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The Autonomic Progress Bar Motivates Treatment Completion for Patients of Stimulant Use Disorder and Cannabis Use Disorder

Background: The intrinsic motivation behind the “need to complete” is more influential than external incentives. We introduced a novel progress-bar tool to motivate the completion of programs designed to treat stimulant and cannabis use disorders. We further examined the effectiveness of the progres...

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Autores principales: Chen, I-Chun, Teng, Gloria, Chen, Chur-Jen, Lan, Tsuo-Hung, Liu, Hung-Jen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6970339/
https://www.ncbi.nlm.nih.gov/pubmed/31998160
http://dx.doi.org/10.3389/fpsyt.2019.00944
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author Chen, I-Chun
Teng, Gloria
Chen, Chur-Jen
Lan, Tsuo-Hung
Liu, Hung-Jen
author_facet Chen, I-Chun
Teng, Gloria
Chen, Chur-Jen
Lan, Tsuo-Hung
Liu, Hung-Jen
author_sort Chen, I-Chun
collection PubMed
description Background: The intrinsic motivation behind the “need to complete” is more influential than external incentives. We introduced a novel progress-bar tool to motivate the completion of programs designed to treat stimulant and cannabis use disorders. We further examined the effectiveness of the progress bar's scoring approach in forecasting consistently negative urine tests. Methods: This study's participants included 568 patients with stimulant, amphetamine-type, and cannabis use disorders who were undergoing 12-month mandatory treatment programs at Taichung Veterans General Hospital in Taiwan. Patients were given scores of 1, -1, or 0 depending on whether they received negative, positive, or missing urinalysis reports, respectively. The autonomic progress bar generated weekly score totals. At the group level, score(i) donated scores from all patients for a given week (i denoted the week). Score(i) was standardized to adjusted score(i). We then conducted Autoregressive Integrated Moving Average (ARIMA) Model of time-series analyses for the adjusted score(i). Results: A total of 312 patients maintained treatment progress over the 12-month program. The autonomic score calculator totaled the shared achievements of these patients. The coefficients of the lag variables for mean (p), lag variables for residual error term (q), and number of orders for ensuring stationary (d) were estimated at p = 3, d = 4, and q = 7 for the first half of the treatment program, and were estimated at p = 2, d = 2, and q = 3 for the second half. Both models were stationary and tested as fit for prediction (p < 0.05). Sharply raised adjusted scores were predicted during the high-demand treatment phase. Discussion: This study's novel progress-bar tool effectively motivated treatment completion. It was also effective in forecasting continually negative urine tests. The tool's free open-source code makes it easy to implement among many substance-treatment services.
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spelling pubmed-69703392020-01-29 The Autonomic Progress Bar Motivates Treatment Completion for Patients of Stimulant Use Disorder and Cannabis Use Disorder Chen, I-Chun Teng, Gloria Chen, Chur-Jen Lan, Tsuo-Hung Liu, Hung-Jen Front Psychiatry Psychiatry Background: The intrinsic motivation behind the “need to complete” is more influential than external incentives. We introduced a novel progress-bar tool to motivate the completion of programs designed to treat stimulant and cannabis use disorders. We further examined the effectiveness of the progress bar's scoring approach in forecasting consistently negative urine tests. Methods: This study's participants included 568 patients with stimulant, amphetamine-type, and cannabis use disorders who were undergoing 12-month mandatory treatment programs at Taichung Veterans General Hospital in Taiwan. Patients were given scores of 1, -1, or 0 depending on whether they received negative, positive, or missing urinalysis reports, respectively. The autonomic progress bar generated weekly score totals. At the group level, score(i) donated scores from all patients for a given week (i denoted the week). Score(i) was standardized to adjusted score(i). We then conducted Autoregressive Integrated Moving Average (ARIMA) Model of time-series analyses for the adjusted score(i). Results: A total of 312 patients maintained treatment progress over the 12-month program. The autonomic score calculator totaled the shared achievements of these patients. The coefficients of the lag variables for mean (p), lag variables for residual error term (q), and number of orders for ensuring stationary (d) were estimated at p = 3, d = 4, and q = 7 for the first half of the treatment program, and were estimated at p = 2, d = 2, and q = 3 for the second half. Both models were stationary and tested as fit for prediction (p < 0.05). Sharply raised adjusted scores were predicted during the high-demand treatment phase. Discussion: This study's novel progress-bar tool effectively motivated treatment completion. It was also effective in forecasting continually negative urine tests. The tool's free open-source code makes it easy to implement among many substance-treatment services. Frontiers Media S.A. 2020-01-13 /pmc/articles/PMC6970339/ /pubmed/31998160 http://dx.doi.org/10.3389/fpsyt.2019.00944 Text en Copyright © 2020 Chen, Teng, Chen, Lan and Liu http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Chen, I-Chun
Teng, Gloria
Chen, Chur-Jen
Lan, Tsuo-Hung
Liu, Hung-Jen
The Autonomic Progress Bar Motivates Treatment Completion for Patients of Stimulant Use Disorder and Cannabis Use Disorder
title The Autonomic Progress Bar Motivates Treatment Completion for Patients of Stimulant Use Disorder and Cannabis Use Disorder
title_full The Autonomic Progress Bar Motivates Treatment Completion for Patients of Stimulant Use Disorder and Cannabis Use Disorder
title_fullStr The Autonomic Progress Bar Motivates Treatment Completion for Patients of Stimulant Use Disorder and Cannabis Use Disorder
title_full_unstemmed The Autonomic Progress Bar Motivates Treatment Completion for Patients of Stimulant Use Disorder and Cannabis Use Disorder
title_short The Autonomic Progress Bar Motivates Treatment Completion for Patients of Stimulant Use Disorder and Cannabis Use Disorder
title_sort autonomic progress bar motivates treatment completion for patients of stimulant use disorder and cannabis use disorder
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6970339/
https://www.ncbi.nlm.nih.gov/pubmed/31998160
http://dx.doi.org/10.3389/fpsyt.2019.00944
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