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Related Experiment Video

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A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills

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Performance-Based Contingency Management in Cognitive Remediation Training: A Pilot Study.

Brian D Kiluk¹, Matthew B Buck¹, Kathleen A Devore¹

¹Yale University School of Medicine, One Long Wharf Drive, New Haven, CT 06511, USA.

Journal of Substance Abuse Treatment

|September 4, 2016

Summary

This summary is machine-generated.

Contingency management (CM) effectively boosted engagement in cognitive remediation (CR) for substance users with mild cognitive impairment. This approach improved task performance and cognitive functions, showing promise for addiction treatment.

Keywords:

Cognitive remediation Contingency management Substance use disorders

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Area of Science:

Neuroscience
Psychology
Addiction Medicine

Background:

Substance use disorders (SUD) frequently involve cognitive deficits impacting treatment.
Cognitive remediation (CR) aims to improve these deficits but often suffers from low engagement.
Inadequate engagement limits the effectiveness of CR interventions for individuals with SUD.

Purpose of the Study:

To enhance CR engagement and outcomes in substance users with mild cognitive impairment.
To evaluate the efficacy of integrating contingency management (CM) with CR training.
To determine if CM reinforcement improves performance on CR tasks and cognitive assessments.

Main Methods:

A pilot study randomized 40 substance users with mild cognitive impairment to standard CR (CR-S) or CM-enhanced CR (CR-CM).
Participants received 12 one-hour CR sessions over four weeks.
Neuropsychological assessments were conducted pre- and post-intervention to measure cognitive changes.

Main Results:

Both CR-S and CR-CM groups showed high attendance and significant improvement on most CR tasks.
The CR-CM group demonstrated greater improvement on a Sequenced Recall task.
Significant cognitive improvements were observed in both groups, with CR-CM showing enhanced gains on the Trail Making Test - Part B.

Conclusions:

Contingency management (CM) is a feasible method to increase engagement in cognitive remediation (CR) for individuals with SUD.
CM-enhanced CR shows potential for improving cognitive functions in this population.
Further research is warranted to explore the broader application and long-term benefits of CM in CR for SUD treatment.