Clinic- and Home-Based Contingency Management Plus Parent Training for Adolescent Cannabis Use Disorders - 28/05/15
, Stacy R. Ryan, PhD b, Emily A. Scherer, PhD a, Gray E. Norton, BA a, Alan J. Budney, PhD aAbstract |
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; clinicaltrials.gov; NCT00580671.
Le texte complet de cet article est disponible en PDF.Key Words : cannabis, contingency management, parent training
Plan
| This article is discussed in an editorial by Dr. Paula Riggs on page 440. |
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| Clinical guidance is available at the end of this article. |
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| An interview with the author is available by podcast at www.jaacap.org or by scanning the QR code to the right. |
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| This research was funded by a National Institutes of Health (NIH) grant (DA015186). |
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| Dr. Scherer served as the statistical expert for this research. |
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| Disclosure: Dr. Stanger has received research support from the National Institute on Alcohol Abuse and Alcoholism (NIAAA), the National Institute on Drug Abuse (NIDA), and The Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD). Dr. Ryan has received research support from NIDA. Dr. Scherer has received research support from NIDA, NIAAA, the National Center for Advancing Translational Sciences (NCATS), the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), the National Institute of Mental Health (NIMH), the Health Resources and Services Administration (HRSA), NICHD, and the McCarthy Foundation. Dr. Budney has received research support from NIDA, NIAAA, and NICHD. Ms. Norton has received research support from NIAAA, NIDA, and NICHD. |
Vol 54 - N° 6
P. 445 - juin 2015 Retour au numéro
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