| Feasibility and effectiveness of computer-based therapy in community treatment. | |
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MedLine Citation:
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PMID: 20667682 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Computerized therapy approaches may expand the reach of evidence-based treatment; however, it is unclear how to integrate these therapies into community-based treatment. We conducted a two-phase pilot study to explore (a) whether clients' use of the Therapeutic Education System (TES), a Web-based community reinforcement approach (CRA) learning program, would benefit them in the absence of counselor support and (b) whether counselors and clients would use the TES in the absence of tangible research-based reinforcement. In Phase 1, clients in the TES condition (n = 14) demonstrated large improvements in knowledge, F(1, 20) = 8.90, p = .007, d = 1.05, and were significantly more likely to select CRA style coping responses, F (1, 20) = 11.95, p = .002, d = 1.16, relative to the treatment-as-usual group (n = 14). We also detected small, nonsignificant, between-group effects indicating TES decreased cocaine use during treatment. In Phase 2, counselors referred only around 10% of their caseload to the TES, and the modal number of completed modules in the absence of tangible reinforcement was three. Computer-based therapy approaches are viable in community-based treatment but must be integrated with incentive systems to ensure engagement. |
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Authors:
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Adam C Brooks; Deanna Ryder; Deni Carise; Kimberly C Kirby |
Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't Date: 2010-07-29 |
Journal Detail:
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Title: Journal of substance abuse treatment Volume: 39 ISSN: 1873-6483 ISO Abbreviation: J Subst Abuse Treat Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-10 Completed Date: 2010-12-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8500909 Medline TA: J Subst Abuse Treat Country: United States |
Other Details:
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Languages: eng Pagination: 227-35 Citation Subset: IM |
Copyright Information:
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Copyright (c) 2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Treatment Research Institute, Philadephia, PA 19106, USA. abrooks@tresearch.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adaptation, Psychological Adult Cocaine-Related Disorders / rehabilitation Evidence-Based Medicine / methods Feasibility Studies Female Health Knowledge, Attitudes, Practice* Humans Internet Male Middle Aged Pilot Projects Referral and Consultation / statistics & numerical data Reinforcement (Psychology) Substance-Related Disorders / rehabilitation* Therapy, Computer-Assisted / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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