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Related Concept Videos

Operant Conditioning Intervention01:24

Operant Conditioning Intervention

Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...

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Computerized behavior therapy for opioid-dependent outpatients: a randomized controlled trial.

Warren K Bickel1, Lisa A Marsch, August R Buchhalter

  • 1University of Arkansas for Medical Sciences, College of Medicine, Little Rock, AR 72205, USA. wbickel@uams.edu

Experimental and Clinical Psychopharmacology
|May 21, 2008
PubMed
Summary
This summary is machine-generated.

Computer-delivered therapy for opioid dependence is as effective as therapist-delivered care. This interactive intervention, using community reinforcement approach (CRA) plus vouchers, offers a cost-effective way to improve treatment access and fidelity.

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Area of Science:

  • Behavioral therapy
  • Addiction medicine
  • Psychology

Background:

  • Opioid dependence is a significant public health issue requiring effective treatment.
  • Community Reinforcement Approach (CRA) plus vouchers is an evidence-based model for substance use disorders.
  • Limited access and cost can hinder widespread dissemination of effective behavioral therapies.

Purpose of the Study:

  • To evaluate the efficacy of a computer-assisted behavioral therapy intervention for opioid dependence.
  • To compare a computer-delivered CRA plus vouchers intervention to therapist-delivered CRA plus vouchers and standard treatment.
  • To assess the feasibility of delivering a significant portion of therapy via an interactive computer program.

Main Methods:

  • Randomized controlled trial with 135 adult outpatients with opioid dependence.
  • Participants received buprenorphine maintenance and were randomized to: therapist-delivered CRA with vouchers, computer-assisted CRA with vouchers, or standard treatment.
  • Efficacy measured by weeks of continuous opioid and cocaine abstinence.

Main Results:

  • Both therapist-delivered and computer-assisted CRA plus vouchers resulted in comparable weeks of continuous abstinence (approximately 7.9 weeks).
  • Both CRA interventions significantly increased abstinence duration compared to standard treatment (approximately 4.7 weeks).
  • Over 80% of the intervention in the computer-assisted group was delivered via interactive computer program.

Conclusions:

  • Computer-assisted CRA plus vouchers is a viable and effective alternative to therapist-delivered therapy for opioid dependence.
  • This approach may enhance cost-effectiveness and treatment fidelity, facilitating wider access to evidence-based care.
  • Interactive, computer-based interventions hold promise for improving the reach of addiction treatment services.