Performance-based contingency management in cognitive remediation training: A pilot study
| Autor: | Kathleen M. Carroll, Theresa Babuscio, Brian D. Kiluk, Kathleen A. Devore, Charla Nich, Matthew Buck |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Substance-Related Disorders media_common.quotation_subject Psychological intervention 030508 substance abuse Medicine (miscellaneous) Contingency management Pilot Projects Affect (psychology) Article 03 medical and health sciences 0302 clinical medicine Reward Outcome Assessment Health Care medicine Humans Cognitive Dysfunction Neuropsychological assessment media_common medicine.diagnostic_test Working memory Attendance Abstinence Middle Aged Cognitive Remediation Psychiatry and Mental health Clinical Psychology Cognitive remediation therapy Physical therapy Female Pshychiatric Mental Health 0305 other medical science Psychology 030217 neurology & neurosurgery Clinical psychology |
| Popis: | Impairments in attention, working memory, and executive function are common among substance users and may adversely affect SUD treatment outcomes. The ability of cognitive remediation (CR) interventions to improve these deficits is hindered in part because levels of engagement in CR training may be inadequate to achieve benefit. This pilot study aimed to increase CR engagement and improve outcome by implementing contingency management (CM) procedures that reinforce performance improvements on CR tasks. Participants were forty individuals (50% male; 65% African American) in an outpatient substance use treatment facility with mild cognitive impairment who had ≥ 30-days of abstinence from alcohol and drugs. They were randomized to standard (CR-S; n = 21) or CM-enhanced (CR-CM; n = 19) cognitive remediation training. CR consisted of 1-hour sessions, three times per week for four weeks (12 sessions). A neuropsychological assessment battery was administered prior to and after the four-week intervention. Both groups had high rates of CR session attendance (mean CR-S = 11.7, CR-CM = 10.9 sessions). Performance on 8 of the 9 CR tasks significantly improved over time for both conditions, with the CR-CM condition demonstrating greater improvement on a CR Sequenced Recall task [F(1,37) = 5.81, p < .05]. Significant improvement was also evident on 4 of 9 neuropsychological assessment measures, with the CR-CM condition showing differential improvement on the Trail Making Test – Part B [F (1,37) = 5.34, p < .05]. These findings support the feasibility of using CM procedures to enhance substance users’ engagement with CR training and suggest the potential value of more research in this area. |
| Databáze: | OpenAIRE |
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