This study will link findings from neuroscience with clinical outcomes using contingency management (CM) to identify changes in brain structure and function that emerge during purely behavioral therapy for methamphetamine (MA) use.
This study will correlate MA-abstinence outcomes from an 8-week program of voucher-based incentives using an escalating schedule for 30 treatment-seeking, MA-dependent individuals with scores on tasks of working memory and assessments of neuropsychological and demographic status. At the beginning and end of the CM program, participants will participate in MRI scans while performing a working memory task and will complete a battery of select neurocognitive and psychological assays to address two specific aims: (1) to determine whether changes in neural function within frontostriatal circuitry from baseline to end of the 8-week CM program are associated with parallel changes in measures of cognitive control and impulsivity and with MA abstinence outcomes and (2) to determine whether structural changes in frontostriatal circuitry over the 8-week CM intervention correspond with neurocognitive, psychological and MA abstinence measures.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
28
as described above
Department of Psychiatry at Groote Schuur Hospital
Cape Town, South Africa
Responses to Contingency Management
urine samples documenting methamphetamine abstinence
Time frame: 8 weeks
fMRI Measures
measures of resting state connectivity
Time frame: Change b/w baseline and 8 Weeks
Stop Signal Task
measure of inhibitory control
Time frame: Change b/w baseline and 8 Weeks
Continuous Performance Task
test of sustained attention
Time frame: Change b/w baseline and 8 Weeks
Stroop
test of inhibitory control
Time frame: Change b/w baseline and 8 Weeks
Balloon Analog Risk Task
measure of risk taking and decision making
Time frame: Change b/w baseline and 8 Weeks
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