果通过表明CM与持久性效应相关的贡献，在治疗结束后12个月，并且在仅在禁止期间（CMS）之前进行的戒烟时间（CMS）进行溃烂期间的CM相对于CM仅增强的果实在社区环境中寻求治疗患者的固定禁欲标准（CMA）。

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