Contracting, prompting, and reinforcing substance use disorder continuing care: a randomized clinical trial.

Journal Article (Journal Article)

Although continuing care is strongly related to positive treatment outcomes for substance use disorder (SUD), participation rates are low and few effective interventions are available. In a randomized clinical trial with 150 participants (97% men), 75 graduates of a residential Veterans Affairs Medical Center SUD program who received an aftercare contract, attendance prompts, and reinforcers (CPR) were compared to 75 graduates who received standard treatment (STX). Among CPR participants, 55% completed at least 3 months of aftercare, compared to 36% in STX. Similarly, CPR participants remained in treatment longer than those in STX (5.5 vs. 4.4 months). Additionally, CPR participants were more likely to be abstinent compared to STX (57% vs. 37%) after 1 year. The CPR intervention offers a practical means to improve adherence among individuals in SUD treatment.

Full Text

Duke Authors

Cited Authors

  • Lash, SJ; Stephens, RS; Burden, JL; Grambow, SC; DeMarce, JM; Jones, ME; Lozano, BE; Jeffreys, AS; Fearer, SA; Horner, RD

Published Date

  • September 2007

Published In

Volume / Issue

  • 21 / 3

Start / End Page

  • 387 - 397

PubMed ID

  • 17874889

International Standard Serial Number (ISSN)

  • 0893-164X

Digital Object Identifier (DOI)

  • 10.1037/0893-164X.21.3.387


  • eng

Conference Location

  • United States