A meta-analysis of voucher-based reinforcement therapy for substance use disorders.

Aims: To systematically investigate the effectiveness of voucher-based reinforcement therapy for the treatment of substance use disorders.

Methods: Effect sizes and 95% confidence intervals were calculated for studies published between January 1991 and March 2004 that utilized voucher-based reinforcement therapy (VBRT) or related monetary-based incentives to treat substance use disorders (SUDs).

Findings: Thirty studies involved interventions targeting abstinence from drug use using experimental designs where effects on treatment outcome could be attributed to the VBRT intervention.

Influence of the duration of abstinence on the relative reinforcing effects of cigarette smoking.

Rationale: Sustaining smoking abstinence during the initial weeks of a cessation effort is highly correlated with long-term smoking abstinence. However, experimental research is needed to establish a direct causal relationship between achieving early abstinence and lowered relapse risk.

Objective: In the present study, we tested whether a period of sustained abstinence directly decreases the relative reinforcing effects of cigarette smoking.

A pilot study on voucher-based incentives to promote abstinence from cigarette smoking during pregnancy and postpartum.

We report results from a pilot study examining the use of vouchers redeemable for retail items as incentives for smoking cessation during pregnancy and postpartum. Of 100 study-eligible women who were still smoking upon entering prenatal care, 58 were recruited from university-based and community obstetric practices to participate in a smoking cessation study. Participants were assigned to either contingent or noncontingent voucher conditions.

An experimental test of the influence of prior cigarette smoking abstinence on future abstinence.

Significant positive associations between early and later abstinence are often reported in clinical trials on smoking cessation, but those relationships do not permit causal inferences. The present study was conducted to examine experimentally whether prior smoking abstinence histories can directly facilitate later abstinence, using a contingency management procedure to manipulate prior abstinence. A total of 40 adult cigarette smokers who were not trying to quit were randomly assigned to one of two conditions: Contingent ALL (C-ALL), who earned monetary incentives contingent on smoking abstinence during three 5 day experimental periods; or Contingent LAST (C-LAST), who earned incentives independent of abstinence during the first two periods (i.

Clinical implications of reinforcement as a determinant of substance use disorders.

Extensive scientific evidence indicates that reinforcement plays an important role in the genesis, maintenance, and recovery from substance use disorders. In this chapter, we review recent clinical research from laboratory, clinic, and naturalistic settings examining the role of reinforcement in substance use disorders. Well-controlled human laboratory studies are reviewed characterizing orderly interactions between the reinforcing effects of drugs and environmental context that have important implications for understanding risk factors for substance use disorders and for the development of efficacious interventions.

Environmental enrichment for the captive spectacled bear (Tremarctos ornatus).

As part a series of investigations of environmental enrichment methods for zoo animals, two spectacled bears (Tremarctos ornatus) were observed for 40 h, documenting use of cage space and behaviors, using a detailed ethogram. Baseline data showed concentration of activity into limited areas of the enclosure and expression of a relatively restricted subset of the species' behavioral repertoire. Introduction of a climbing structure resulted in increased behavioral diversity, both in the use of the enclosure's physical space and the behaviors displayed in various parts of the enclosure.