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A systematic review of reinforcement-based interventions for substance use: Efficacy, mechanisms of action, and moderators of treatment effects

Journal of Substance Abuse Treatment Aug 02, 2019

Fazzino TL, et al. - Researchers reviewed an increasing body of intervention studies investigating the effectiveness of brief reinforcement-based psychosocial interventions, such as behavioral activation (BA) and behavioral economics (BE), in addressing substance use outcomes. In addition, they reviewed a smaller body of evidence investigating mechanisms of action and moderators of treatment effectiveness for substance use outcomes. Conducting a comprehensive literature search of four databases, they identified 12 relevant studies for inclusion. As per preliminary evidence, reinforcement-based interventions are efficacious in targeting substance use outcomes. The available studies do not yield sufficiently clear findings regarding mechanisms driving BA/BE effectiveness and factors that may moderate treatment effects.

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