Disorders - Substance Use Disorders
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
Conrod, P. J., Castellanos-Ryan, N., Strang, J.
Context: Objective: Design: Setting:
Participants: Intervention: Main Outcome Measures: Results: Conclusion: Trial Registration: Selective interventions targeting personality risk are
showing promise in the prevention of problematic drinking behavior, but their effect on illicit drug use has yet to be evaluated.To investigate the
efficacy of targeted coping skills interventions on illicit drug use in adolescents with personality risk factors for substance misuse.Randomized
controlled trial.Secondary schools in London, United Kingdom.A total of 5302 students were screened to identify 2028 students aged 13 to 16 years
with elevated scores on self-report measures of hopelessness, anxiety sensitivity, impulsivity, and sensation seeking. Seven hundred thirty-two
students provided parental consent to participate in this trial.Participants were randomly assigned to a control no-intervention condition or a 2-
session group coping skills intervention targeting 1 of 4 personality profiles.The trial was designed and powered to primarily evaluate the effect of
the intervention on the onset, prevalence, and frequency of illicit drug use over a 2-year period.Intent-to-treat repeated-measures analyses on
continuous measures of drug use revealed time x intervention effects on the number of drugs used (P < .01) and drug use frequency (P < .05), whereby
the control group showed significant growth in the number of drugs used as well as more frequent drug use over the 2-year period relative to the
intervention group. Survival analysis using logistic regression revealed that the intervention was associated with reduced odds of taking up the use
of marijuana (beta = -0.3; robust SE = 0.2; P = .09; odds ratio = 0.7; 95% confidence interval, 0.5-1.0), cocaine (beta = -1.4; robust SE = 0.4; P <
.001; odds ratio = 0.2; 95% confidence interval, 0.1-0.5), and other drugs (beta = -0.7; robust SE = 0.3; P = .03; odds ratio = 0.5; 95% confidence
interval, 0.3-0.9) over the 24-month period.This study extends the evidence that brief, personality-targeted interventions can prevent the onset and
escalation of substance misuse in high-risk adolescents.clinicaltrials.gov Identifier: NCT00344474.
Archives of General Psychiatry, 67(1) : 85-93
- Year: 2010
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Fang, Lin, Schinke, Steven P., Cole, Kristin C. A.
Purpose: Methods: Results: Conclusions: This study examined the
efficacy and generalizability of a family-oriented, web-based substance use prevention program to young Asian-American adolescent girls.Between
September and December 2007, a total of 108 Asian-American girls aged 10-14 years and their mothers were recruited through online advertisements and
from community service agencies. Mother-daughter dyads were randomly assigned to an intervention arm or to a test-only control arm. After pretest
measurement, intervention-arm dyads completed a 9-session web-based substance use prevention program. Guided by family interaction theory, the
program aimed to improve girls' psychological states, strengthen substance use prevention skills, increase mother-daughter interactions, enhance
maternal monitoring, and prevent girls' substance use. Study outcomes were assessed using generalized estimating equations.At posttest, relative to
control-arm girls, intervention-arm girls showed less depressed mood; reported improved self-efficacy and refusal skills; had higher levels of
mother-daughter closeness, mother-daughter communication, and maternal monitoring; and reported more family rules against substance use.
Intervention-arm girls also reported fewer instances of alcohol, marijuana, and illicit prescription drug use, and expressed lower intentions to use
substances in the future.A family-oriented, web-based substance use prevention program was efficacious in preventing substance use behavior among
early Asian-American adolescent girls.\rCopyright © 2010 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights
reserved.
Journal of Adolescent Health, 47(5) : 529-532
- Year: 2010
- 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), Skills training, Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)
Kristjansson, Alfgeir Logi, James,
Jack E., Allegrante, John P., Sigfusdottir, Inga Dora, Helgason, Asgeir R.
Objective: Methods: Results: Conclusion: To examine 12-year changes in alcohol use and cigarette
smoking in response to community-based prevention activities among Icelandic adolescents.This study used a quasi-experimental, non-randomized control
group design to compare outcomes in 4 Icelandic communities (n=3117) that participated in community-based substance use prevention activities
designed to increase levels of parental monitoring and adolescent engagement in healthy leisure-time activities and a matched group of 7 comparison
communities (n=1,907). Annual, nationwide, population-based cross-sectional surveys of the prevalence of adolescent substance use were conducted
among cohorts of Icelandic adolescents, aged 14-15 years (N=5,024), in all communities from 1997 to 2009.Parental monitoring and adolescent
participation in organized sports increased in communities that adopted the intervention program compared to communities that did not, whereas
unmonitored idle hours and attendance at unsupervised parties decreased. Over time, alcohol use (OR=0.89, 95% CI 0.82, 0.98, p=0.012) and being
intoxicated during the last 30 days (OR=0.86, 95% CI 0.78, 0.96, p=0.004) decreased more in the intervention than control communities.Community-based
prevention designed to strengthen parental monitoring and participation in organized sports may confer some protection against adolescent substance
use.\rCopyright 2010 Elsevier Inc. All rights reserved.
Preventive Medicine, 51(2) : 168-
171
- Year: 2010
- Problem: Substance Use Disorders (any)
- Type: Controlled clinical trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Clark, Heddy Kovach, Ringwalt,
Chris L., Hanley, Sean, Shamblen, Stephen R., Flewelling, Robert L., Hano, Mary C.
Project SUCCESS is a selective and indicated
substance use prevention program that targets high risk students in secondary school settings. We evaluated the effects of Project SUCCESS on
adolescents' substance use immediately following program implementation, and again one year later. Two successive cohorts of alternative high
schools were randomly assigned to an intervention or control group, yielding seven schools per condition. Main outcomes included 30-day use of
alcohol, marijuana, and illegal drugs excluding marijuana, and drinking to intoxication. We conducted exploratory analyses on 30-day cigarette use.
Using Hierarchical Linear Modeling, we found that students in the control schools reported significantly less use of illegal drugs excluding
marijuana than those in the intervention group at the first posttest; however, this effect did not persist one year later. There were no other
outcome effects of even a marginal nature. While results of this study do not provide evidence of Project SUCCESS' effectiveness, students' program
exposure was low. It is possible that Project SUCCESS would perform better in schools with higher and more regular rates of attendance.\rCopyright
2009 Elsevier Ltd. All rights reserved.
Addictive Behaviors, 35(3) : 209-
217
- Year: 2010
- Problem: Substance Use Disorders (any)
- Type: Controlled clinical trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Macgowan, Mark J., Engle, Bretton
This article reviews behavior therapies, motivational interviewing interventions, and combined
behavioral-psychosocial therapies across 34 peer-reviewed publications. Studies were included if they involved youth with alcohol and other drug
(AOD) use, included measures of AOD outcomes, and used controlled research designs with a control or comparison condition. The level of empirical
support of the interventions was evaluated using established guidelines. The article determined that behavior therapies were \"probably efficacious,
\" and motivational interviewing interventions easily met the criteria for \"promising.\" Because of small sample sizes, combined behavioral-
psychosocial therapies marginally met the criteria for \"promising.\" The findings from this article underscore the value of individual and group
behavior therapies and motivational interviewing in helping reduce mild to serious AOD use among adolescents.\rCopyright (c) 2010 Elsevier Inc. All
rights reserved.
Child &
Adolescent Psychiatric Clinics of North America, 19(3) : 527-545
- Year: 2010
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Motivational interviewing, includes Motivational Enhancing Therapy