Disorders - Substance Use Disorders
Gonzales, Nancy
A., Dumka, Larry E., Millsap, Roger E., Gottschall, Amanda, McClain, Darya B., Wong, Jessie J., German, Miguelina, et-al
Objective: This
randomized trial of a family-focused preventive intervention for Mexican American (MA) adolescents evaluated intervention effects on adolescent
substance use, internalizing and externalizing symptoms, and school discipline and grade records in 8th grade, 1 year after completion of the
intervention. The study also examined hypothesized mediators and moderators of intervention effects.; Method: Stratified by language of program
delivery (English vs. Spanish), the trial included a sample of 516 MA adolescents (50.8% female; M = 12.3 years, SD = 0.54) and at least one
caregiver that were randomized to receive a low-dosage control group workshop or the 9-week group intervention that included parenting, adolescent
coping, and conjoint family sessions.; Results: Positive program effects were found on all 5 outcomes at 1-year posttest but varied depending on
whether adolescents, parents, or teachers reported on the outcome. Intervention effects were mediated by posttest changes in effective parenting,
adolescent coping efficacy, adolescent school engagement, and family cohesion. The majority of intervention effects were moderated by language, with
a larger number of significant effects for families who participated in Spanish. Intervention effects also were moderated by baseline levels of
mediators and outcomes, with the majority showing stronger effects for families with poorer functioning at baseline.; Conclusion: Findings not only
support the efficacy of the intervention to decrease multiple problem outcomes for MA adolescents but also demonstrate differential effects for
parents and adolescents receiving the intervention in Spanish vs. English, and depending on their baseline levels of functioning.; (PsycINFO Database
Record (c) 2012 APA, all rights reserved).
Journal of Consulting & Clinical
Psychology, 80(1) : 1-16
- Year: 2012
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Huang, Chiu-Mieh, Chien, Li-Yin, Cheng,
Chin-Feng, Guo, Jong-Long
Background: Drug use has been noted among students in Taiwan during the past decade and schools have a role in
preventing or delaying students' drug use. We developed and evaluated a school-based, drug-use prevention program integrating the theory of planned
behavior (TPB) and life skills for junior high school students.; Methods: We recruited 441 seventh graders from randomly selected schools: N = 143
experimental groups, N = 142 conventional groups, and N = 156 control groups. The experimental group received ten 45-minute sessions of theory-based
interventions. The conventional group got traditional didactic teaching and drug refusal skills. The control group received no intervention.;
Results: Compared to the control group, experimental group students showed greater improvement in attitude, subjective norm, perceived behavioral
control, life skills, and intention not to use drugs. Compared to the conventional group, the experimental group had significantly higher posttest
scores for 4 of the 5 outcomes, including life skills (96.53 vs. 90.92, p < .001), attitude (27.43 vs. 24.40, p = .012), subjective norm (29.51
vs. 28.06, p = .002), and perceived behavioral control (18.59 vs. 16.81, p < .001). The conventional group scored significantly higher in
behavioral intention than did the control group.; Conclusion: Study results demonstrated the effectiveness of a drug-use prevention program
integrating the TPB and life skills.; © 2012, American School Health Association.
Journal of School Health, 82(7) : 328-335
- Year: 2012
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
James-Burdumy, S., Goesling,
B., Deke, J., Einspruch, E.
Purpose: This article presents findings from the largest experimental evaluation to date of school-based
mandatory-random student drug testing (MRSDT). The study tested the effectiveness of MRSDT in reducing substance use among high school students.
Methods: Cluster randomized trial included 36 high schools and more than 4,700 9th through 12th grade students. After baseline data collection in
spring 2007, about half the schools were randomly assigned to a treatment group that was permitted to implement MRSDT immediately, and the remaining
half were assigned to a control group that delayed MRSDT until after follow-up data collection was completed 1 year later, in spring 2008. Data from
self-administered student questionnaires were used to compare rates of substance use in treatment and control schools at follow-up. Results: Students
subject to MRSDT by their districts reported less substances use in past 30 days compared with students in schools without MRSDT. The program had no
detectable spillover effects on the substance use of students not subject to testing. We found no evidence of unintentional negative effects on
students' future intentions to use substances, the proportion of students who participated in activities subject to drug testing, or on students'
attitudes toward school and perceived consequences of substance use. Conclusions: MRSDT shows promise in reducing illicit substance use among high
school students. The impacts of this study were measured for a 1-year period and may not represent longer term effects. (copyright) 2012 Society for
Adolescent Health and Medicine. All Rights Reserved.
Journal of Adolescent Health, 50(2) : 172-178
- Year: 2012
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Service Delivery & Improvement, Other service delivery and improvement
interventions
Jackson, Caroline, Geddes, Rosemary, Haw, Sally, Frank, John
Aims: To
identify and assess the effectiveness of experimental studies of interventions that report on multiple risk behaviour outcomes in young people.;
Methods: A systematic review was performed to identify experimental studies of interventions to reduce risk behaviour in adolescents or young adults
and that reported on both any substance (alcohol, tobacco and illicit drug) use and sexual risk behaviour outcomes. Two authors reviewed studies
independently identified through a comprehensive search strategy and assessed the quality of included studies. The report was prepared in accordance
with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.; Results: From 1129 papers, 18 experimental studies
met our inclusion criteria, 13 of which were assigned a strong or moderate quality rating. The substantial heterogeneity between studies precluded
the pooling of results to give summary estimates. Intervention effects were mixed, with most programmes having a significant effect on some outcomes,
but not others. The most promising interventions addressed multiple domains (individual and peer, family, school and community) of risk and
protective factors for risk behaviour. Programmes that addressed just one domain were generally less effective in preventing multiple risk
behaviour.; Conclusions: There is some, albeit limited, evidence that programmes to reduce multiple risk behaviours in school children can be
effective, the most promising programmes being those that address multiple domains of influence on risk behaviour. Intervening in the mid-childhood
school years may have an impact on later risk behaviour, but further research is needed to determine the effectiveness of this approach.; © 2011 The
Authors, Addiction © 2011 Society for the Study of Addiction.
Addiction (Abingdon, England), 107(4) : 733-747
- Year: 2012
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Lipsey, M. W.
Meta-analysis was used to examine the
effects of outpatient treatment on adolescent substance use outcomes. A literature search located 45 eligible experimental or quasiexperimental
studies reporting 73 treatment-comparison group pairs that provided 250 effect sizes for substance use outcomes. A second analysis examined 311 pre-
post effect sizes measuring changes in substance use in the separate treatment and comparison arms of these studies. The mean effect sizes across all
substance use outcome varied for different treatment modalities. The largest and most consistent effects were found for family therapy followed by
CBT, MET, MET/CBT, and behavioral treatments. Longer treatment duration was associated with smaller improvements, but other treatment and participant
characteristics had little influence. Effects also varied with the type of substance abuse outcome- larger effects were found on measures of
marijuana and mixed drug use than on alcohol and hard drug use. Effects also varied with the way these outcomes were measured, e.g., frequency of use
or abstinence over longer or shorter periods and use vs. personal problems associated with use. Some forms of measurement were found to be more
sensitive to treatment effects than others and may be preferred for use in intervention studies.
Alcoholism: Clinical & Experimental Research, 36 : 330A
- Year: 2012
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any)
Milburn, N. G., Iribarren, F. J., Rice, E., Lightfoot, M., Solorio, R., Rotheram-Borus, M. J., Desmond, K., et-al
Purpose: We evaluate the efficacy of a short family intervention in reducing sexual risk behavior, drug use, and delinquent behaviors among
homeless youth. Methods: A randomized controlled trial of 151 families with a homeless adolescent aged 12 to 17 years. Between March 2006 and June
2009, adolescents were recruited from diverse sites in Southern California and were assessed at recruitment (baseline), and at 3, 6, and 12 months
later. Families were randomly assigned to an intervention condition with five weekly home-based intervention sessions or a control condition
(standard care). Main outcome measures reflect self-reported sexual risk behavior, substance use, and delinquent behaviors over the past 90 days.
Results: Sexual risk behavior (e.g., mean number of partners; p <.001), alcohol use (p =.003), hard drug use (p <.001), and delinquent behaviors (p
=.001) decreased significantly more during 12 months in the intervention condition compared with the control condition. Marijuana use, however,
significantly increased in the intervention condition compared with the control condition (p <.001). Conclusions: An intervention to reengage
families of homeless youth has significant benefits in reducing risk over 12 months. (copyright) 2012 Society for Adolescent Health and Medicine. All
rights reserved.
Journal of Adolescent
Health, 50(4) : 358-364
- Year: 2012
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Family therapy
Lowe,
John, Liang, Huigang, Riggs, Cheryl, Henson, Jim, Elder, Tribal
Background: Substance abuse is one
of the nation's primary health concerns. Native American youth experience higher rates of substance abuse than other youth. There is little
empirical evidence that exists concerning the use of culturally-based interventions among Native American adolescents.; Objectives: This study used a
community-based participatory research approach to develop and evaluate an innovative school-based cultural intervention targeting substance abuse
among a Native American adolescent population.; Methods: A two-condition quasi-experimental study design was used to compare the Cherokee Talking
Circle (CTC) culturally-based intervention condition (n = 92) with the Be A Winner Standard Education (SE) condition (n = 87). Data were collected at
pre-intervention, immediate post-intervention, and 90-day post-intervention using the Cherokee Self-Reliance Questionnaire, Global Assessment of
Individual Needs - Quick, and Written Stories of Stress measures.; Results: Significant improvements were found among all measurement outcomes for
the CTC culturally-based intervention.; Conclusions: The data provide evidence that a Native American adolescent culturally-based intervention was
significantly more effective for the reduction of substance abuse and related problems than a noncultural-based intervention.; Scientific
Significance: This study suggests that cultural considerations may enhance the degree to which specific interventions address substance abuse
problems among Native American adolescents.;
The American Journal of Drug & Alcohol Abuse, 38(5) : 450-
455
- Year: 2012
- Problem: Substance Use Disorders (any)
- Type: Controlled clinical trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Psychoeducation, Other Psychological Interventions
Lisha, N., Sun, P., Rohrbach, L. A., Spruijt-Metz,
D., Unger, J. B., Sussman, S.
The present study provides an implementation fidelity, process, and immediate outcomes
evaluation of Project Towards No Drug Abuse (TND), a drug prevention program targeting continuation high school youth (n = 1426) at risk for drug
abuse. A total of 24 schools participated in three randomized conditions: TND Only, TND and motivational interviewing follow-up, and no treatment
control. Fidelity was high: across program schools the curriculum was implemented as intended and was received favorably by students. Relative to
controls, intervention conditions produced effects on hypothesized mediators, including greater gains in program related knowledge, greater
reductions in drug use intentions, and positive changes in motivation. However, few generalizations to attitudes and intentions regarding risky
sexual behavior were found. The pattern of results suggests that the experimental manipulations worked as intended. (copyright) 2012 Baywood
Publishing Co., Inc.
Journal of Drug Education, 42(1) : 33-57
- Year: 2012
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Motivational interviewing, includes Motivational Enhancing Therapy, Other Psychological Interventions
Prado, Guillermo, Cordova,
David, Huang, Shi, Estrada, Yannine, Rosen, Alexa, Bacio, Guadalupe A., Jimenez, Giselle Leon, et-al
Introduction: Drug and alcohol use disproportionately affect
Hispanic youth. Despite these disparities, few empirically supported preventive interventions are available to ameliorate this public health concern
among Hispanic youth. This study examined the effects of Familias Unidas, relative to Community Practice, in reducing past 90-day substance use,
alcohol and marijuana dependence, and having sex while under the influence of alcohol or drugs. Additionally, this study explored whether Familias
Unidas' effects varied by environmental context, namely parental stress and social support for parents. Methods: A total of 242 delinquent Hispanic
youth aged 12 - 17 years and their primary caregivers were randomized to either Familias Unidas or Community Practice and assessed at three time
points. Results: Familias Unidas was efficacious in reducing past 90-day substance use, illicit drug use, and in reducing the proportion of youth
with an alcohol dependence diagnosis, relative to Community Practice. Results also showed a reduction in the proportion of youth who reported having
sex while under the influence of alcohol or drugs. No differences between conditions were observed in past 90-day alcohol use or marijuana
dependence. Intervention effects on illicit drug use and alcohol dependence varied by environmental context. For example, Familias Unidas was most
efficacious for adolescents with parents exhibiting high stress and lower levels of social support. Conclusions: Familias Unidas was efficacious in
reducing some drug and alcohol related outcomes. The findings also support the concept of targeting family-based interventions, such as Familias
Unidas, for adolescents with parents exhibiting high stress and low levels of social support. (PsycINFO Database Record (c) 2013 APA, all rights
reserved) (journal abstract)
Drug & Alcohol Dependence, 125(Suppl 1) : S18-
S25
- Year: 2012
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Family therapy
Nyamathi, Adeline, Branson, Catherine, Kennedy, Barbara, Salem, Benissa, Khalilifard, Farinaz, Marfisee, Mary, Getzoff, Daniel, et-al
Background: Alcohol use, and in particular, binge drinking, and methamphetamine use is pervasive among
homeless youth and remains a social pressure among this vulnerable population. However, there is no compelling evidence that specific interventions
for reducing drug and alcohol use are effective for homeless youth.; Objectives: This community-based participatory action pilot study assessed the
impact of an intervention study focused on decreasing use of drugs and alcohol among a sample of homeless young adults (N= 154) visiting a drop-in
site in Santa Monica, California. The two programs consisted of an HIV/AIDS and Hepatitis Health Promotion (HHP) program led by nurses and an Art
Messaging (AM) program led by artists. Six-month follow-up data were obtained from 100 of these individuals.; Results: Findings revealed significant
reductions in alcohol and marijuana use and binge drinking in both the HHP and AM programs. However, homeless youth in the HHP program reported
additional reductions in methamphetamine, cocaine, and hallucinogen use at 6-month follow-up.; Conclusions: Reductions in drugs and alcohol are
important as these substances are linked to HIV/AIDS, hepatitis, and other health risks in homeless youth.; Scientific Significance: The successful
outcomes of the study intervention validate the utility of nurse-led and artistic health promotion strategies to decrease drug and alcohol use and
other risky behaviors in homeless youth populations.; Copyright © American Academy of Addiction Psychiatry.
American Journal on Addictions, 21(6) : 558-565
- Year: 2012
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Psychological Interventions
(any), Other Psychological Interventions, Creative expression: music, dance, drama, art
Moore, M. J., Werch, C. E., Bian, H.
Objective: Given the documented multiple health risks college students engage in, and the dearth of effective programs addressing them, the
authors developed a computer-based brief multiple-health behavior intervention. This study reports immediate outcomes and feasibility of a pilot of
this program. Participants: Two hundred students attending a midsized university participated. Methods: Participants were randomly assigned to the
intervention or control program, both delivered via computer. Immediate feedback was collected with the computer program. Results: Results indicate
that the intervention had an early positive impact on alcohol and cigarette use intentions, as well as related constructs underlying the Behavior-
Image Model specific to each of the 3 substances measured. Based on the implementation process, the program proved to be feasible to use and
acceptable to the population. Conclusion: Results support the potential efficacy of the intervention to positively impact behavioral intentions and
linkages between health promoting and damaging behaviors among college students. Copyright (copyright) 2012 Taylor and Francis Group, LLC.
Journal
of American College Health, 60(1) : 74-80
- Year: 2012
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)
Morrens, M., Dewilde, B., Sabbe, B., Dom, G., DeCuyper, R., Moggi, F.
Background: About half of all schizophrenic patients have a co-occurring substance use disorder, leading to poorer social and
functional outcomes than obtained in non-abusing patients. To improve outcomes, integrated treatments have been designed that address the two
conditions simultaneously. Results are, however, conflicting because the available effect studies are hampered by various methodological issues,
among which are heterogeneous patient samples. Methods: In this comparative study, two well-described patient samples diagnosed with schizophrenia
and co-morbid substance abuse disorders either received an integrated treatment (IDDT) or treatment as usual (TAU). Results: Patients in the IDDT
condition showed significant reductions in illicit drug and alcohol use, improvements on all psychiatric symptom domains, reported higher quality of
life and improved on social and community functioning. In contrast, patients' improvements in the TAU group were moderate and limited to a few
substance use and psychiatric outcomes. The TAU group had significantly higher dropout rates 6 and 12 months after baseline, suggesting that the IDDT
programme was more successful in committing patients. Conclusions: Our results suggest that an integrated approach to schizophrenic patients and co-
morbid substance use disorders is superior to standard treatment and may be considered as the treatment of choice for this patient group. Copyright
(copyright) 2011 S. Karger AG, Basel.
European Addiction Research, 17(3) : 154-
163
- Year: 2011
- Problem: Psychosis Disorders, Substance Use Disorders (any)
- Type: Controlled clinical trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Case management, Other service delivery and improvement
interventions