Disorders - Substance Use Disorders
Goense, P. B., Assink, M., Stams, G. J., Boendermaker, L., Hoeve, M.
This study meta-analytically examined the effect of treatment integrity on client outcomes of evidence-based interventions for juveniles with antisocial behavior. A total of 17 studies, from which 91 effect sizes could be retrieved, were included in the present 3-level meta-analysis. All included studies, to a certain level, adequately implemented procedures to establish, assess, evaluate and report the level of treatment integrity. A moderator analysis revealed that a medium-to-large effect of evidence-based interventions was found when the level of treatment integrity was high (d = 0.633, p < 0.001), whereas no significant effect was found when integrity was low (d = 0.143, ns). Treatment integrity was significantly associated with effect size even when adjusted for other significant moderators, indicating the specific contribution of high levels of treatment integrity to positive client outcomes. This implies that delivering interventions with high treatment integrity to youth with antisocial behavior is vital. Copyright © 2016 Elsevier Ltd
Aggression and Violent Behavior, 31 : 106-115
- Year: 2016
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
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Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
Goorden, M., Schawo, S. J., Bouwmans-Frijters, C. A. M., van-der-Schee, E., Hendriks, V. M., Hakkaart-van-Roijen, L.
Background: Family therapy and family-based treatment has been commonly applied in children and adolescents in mental health care and has been proven to be effective. There is an increased interest in economic evaluations of these, often expensive, interventions. The aim of this systematic review is to summarize and evaluate the evidence on cost-effectiveness of family/family-based therapy for externalizing disorders, substance use disorders and delinquency. Methods: A systematic literature search was performed in PubMed, Education Resource information Centre (ERIC), Psycinfo and Cochrane reviews including studies conducted after 1990 and before the first of August of 2013. Full economic evaluations investigating family/family-based interventions for adolescents between 10 and 20 years treated for substance use disorders, delinquency or externalizing disorders were included. Results: Seven hundred thirty-one articles met the search criteria and 51 studies were initially selected. The final selection resulted in the inclusion of 11 studies. The quality of these studies was assessed. Within the identified studies, there was great variation in the specific type of family/family-based interventions and disorders. According to the outcomes of the checklists, the overall quality of the economic evaluations was low. Results varied by study. Due to the variations in setting, design and outcome it was not feasible to pool results using a meta-analysis. Conclusions: The quality of the identified economic evaluations of family/family-based therapy for treatment of externalizing disorders, adolescent substance use disorders and delinquency was insufficient to determine the cost-effectiveness. Although commonly applied, family/family-based therapy is costly and more research of higher quality is needed. Copyright © 2016 The Author(s).
BMC Psychiatry, 16 (1) (no pagination)(237) :
- Year: 2016
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
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Stage: Disorder established (diagnosed disorder)
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Treatment and intervention: Psychological Interventions (any)
, Family therapy
Knight, D. K., Joe, G. W., Crawley, R. D., Becan, J. E., Dansereau, D. F., Flynn, P. M.
Treatment engagement is a primary pathway to change. Because motivation consistently predicts engagement and sustained recovery following treatment, targeted efforts at improving problem recognition (i.e., a significant ingredient in motivation) during early weeks of treatment are critical. The purpose of this study is to compare the effectiveness of Standard Operating Practice (SOP) versus SOP plus an 8-session Treatment Readiness and Induction Program (TRIP; delivered in the first weeks of treatment) on cognitive indicators and treatment engagement among youth in 5 residential substance use treatment settings. Structural Equation Modeling (SEM) documented higher problem recognition, decision making, and treatment engagement (participation, satisfaction, counselor rapport) among youth receiving TRIP (compared to SOP only), even when controlling for background characteristics such as age, race-ethnicity, gender, baseline drug use severity, etc. Findings suggest that TRIP is an effective induction tool that directly impacts targeted constructs (i.e., problem recognition, decision making), and also directly affects indicators of engagement. Copyright © 2015 Elsevier Inc.
Journal of Substance Abuse Treatment, 62 : 20-27
- Year: 2016
- Problem: Substance Use Disorders (any)
- Type: Controlled clinical trials
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Stage: At risk (indicated or selected prevention)
, Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Other Psychological Interventions, Other service delivery and improvement interventions
Lakshmana, Govindappa
This study assessed the efficacy of a 4-month program combining motivational interviewing and cognitive behavior intervention on substance-using street adolescents in India. The study followed classical experimental design and the subjects were randomly assigned to control and experimental groups. Readiness to change questionnaire and Adolescent Relapse Coping Questionnaire tools were used for the evaluation of the intervention program. At the baseline, majority of the respondents in both the groups were at the precontemplation stage of motivation. At the end of the 3rd month of the intervention, there was a significant difference, chi2 = 31.139, df = 2, p < .001, between the 2 groups on the stages of motivation. The study's limitations are noted. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
Journal of Social Work Practice in the Addictions, 16(4) : 337-357
- Year: 2016
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
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Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Cognitive & behavioural therapies (CBT)
, Motivational interviewing, includes Motivational Enhancing Therapy
Li, L., Zhu, S., Tse, N., Tse, S., Wong, P.
AIMS: Motivational interviewing (MI) is a commonly used intervention approach to promote reduction or cessation of substance abuse. Effects may be different for adolescents, so it is useful to assess the state of the evidence in this subpopulation. This paper aimed to assess evidence for MI effectiveness in adolescents.
METHOD: EBSCOhost, ProQuest and Digital Dissertation Consortium were searched using keywords. Ten randomized trials from the United Kingdom, United States and Taiwan, including 1466 participants, were identified and analysed using a random effects model. Primary outcome measures captured were: the extent of drug use, intention to use drugs and readiness to change. Each study received a high-quality score based on the Miller Quality Scoring Coding System. Moderator analyses were also conducted to examine the impacts of follow-up period, delivery setting and study design on the effectiveness of MI.
RESULTS: No statistically significant effect of MI on was found change of drug use behaviours [d = 0.05, 95% confidence interval (CI) = -0.06, 0.17, P = 0.36]. A significant effect was found on attitude change (d = 0.44, 95% CI = 0.20, 0.67, P = 0.0002). The funnel plot was asymmetrical, suggesting publication bias favouring small studies with higher effect sizes.
CONCLUSION: Motivational interviewing has not been found thus far to reduce adolescent use of illicit drugs. It may influence intentions to change, but evidence of publication bias weakens confidence in this conclusion.
Copyright © 2015 Society for the Study of Addiction.
Addiction, 111(5) : 795-805
- Year: 2016
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy
Patton, G. C., Sawyer, S. M., Santelli, J. S., Ross, D. A., Afifi, R., Allen, N. B., Arora, M., Azzopardi, P., Baldwin, W., Bonell, C., Kakuma, R., Kennedy, E., Mahon, J., McGovern, T., Mokdad, A. H., Patel, V., Petroni, S., Reavley, N., Taiwo, K., Waldfogel, J., Wickremarathne, D., Barroso, C., Bhutta, Z., Fatusi, A. O., Mattoo, A., Diers, J., Fang, J., Ferguson, J., Ssewamala, F., Viner, R. M.
Lancet, 387(10036) : 2423-78
- Year: 2016
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
, Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Universal prevention
, At risk (indicated or selected prevention)
, Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
Onrust, S. A., Otten, R., Lammers, J., Smit, F.
Background: Findings from systematic reviews and meta-analyses about the effectiveness of school-based programmes to prevent or reduce substance abuse are inconclusive. We hypothesise that in order to be effective, programmes have to be aligned with the developmental stages of the intended target group (childhood, early, middle, or late adolescence). The present study provides an overview of universal and targeted programmes, while distinguishing four age groups and examining which intervention characteristics are the effective components for the respective groups. Methods: Databases were searched for controlled studies of school-based programmes, evaluating their effectiveness on either smoking, alcohol or drug use. Multivariate meta-regression analysis was used to analyse the associations between effects and programme characteristics. Results: Our meta-analysis evaluates 288 programmes with a total of 436,180 participants. The findings support our hypothesis that specific aspects of the school-based programmes are effective in some developmental stages, but not for other age groups. The differences in effectiveness are systematically related to psychological and cognitive needs and capacities. Discussion: Our findings highlight the importance of considering a developmental perspective when designing and offering school-based prevention programmes. The various developmental stages offer different possibilities and opportunities for the reduction and prevention of substance use. Copyright © 2015 The Authors.
Clinical Psychology Review, 44 : 45-59
- Year: 2016
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
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Stage: Universal prevention
, At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
Noel, V., Stanger, C., Budney, A. J.
Aims: While contingency management (CM) interventions are effective in decreasing youth substance use, this effect is shortterm. Poor parent monitoring and tobacco use predict youth substance use but their role and the role of parent impulsive decision making in substance use relapse is unknown. This study examined the influence of parent impulsive decision making and tobacco use on parent monitoring and the treatment related changes in parent monitoring on post treatment youth substance use. Methods: Participants included 230 youths aged 12-18 years who abused either alcohol, marijuana or both, and their parent(s). Families participated in a 14-week randomized trial examining the efficacy of the addition of CM to MET/CBT intervention. Frequency of youth substance use was assessed using the Timeline Follow Back method. Parents self-reported their tobacco use and monitoring of youth behaviors. To measure impulsive decision making, parents completed a delay discounting task (degree of preference for smaller immediate over larger delayed rewards). Results: A latent growth model for youth substance use frequency at discharge, 3, 6, and 9months was fit. Five predictors were then added: parent monitoring at intake/discharge, treatment condition, parent delay discounting, and parent tobacco smoking status (smoker/non-smoker). The final model fit well (X2(18, N= 230) = 17.55, p = .49, RMSEA= .00). Poor parent monitoring at intake (B = .68) and higher parent delay discounting (B = .14) was associated with poor parent monitoring at discharge. Although treatment condition did not predict youth substance use post treatment, poor parent monitoring at discharge (B = .39) and parent tobacco use (B = .37) predicted the youth substance use intercept (more days of substance use during treatment) accounting for 31% of the variance. No variable predicted rate of change in substance use post treatment. Conclusions: Addressing parent substance use and impulsive decision making and targeting parent monitoring may be beneficial in improving the maintenance of parent monitoring and reducing youth substance use long-term.
Drug & Alcohol Dependence, 146 : e53
- Year: 2015
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Cognitive & behavioural therapies (CBT)
, Motivational interviewing, includes Motivational Enhancing Therapy, Contingency management
, Other service delivery and improvement interventions
Oesterle, S., Hawkins, J., Kuklinski, M. R., Fagan, A. A., Fleming, C., Rhew, I. C., Brown, E. C., Abbott, R. D., Catalano, R. F.
This study tested sustained effects of the Communities That Care (CTC) prevention system on health-risking behaviors 9 years after baseline in a community-randomized trial involving 24 towns in seven states. Earlier analyses found sustained effects on abstinence from drug use and delinquency through Grade 12 in a panel of fifth graders. At age 19, 91 % (n = 3986) of the living panel completed the survey. Data were analyzed using generalized linear mixed models. The prevalence of lifetime and current substance use and delinquency were the primary outcomes. Secondary outcomes included substance use disorders, major depression, suicidality, educational attainment, and sexual risk behaviors. CTC had a significant overall effect across lifetime measures of the primary outcomes for males, but not for females or the full sample, although lifetime abstinence from delinquency in the full sample was significantly higher in CTC communities (ARR = 1.16). Males in CTC communities also continued to show greater lifetime abstinence from cigarette smoking (ARR = 1.22). CTC did not have a sustained effect on current substance use and delinquency nor did it improve the secondary outcomes at age 19 for either gender. Communities using CTC may need to extend their prevention planning to include the high school years to sustain effects on drug use and delinquency beyond high school for both genders. (PsycINFO Database Record (c) 2016 APA, all rights reserved) (journal abstract).
American Journal of Community Psychology, 56(3-4) : 217-228
- Year: 2015
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
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Stage: Universal prevention
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Treatment and intervention: Service Delivery & Improvement, Other service delivery and improvement interventions
Mason, M., Ola, B., Zaharakis, N., Zhang, J.
Tobacco and alcohol use continues to be associated with negative health outcomes among adolescents and young adults. New technologies such as text messaging can increase access to substance use interventions and have now been established as an evidence-based, recommended approach towards substance use prevention. This review presents results from a meta-analysis examining the effectiveness of text message interventions for tobacco and alcohol cessation within adolescent and young adult populations. Results from 14 studies with effect sizes are ranging from -0.25 to 0.54. Combining the effect sizes across studies yielded a summary effect size of 0.25, indicating that in general, text interventions have a positive effect on reducing substance use behaviors. Results are discussed in the context of prevention opportunities and recommendations for future text messaging intervention research. (PsycINFO Database Record (c) 2015 APA, all rights reserved) (journal abstract).
Prevention Science, 16(2) : 181-188
- Year: 2015
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
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Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)
Kouyoumdjian, F. G., McIsaac, K. E., Liauw, J., Green, S., Karachiwalla, F., Siu, W., Burkholder, K., Binswanger, I., Kiefer, L., Kinner, S. A., Korchinski, M., Matheson, F. I., Young, P., Hwang, S. W.
We systematically reviewed randomized controlled trials of interventions to improve the health of people during imprisonment or in the year after release. We searched 14 biomedical and social science databases in 2014, and identified 95 studies. Most studies involved only men or a majority of men (70/83 studies in which gender was specified); only 16 studies focused on adolescents. Most studies were conducted in the United States (n = 57). The risk of bias for outcomes in almost all studies was unclear or high (n = 91). In 59 studies, interventions led to improved mental health, substance use, infectious diseases, or health service utilization outcomes; in 42 of these studies, outcomes were measured in the community after release. Improving the health of people who experience imprisonment requires knowledge generation and knowledge translation, including implementation of effective interventions.
American Journal of Public Health, 105(4) : e13-e33
- Year: 2015
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
Kirby, K. C., Meyers, K., Carpenedo, C. M., Bresani, E., Dugosh, K. L., Zentgraf, K., Zaslav, D.
Aims: Little research has examined methods for helping parents with treatment-resistant adolescents (12-17 yrs) and young adults (18-25 yrs).Weadapted the Community Reinforcement and Family Training (CRAFT) program for treatment-resistant adults for use by parents dealing with treatment resistant youth (12-25 yrs) and evaluated the revised program on efficacy in facilitating treatment entry, reducing drug use, and reducing behavior problems. Methods: Parents (N= 56) were randomly assigned to receive 12 individual sessions of either CRAFT (n = 32) or Alanon/NarAnon Facilitation Training (AFT; n = 24) delivered at our Family Training Program (FTP). Youth treatment entry was monitored weekly and at 3- and 6-month follow-up assessments. Substance use and behavior problems were monitored through parent report at 3- and 6-month follow-up assessments. Results: Large differences were seen in the number of youth receiving a treatment referral with 75% of the CRAFT parents getting their child to FTP for a referral compared to 33% in the ANF group (2 = 9.722, p = .002). Rates of transfer for youth from FTP to specialty treatment in the community were lower: 41% vs 29% in CRAFT and ANF, respectively. Although not statistically significant, there were small to moderate effect sizes for a group by time interaction for drug use (d = .38) and for problem reduction (d = .36 for adolescents; d = .62 for young adults) favoring greater reductions in CRAFT. Conclusions: Preliminary results suggest that the modified CRAFT program is more efficacious than ANF in getting youth into treatment. Effects on drug use and problem behavior are not yet clear.
Drug & Alcohol Dependence, 156 : e112
- Year: 2015
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Treatment resistant/treatment refractory
-
Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions