Dataset Information

Clinic- and home-based contingency management plus parent training for adolescent cannabis use disorders.

ABSTRACT:

Objective

The aim of this study was to conduct a randomized test comparing 2 multicomponent, contingency management interventions, 1 with and 1 without a full parent training curriculum, and an individual treatment for adolescent cannabis use disorders.

Method

A total of 153 adolescents who met DSM-IV criteria for cannabis abuse or dependence were randomized to motivational enhancement therapy/cognitive-behavioral therapy (MET/CBT), MET/CBT+abstinence-based contingency management (CM), or MET/CBT+CM+Parent Training (PT).

Results

Overall, during treatment, abstinence was greater for youth receiving clinic- and home-based CM without PT compared to those who received individual MET/CBT. There was no additional benefit of the full PT curriculum on marijuana use, youth externalizing problems, or parenting.

Conclusion

These results suggest that clinic- plus home-based CM for cannabis use disorders can increase rates of abstinence during treatment over and above an evidence-based treatment (individual MET/CBT), but in this study the addition of a comprehensive parenting training curriculum did not further enhance efficacy.

Clinical trial registration information

Treatment for Adolescent Marijuana Abuse; http://clinicaltrials.gov; NCT00580671.

SUBMITTER: Stanger C

PROVIDER: S-EPMC4443272 | biostudies-literature | 2015 Jun

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Clinic- and home-based contingency management plus parent training for adolescent cannabis use disorders.

Stanger Catherine C Ryan Stacy R SR Scherer Emily A EA Norton Gray E GE Budney Alan J AJ

Journal of the American Academy of Child and Adolescent Psychiatry 20150228 6

<h4>Objective</h4>The aim of this study was to conduct a randomized test comparing 2 multicomponent, contingency management interventions, 1 with and 1 without a full parent training curriculum, and an individual treatment for adolescent cannabis use disorders.<h4>Method</h4>A total of 153 adolescents who met DSM-IV criteria for cannabis abuse or dependence were randomized to motivational enhancement therapy/cognitive-behavioral therapy (MET/CBT), MET/CBT+abstinence-based contingency management ...[more]

PMID: 26004659

Similar Datasets

Project description:IntroductionContingency management in addiction behaviors has been widely applied in high income settings. Contingency management entails modification of behavior via the control or manipulation of consequences (contingencies) to the behavior. While a need exists for contingency management in low- and middle- income settings, specifically those of the sub-Saharan Africa region, uptake is low relative to high income settings. This study assessed barriers to implementation of contingency management for methadone treatment clients at the outpatient clinic of a tertiary hospital in Tanzania.MethodsThis study employed a qualitative design and was conducted at Mbeya Zonal Referral Hospital (MZRH). Guided by the consolidated framework of implementation research (CFIR), data were collected from two sources 1) ten purposively selected key informants (health care workers, methadone treatment clients and hospital leaders) who participated in in-depth interviews, and 2) a mini focus group discussion with five participants (two health care providers, two hospital leaders and one leader of methadone treatment clients). We developed semi-structured guides for in-depth interviews and the mini focus group to explore the key barriers. We analyzed the collected data using thematic analysis.ResultsReported barriers revolved around the following key themes: lack of awareness and knowledge regarding contingency management, financial constraints to support implementation, trust between clients and health care workers, Health care workers work load, client behaviors and clinic culture. Participants mentioned lack of awareness and knowledge more frequently compared to other themes.ConclusionIn the context of specialized outpatient care in Tanzania, contingency management faces a variety of barriers. Deliberate efforts to establish and sustain contingency management in these settings require strategies that attend to the identified barriers. If the barriers are overcome, contingency management implementation and sustainment may follow and ultimately improve methadone related health outcome for patients.

Dataset Information

Clinic- and home-based contingency management plus parent training for adolescent cannabis use disorders.

Objective

Method

Results

Conclusion

Clinical trial registration information

Publications

Clinic- and home-based contingency management plus parent training for adolescent cannabis use disorders.

Similar Datasets

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