AI Article Synopsis
- Recent advancements in alcohol monitoring technology have improved the effectiveness of contingency management (CM) strategies to reduce alcohol consumption, especially among adults using transdermal alcohol concentration (TAC) devices.
- This study focuses on implementing TAC-informed CM for high-risk individuals arrested for driving while intoxicated (DWI) while they await trial, involving an integrated screening and treatment referral process.
- Through four quality improvement cycles, researchers adjusted various parameters of the monitoring program and found that while overall alcohol use didn’t decrease, participants were better able to adhere to the full treatment duration and showed lower peak TAC levels during drinking weeks in certain cycles.
Article Abstract
Recent developments in alcohol monitoring devices have made it more feasible to use contingency management (CM) procedures to reduce alcohol use. A growing body of literature is demonstrating the effectiveness of CM to reduce alcohol use among community recruited adults wearing transdermal alcohol concentration (TAC) monitoring devices. This article describes the quality improvement process aimed at adapting TAC-informed CM aimed at minimizing alcohol use and maximizing treatment completion. This extends literature to a high-risk population; adults arrested and awaiting trial (pretrial) for criminal charge of driving while intoxicated (DWI). Participants were enrolled during their orientation to pretrial supervision conditions of DWI bond release. At enrollment, participants completed a screening, brief intervention, and referral to treatment; those with high risk alcohol histories were enrolled in an 8-week CM procedure to avoid TAC readings. Four Plan-Do-Study-Act (PDSA) quality improvement cycles were conducted where the TAC cutoff for determining alcohol use, the quantity of reinforcer, and handling of tampers on the transdermal alcohol monitor were manipulated. Across four PDSA cycles, the retention for the full 8-weeks of treatment was increased. The proportion of weeks with alcohol use was not decreased across cycles, the peak TAC values observed during drinking weeks were significantly lower in Cycles 1 and 4 than 3. CM may be developed as a tool for pretrial supervision to be used to increase bond compliance of those arrested for DWI and for others as a method to identify the need for additional judicial services.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5964006 | PMC |
| http://dx.doi.org/10.1016/j.addbeh.2018.01.033 | DOI Listing |
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