Effectiveness of Abstinence-Based Incentives: Interaction With Intake Stimulant Test Results

Maxine L. Stitzer, Nancy Petry, Jessica Peirce, Kimberly Kirby, Therese Killeen, John Roll, John Hamilton, Patricia Q. Stabile, Robert Sterling, Chanda Brown, Ken Kolodner, Rui Li

Research output: Contribution to journalArticlepeer-review

36 Scopus citations


Intake urinalysis test result (drug positive vs. negative) has been previously identified as a strong predictor of drug abuse treatment outcome, but there is little information about how this prognostic factor may interact with the type of treatment delivered. The authors used data from a multisite study of abstinence incentives for stimulant abusers enrolled in outpatient counseling treatment (N. M. Petry, J. M. Peirce et al., 2005) to examine this question. The first study urine was used to stratify participants into stimulant negative (n = 306) versus positive (n = 108) subgroups. Abstinence incentives significantly improved retention in those testing negative but not in those testing positive. Findings suggest that stimulant abusers presenting to treatment with a stimulant-negative urine benefit from abstinence incentives, but alternative treatment approaches are needed for those who test stimulant positive at intake.

Original languageEnglish (US)
Pages (from-to)805-811
Number of pages7
JournalJournal of Consulting and Clinical Psychology
Issue number5
StatePublished - Oct 2007


  • abstinence incentives
  • contingency management
  • drug abuse treatment
  • intake urine test results
  • stimulants

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health


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