TY - JOUR
KW - Adolescent
KW - Adult
KW - Behavior Therapy
KW - Cocaine-Related Disorders/psychology/therapy
KW - Crack Cocaine
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Patient Acceptance of Health Care/psychology
KW - Patient Satisfaction
KW - Young Adult
KW - Ambulatory treatment
KW - Behavioral treatment
KW - Brazil
KW - Contingency management
KW - Treatment acceptance
AU - A. Q. C. Miguel
AU - C. S. Madruga
AU - V. Simões
AU - R. Yamauchi
AU - C. J. da Silva
AU - R. R. Abdalla
AU - M. McDonell
AU - S. McPherson
AU - J. M. Roll
AU - J. J. Mari
AU - R. R. Laranjeira
A1 - 
AB - BACKGROUND: Contingency management (CM) has recently shown efficacy in promoting abstinence and retention in treatment among crack cocaine users in Brazil. However, partially because of unawareness and resistance among health care providers, CM has not been widely employed. The objective of this study was to conduct a secondary analysis in order to evaluate how CM participants perceive their treatment experience. METHODS: Twenty-seven crack cocaine users, previously assigned to 12 weeks of CM treatment, were assessed with a structured questionnaire designed to assess their personal opinion of, difficulty in understanding, and acceptance of the CM intervention, as well as their opinion regarding its impact on their treatment responses. RESULTS: Descriptive analyses showed that 92.6% of the participants found it very easy to understand the CM protocol. All participants reported liking their CM experience quite a bit. For the perceived effects of CM on their treatment response, 81.5% of the participants stated that CM helped them considerably, the mean score for the impact of CM on treatment response (out of a maximum of 10) being 9 (SD = 1.5). When asked if they believed CM could help other people with crack cocaine dependence, 92.6% of the participants stated that CM could help such people a lot and 7.4% stated that it could help them a little. CONCLUSIONS: From the perspective of the patients, CM was easily assimilated, easily accepted, and had a direct positive effect on treatment response. These findings provide additional support for the incorporation of CM into substance abuse treatment services in Brazil.
AD - National Institute of Policies on Alcohol and Drugs (INPAD) of the Department Psychiatry and Medical Psychology of the Federal University of São Paulo (UNIFESP), São Paulo, Brazil. aqcmiguel@gmail.com.; Department of Psychiatry and Medical Psychology of the Federal University of São Paulo- UNIFESP, São Paulo, Brazil. aqcmiguel@gmail.com.; National Institute of Policies on Alcohol and Drugs (INPAD) of the Department Psychiatry and Medical Psychology of the Federal University of São Paulo (UNIFESP), São Paulo, Brazil.; Department of Psychiatry and Medical Psychology of the Federal University of São Paulo- UNIFESP, São Paulo, Brazil.; National Institute of Policies on Alcohol and Drugs (INPAD) of the Department Psychiatry and Medical Psychology of the Federal University of São Paulo (UNIFESP), São Paulo, Brazil.; National Institute of Policies on Alcohol and Drugs (INPAD) of the Department Psychiatry and Medical Psychology of the Federal University of São Paulo (UNIFESP), São Paulo, Brazil.; National Institute of Policies on Alcohol and Drugs (INPAD) of the Department Psychiatry and Medical Psychology of the Federal University of São Paulo (UNIFESP), São Paulo, Brazil.; National Institute of Policies on Alcohol and Drugs (INPAD) of the Department Psychiatry and Medical Psychology of the Federal University of São Paulo (UNIFESP), São Paulo, Brazil.; Department of Psychiatry and Medical Psychology of the Federal University of São Paulo- UNIFESP, São Paulo, Brazil.; Program of Excellence in Addictions Research, Washington State University, Spokane, USA.; Program of Excellence in Addictions Research, Washington State University, Spokane, USA.; Program of Excellence in Addictions Research, Washington State University, Spokane, USA.; Department of Psychiatry and Medical Psychology of the Federal University of São Paulo- UNIFESP, São Paulo, Brazil.; National Institute of Policies on Alcohol and Drugs (INPAD) of the Department Psychiatry and Medi(TRUNCATED)
BT - Substance abuse treatment, prevention, and policy
C5 - Opioids & Substance Use
CP - 1
DO - 10.1186/s13011-018-0144-7
IS - 1
JF - Substance abuse treatment, prevention, and policy
LA - eng
M1 - Journal Article
N2 - BACKGROUND: Contingency management (CM) has recently shown efficacy in promoting abstinence and retention in treatment among crack cocaine users in Brazil. However, partially because of unawareness and resistance among health care providers, CM has not been widely employed. The objective of this study was to conduct a secondary analysis in order to evaluate how CM participants perceive their treatment experience. METHODS: Twenty-seven crack cocaine users, previously assigned to 12 weeks of CM treatment, were assessed with a structured questionnaire designed to assess their personal opinion of, difficulty in understanding, and acceptance of the CM intervention, as well as their opinion regarding its impact on their treatment responses. RESULTS: Descriptive analyses showed that 92.6% of the participants found it very easy to understand the CM protocol. All participants reported liking their CM experience quite a bit. For the perceived effects of CM on their treatment response, 81.5% of the participants stated that CM helped them considerably, the mean score for the impact of CM on treatment response (out of a maximum of 10) being 9 (SD = 1.5). When asked if they believed CM could help other people with crack cocaine dependence, 92.6% of the participants stated that CM could help such people a lot and 7.4% stated that it could help them a little. CONCLUSIONS: From the perspective of the patients, CM was easily assimilated, easily accepted, and had a direct positive effect on treatment response. These findings provide additional support for the incorporation of CM into substance abuse treatment services in Brazil.
PY - 2018
SN - 1747-597X; 1747-597X
SP - 018
EP - 7
EP - 7+
T1 - Crack cocaine users views regarding treatment with contingency management in Brazil
T2 - Substance abuse treatment, prevention, and policy
TI - Crack cocaine users views regarding treatment with contingency management in Brazil
U1 - Opioids & Substance Use
U2 - 29433535
U3 - 10.1186/s13011-018-0144-7
VL - 13
VO - 1747-597X; 1747-597X
Y1 - 2018
Y2 - Feb 12
ER -