Disorders - Substance Use Disorders
Schwinn, Traci M., Schinke, Steven P., Di-Noia, Jennifer
This study developed and tested an Internet-based gender-specific drug abuse prevention program for adolescent girls. A sample of seventh, eighth, and ninth grade girls (N = 236) from 42 states and 4 Canadian provinces were randomly assigned to an intervention or control group. All girls completed an online pretest battery. Following pretest, intervention girls interacted with a 12-session, Internet-based gender-specific drug prevention program. Girls in both groups completed the measurement battery at posttest and 6-month follow-up. Analysis of posttest scores revealed no differences between groups for 30-day reports of alcohol, marijuana, poly drug use, or total substance use (alcohol and drugs). At 6-month follow-up, between-group effects were found on measures of 30-day alcohol use, marijuana use, poly drug use, and total substance use. Relative to girls in the control group, girls exposed to the Internet-based intervention reported lower rates of use for these substances. Moreover, girls receiving the intervention achieved gains over girls in the control group on normative beliefs and self-efficacy at posttest and 6-month follow-up, respectively.
Prevention Science, 11(1) : 24-32
- Year: 2010
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Psychoeducation, Skills training, Technology, interventions delivered using technology (e.g. online, SMS)
Ringwalt, Chris L., Clark, Heddy Kovach, Hanley, Sean, Shamblen, Stephen R., Flewelling, Robert L.
School-based drug prevention curricula constitute the nation’s most prevalent strategy to prevent adolescent drug use. We evaluated the effects of one such curriculum, Project ALERT, on adolescent substance use. In particular, we sought to determine if a single effect on 30-day alcohol use, noted shortly following the completion of the 2-year program, could be detected 1 year later. We also looked for delayed effects on other outcomes of interest, namely lifetime alcohol use, and 30-day and lifetime use of cigarettes, marijuana, and inhalants. We employed a randomized controlled trial that used school as the unit of assignment. Thirty-four schools with grades 6–8 from 11 states completed the study. Seventy-one Project ALERT instructors taught 11 core lessons to sixth graders and 3 booster lessons to seventh graders. Students were assessed prior to the onset of the intervention, as sixth graders, after the completion of the 2-year curriculum, as seventh graders, and again 1 year later as eighth graders. This paper examines data from the pretest and final posttest. Using hierarchical nonlinear modeling, we found that our earlier effect on 30-day alcohol use did not persist. Further, we continued to find no effects for lifetime alcohol use and both the lifetime and 30-day use of cigarettes, marijuana, and inhalants. Our findings do not support the long-term effectiveness of Project ALERT, when delivered to sixth graders. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
Prevention Science, 11(2) : 172-184
- Year: 2010
- Problem: Substance Use Disorders (any)
- Type: Controlled clinical trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions (any)
, Psychoeducation, Skills training
Roberts-Lewis, Amelia C., Welch-Brewer, Chiquitia L., Jackson, Mary S., Kirk, Raymond, Pharr, O. Martin
The objective of this preliminary study was to determine the effectiveness of a female gender-specific substance abuse treatment intervention (Holistic Enrichment for At-Risk Teens, or HEART) in improving problems related to personal and social functioning. A quasi-experimental, 2-group pretest and posttest repeated measures design was used to evaluate the effectiveness of a treatment intervention with 101 incarcerated girls who met DSM-IV criteria for substance dependence. A repeated measures MANCOVA revealed that the HEART program appeared to be more effective in reducing problems related to social functioning than the standard treatment substance abuse intervention. At posttest, significant differences were found between the treatment and comparison groups on three of the four measures of social functioning: problems with family, problems with friends, and problems with school. No significant differences were found between the 2 groups on 3 posttest measures of personal functioning. A critical need exists for gender-sensitive substance abuse interventions in female juvenile correctional facilities. Implications for policy, practice, and research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
Journal of Offender Rehabilitation, 49(7) : 479-494
- Year: 2010
- Problem: Substance Use Disorders (any)
- Type: Controlled clinical trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions
Rohrbach, Louise A., Sun, Ping, Sussman, Steve
Objective: Method: Results: Conclusion: The aims of this trial, conducted 2004-2008, were to examine (1) the effectiveness of Project Towards No Drug Abuse (TND) at the one-year follow-up when implemented on a large scale; and (2) the relative effectiveness of two training approaches for program implementers.A total of 65 high schools from 14 school districts across the United States were randomized to one of three conditions: regular workshop training, comprehensive implementation support, or standard care control. Physical education and health teachers delivered the program to students (n=2538). Program effectiveness was assessed with dichotomous measures of 30-day substance use at baseline and one-year follow-up.When the program conditions were considered in aggregate and compared to controls, the program showed a marginally significant effect in lowering marijuana use from baseline to the one-year follow-up. Significant program effects on hard drug use were achieved for baseline non-users only. There were no differences in the effects of the two program conditions.Positive outcomes may be achieved by trained teachers when they implement Project TND in real-world high school environments; however, program effects are likely to be weaker than those achieved in efficacy trials. Training workshops may be adequate to build capacity for successful program implementation.
Copyright © 2010 Elsevier Inc. All rights reserved.
Preventive Medicine, 51(3-4) : 313-319
- Year: 2010
- Problem: Substance Use Disorders (any)
- Type: Controlled clinical trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions
Sussman, Steve
The investigation of the applicability of Alcoholics Anonymous/Narcotics Anonymous (AA/NA) for teens has only been a subject of empirical research investigation since the early 1990s. In the present review, the author describes teen involvement in AA/NA programming, provides an exhaustive review of the outcomes of 19 studies that used an AA/NA model as part of their formal teen substance abuse treatment programs, and provides data on the effects of AA/NA attendance on abstinence at follow-up, on which youth tend to become involved in AA/NA, and on mediation of the benefits of AA/NA participation. In addition, the author suggests the reasons for somewhat limited participation by teens in more informal, community-based 12-step meetings, and makes suggestions for maximizing participation at meetings in the community. The author concludes that AA/ NA participation is a valuable modality of substance abuse treatment for teens and that much can be done to increase teen participation, though more research is needed.
Evaluation & the Health Professions, 33(1) : 26-55
- Year: 2010
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions
Werch, C. E., Moore, M. J., Bian, H., DiClemente, C. C., Huang, I. C., Ames, S. C., Thombs, D., et-al
Objective: This study examined whether 3-month outcomes of a brief image-based multiple behavior intervention on health habits and health-related quality of life of college students were sustained at 12-month follow-up without further intervention. Methods: A randomized control trial was conducted with 303 undergraduates attending a public university in southeastern US. Participants were randomized to receive either a brief intervention or usual care control, with baseline, 3-month, and 12-month data collected during fall of 2007. Results: A significant omnibus MANOVA interaction effect was found for health-related quality of life, p = 0.01, with univariate interaction effects showing fewer days of poor spiritual health, social health, and restricted recent activity, p's < 0.05, for those receiving the brief intervention. Significant group by time interaction effects were found for driving after drinking, p = 0.04, and moderate exercise, p = 0.04, in favor of the brief intervention. Effect sizes typically increased over time and were small except for moderate size effects for social health-related quality of life. Conclusion: This study found that 3-month outcomes from a brief image-based multiple behavior intervention for college students were partially sustained at 12-month follow-up.
Preventive Medicine, 50(1-2) : 30-34
- Year: 2010
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions
Werch, C. E., Bian, H., DiClemente, C. C., Moore, M. J., Thombs, D., Ames, S. C., Huang, I. C., et-al
The authors evaluated the efficacy of a brief image-based prevention intervention and assessed current drug use as a moderator of intervention effects. In a clinical trial, 416 high school-age adolescents were randomized to either the brief intervention or usual care control, with data collected at baseline and 3-month follow-up. The brief intervention consisted of a tailored in-person communication and a series of parent/guardian print materials based on the behavior-image model. Health behavior goal setting increased for participants receiving the brief intervention, with an effect size in the small range (d = 0.33). Overall effect sizes for cigarette smoking frequency and quantity and alcohol use frequency and quantity were small (ds = 0.16-0.21) and in favor of the brief intervention. However, adolescents reporting current substance use who received the brief intervention reduced their frequency and heavy use of alcohol, frequency and quantity of cigarette smoking, and reported fewer alcohol/drug problems, with larger effects ranging from small to approaching medium in size (ds = 0.32-0.43, ps < .01). This study suggests that brief image-based messages may increase health behavior goal setting and reduce substance use, particularly among drug-using older adolescents. (copyright) 2010 American Psychological Association.
Psychology of Addictive Behaviors, 24(1) : 170-175
- Year: 2010
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
, At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions
Thurstone, Christian, Riggs, Paula D., Salomonsen-Sautel, Stacy, Mikulicn-Gilbertson, Susan K.
Objective: To evaluate the effect of atomoxetine hydrochloride versus placebo on attention-deficit/hyperactivity disorder (ADHD) and substance use disorder (SUD) in adolescents receiving motivational interviewing/cognitive behavioral therapy (MI/CBT) for SUD. Method: This single-site, randomized, controlled trial was conducted between December 2005 and February 2008. Seventy adolescents (13 through 19 years of age) with Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) (DSM-IV) ADHD, a DSM-IV ADHD checklist score greater than or equal to 22, and at least one nontobacco SUD were recruited from the community. All subjects received 12 weeks of atomoxetine hydrochloride + MI/CBT versus placebo + MI/CBT. The main outcome measure for ADHD was self-report DSM-IV ADHD checklist score. For SUD, the main outcome was self-report number of days used nontobacco substances in the past 28 days using the Timeline Followback interview. Results: Change in ADHD scores did not differ between atomoxetine + MI/CBT and placebo + MI/CBT (F4,191 = 1.23, p = .2975). Change in days used nonnicotine substances in the last 28 days did not differ between groups (F3,100 = 2.06, p = .1103). Conclusions: There was no significant difference between the atomoxetine + MI/CBT and placebo + MI/CBT groups in ADHD or substance use change. The MI/CBT and/or a placebo effect may have contributed to a large treatment response in the placebo group. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
Journal of the American Academy of Child & Adolescent Psychiatry, 49(6) : 573-582
- Year: 2010
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Biological Interventions (any)
, Medications used to treat substance abuse, Psychological Interventions (any)
, Cognitive & behavioural therapies (CBT)
, Motivational interviewing, includes Motivational Enhancing Therapy
Burleson, J. A., Kaminer, Y., Burke, R.
Objective: A contingency management (CM) abstinence reinforcement system has been associated with positive short-term outcomes for adult substance abusers. However, adolescent studies have not been conclusive, suggesting a need to further explore the efficacy of CM-based approaches (Stanger & Budney, 2010). Method: A total of 59 youth, 13-18 years of age, diagnosed with DSM-IV Alcohol and Other Substance Use Disorder (AOSUD) were randomly assigned by cohorts into 10-weekly groups of either (i) integrated Cognitive Behavioral Therapy (CBT) plus a Voucher-Based Reinforcement Therapy (VBRT) which gave youth contingent rewards for alcohol and other substance use abstinence, or (ii) CBT plus non-VBRT (non-contingent) rewards. Substance use was monitored by twice-weekly urinalysis and self-report, while both abstinence and number of days use per month for both alcohol and other substances were assessed at Intake and End of Treatment. Results: Alcohol use dropped significantly from 69% to 2% (p <.001). For both alcohol abstinence as well as frequency of use, however, there were no significant changes as a function of contingency assignment. Similarly, for abstinence from other drugs, there was also a significant decrease overall (p <.001), but not as a function of contingency. Post-hoc power analyses showed that the sample size was more than sufficient to detect observed nonsignificant differences. Conclusion: The present study supported the efficacy of cognitive-behavioral therapy, but not the additional of VBRT. Future studies of CM should also focus on the contribution of developmental factors that might differentiate youth response to CM relative to those of adults.
Alcoholism: Clinical & Experimental Research, 34(6) : 170A
- Year: 2010
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions (any)
, Cognitive & behavioural therapies (CBT)
, Contingency management
Copeland, Amy L., Williamson, Donald A., Kendzor, Darla E., Businelle, Michael S., Rash, Carla J., Kulesza, Magdalena, Patterson, Scott M.
The Wise Mind pilot study compared the efficacy of an environmental Alcohol/Tobacco/Drug (ATD) prevention program with an obesity prevention program of Healthy Eating and Exercise (HEE) as an active control group for modifying expectancies related to alcohol and tobacco use in children. Four Catholic schools (N = 670 students) were randomly assigned to the treatment conditions (2 schools in each condition). Children were followed over two academic years. At an 18-month assessment, the ATD program resulted in healthier alcohol and tobacco expectancies as compared to the HEE program. Children in the ATD program did not differ from those in the HEE program in alcohol, tobacco, or drug use prevalence. However, prevalence rates of use were very low across all schools. Findings can benefit future prevention efforts with young children and suggest that strategies for preventing continued smoking in this age group are needed. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
Cognitive Therapy & Research, 34(6) : 522-532
- Year: 2010
- Problem: Substance Use Disorders (any)
- Type: Controlled clinical trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions
Elek, Elvira, Wagstaff, David A., Hecht, Michael L.
This study assessed the outcomes of adapting the culturally-grounded, middle school, substance-use prevention intervention, keepin ' it REAL (kiR), to target elementary school students and to address acculturation. At the beginning of 5th grade, 29 schools were randomly assigned to conditions obtained by crossing grade of implementation (5th, 7th, 5th + 7th, and control/comparison) by curriculum version [kiR-Plus vs. kiR-Acculturation Enhanced (AE)]. Students (n = 1984) completed 6 assessments through the end of 8th grade. The kiR curricula generally appear no more effective than the comparison schools' programming. Students receiving either version of the kiR intervention in only the 5th grade report greater increases in substance use than did control students. Receiving the kiR-AE version twice (both 5th and 7th grades) has benefits over receiving it once.
Journal of Drug Education, 40(1) : 61-79
- Year: 2010
- Problem: Substance Use Disorders (any)
- Type: Controlled clinical trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions (any)
, Psychoeducation, Skills training
Faggiano, F., Vigna-Taglianti, F., Burkhart, G., Bohrn, K., Cuomo, L., Gregori, D., Panella, M., et-al
Aim: To evaluate the effectiveness of a school-based substance abuse prevention program developed in the EU-Dap study (EUropean Drug Addiction Prevention trial). Materials and methods: Cluster Randomized Controlled Trial. Seven European countries participated in the study; 170 schools (7079 pupils 12-14 years of age) were randomly assigned to one of three experimental conditions or to a control condition during the school year 2004/2005. The program consisted of a 12-h curriculum based on a comprehensive social influence approach. A pre-test survey assessing past and current substance use was conducted before the implementation of the program, while a post-test survey was carried out about 18 months after the pre-test. The association between program condition and change in substance use at post-test was expressed as adjusted prevalence odds ratio (POR), estimated by multilevel regression models. Results: Persisting beneficial program effects were found for episodes of drunkenness (any, POR = 0.80; 0.67-0.97; frequent, POR = 0.62; 0.47-0.81) and for frequent cannabis use in the past 30 days (POR = 0.74; 0.53-1.00), whereas daily cigarette smoking was not affected by the program as it was at the short-term follow-up. Baseline non-smokers that participated in the program progressed in tobacco consumption to a lower extent than those in the control condition, but no difference was detected in the proportion of quitters or reducers among baseline daily smokers. Conclusion: The experimental evaluation of an innovative school curriculum based on a comprehensive social influence approach, indicated persistent positive effects over 18 months for alcohol abuse and for cannabis use, but not for cigarette smoking. (copyright) 2010 Elsevier Ireland Ltd. All rights reserved.
Drug & Alcohol Dependence, 108(1-2) : 56-64
- Year: 2010
- Problem: Substance Use Disorders (any)
- Type: Controlled clinical trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions (any)
, Psychoeducation, Skills training