Adding an Internet-delivered treatment to an efficacious treatment package for opioid dependence.
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ABSTRACT: Objective
To examine the benefit of adding an Internet-delivered behavior therapy to a buprenorphine medication program and voucher-based motivational incentives.Method
A block-randomized, unblinded, parallel, 12-week treatment trial was conducted with 170 opioid-dependent adult patients (mean age = 34.3 years; 54.1% male; 95.3% White). Participants received an Internet-based community reinforcement approach intervention plus contingency management (CRA+) and buprenorphine or contingency management alone (CM-alone) plus buprenorphine. The primary outcomes, measured over the course of treatment, were longest continuous abstinence, total abstinence, and days retained in treatment.Results
Compared to those receiving CM-alone, CRA+ recipients exhibited, on average, 9.7 total days more of abstinence (95% confidence interval [CI = 2.3, 17.2]) and had a reduced hazard of dropping out of treatment (hazard ratio = 0.47; 95% CI [0.26, 0.85]). Prior treatment for opioid dependence significantly moderated the additional improvement of CRA+ for longest continuous days of abstinence.Conclusions
These results provide further evidence that an Internet-based CRA+ treatment is efficacious and adds clinical benefits to a contingency management/medication based program for opioid dependence.
SUBMITTER: Christensen DR
PROVIDER: S-EPMC4244262 | biostudies-literature | 2014 Dec
REPOSITORIES: biostudies-literature
Publications
Adding an Internet-delivered treatment to an efficacious treatment package for opioid dependence.
Christensen Darren R DR Landes Reid D RD Jackson Lisa L Marsch Lisa A LA Mancino Michael J MJ Chopra Mohit P MP Bickel Warren K WK
Journal of consulting and clinical psychology 20140804 6
<h4>Objective</h4>To examine the benefit of adding an Internet-delivered behavior therapy to a buprenorphine medication program and voucher-based motivational incentives.<h4>Method</h4>A block-randomized, unblinded, parallel, 12-week treatment trial was conducted with 170 opioid-dependent adult patients (mean age = 34.3 years; 54.1% male; 95.3% White). Participants received an Internet-based community reinforcement approach intervention plus contingency management (CRA+) and buprenorphine or con ...[more]
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