Disorders - Substance Use Disorders
Steele, D. W., Becker, S. J., Danko, K. J., Balk, E. M., Adam, G. P., Saldanha, I. J., Trikalinos, T. A.
CONTEXT: Adolescents with problematic substance use (SU) are at risk for far-reaching
adverse outcomes. OBJECTIVE(S): Synthesize the evidence regarding the effects of brief behavioral interventions for adolescents (12-20 years) with
problematic SU. DATA SOURCES: We conducted literature searches in Medline, the Cochrane Central Register of Controlled Trials, Embase, Cumulative
Index to Nursing and Allied Health Literature, and PsycInfo through October 31, 2019. STUDY SELECTION: We screened 33 272 records and citations for
interventions in adolescents with at least problematic SU, retrieved 1831 articles, and selected 22 randomized controlled trials of brief
interventions meeting eligibility criteria for meta-analysis. DATA EXTRACTION: We followed Agency for Healthcare Research and Quality guidelines. We
categorized brief interventions into components, including motivational interviewing (MI), psychoeducation, and treatment as usual. Outcomes included
SU (abstinence, days used per month) for alcohol and cannabis, and substance-related problem scales. Strength of evidence (SoE) was assessed. RESULT
(S): Both pairwise and network meta-analyses were conducted by using random effects models. Compared to treatment as usual, the use of MI reduces
heavy alcohol use days by 0.7 days per month (95% credible interval [CrI]: 21.6 to 0.02; low SoE), alcohol use days by 1.1 days per month (95% CrI
22.2 to 20.3; moderate SoE), and overall substance-related problems by a standardized net mean difference of 0.5 (95% CrI -1.0 to 0; low SoE). The
use of MI did not reduce cannabis use days, with a net mean difference of 20.05 days per month (95% CrI: 20.26 to 0.14; moderate SoE). LIMITATIONS:
There was lack of consistently reported outcomes and limited available comparisons. CONCLUSION(S): The use of MI reduces heavy alcohol use, alcohol
use days, and SU-related problems in adolescents but does not reduce cannabis use days. Copyright © 2020 by the American Academy of Pediatrics.
Pediatrics, 146(4) :
- Year: 2020
- 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), Motivational interviewing, includes Motivational Enhancing Therapy, Psychoeducation, Other Psychological Interventions
Snijder, M., Stapinski, L., Lees, B., Ward, J., Conrod, P., Mushquash, C., Belone,
L., Champion, K., Chapman, C., Teesson, M., Newton, N.
This systematic review assessed the current evidence base of substance use prevention programs for Indigenous adolescents in the USA,
Canada, Australia and New Zealand. The authors investigated (a) the outcomes, type, setting and context of prevention programs; (b) the common
components of beneficial prevention programs; and (c) the methodological quality of evaluations of included prevention programs. The authors searched
eight peer-reviewed and 20 grey literature databases for studies published between 1 January 1990 and 31 August 2017. Data extracted included type of
program (culturally adapted, culture-based or unadapted), the setting (school, community, family or multi-setting), delivery (computerised or
traditional), context (Indigenous-specific or multi-cultural environment) and common components of the programs. Program evaluation methodologies
were critically appraised against standardised criteria. This review identified 26 eligible studies. Substance use prevention programs for Indigenous
youth led to reductions in substance use frequency and intention to use; improvements in substance-related knowledge, attitudes and resistance
strategies; and delay in substance use initiation. Key elements of beneficial programs included substance use education, skills development, cultural
knowledge enhancement and community involvement in program development. Five programs were rated as methodologically strong, seven were moderate and
fourteen were weak. Prevention programs have the potential to reduce substance use among Indigenous adolescents, especially when they are developed
in partnership with Indigenous people. However, more rigorously conducted evaluation trials are required to strengthen the evidence base.
Prevention
science : the official journal of the Society for Prevention Research, 21(1) : 65-
85
- Year: 2020
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Psychological Interventions
(any)
Man, D. W. K.
Non-pharmacological means are being developed to enhance cognitive abilities in drug abusers. This study evaluated virtual reality (VR) as an
intervention tool for enhancing cognitive and vocational outcomes in 90 young ketamine users (KU) randomly assigned to a treatment group (virtual
reality group, VRG; tutor-administered group, TAG) or wait-listed control group (CG). Two training programmes with similar content but different
delivery modes (VR-based and manual-based) were applied using a virtual boutique as a training scenario. Outcome assessments comprised the Digit
Vigilance Test, Rivermead Behavioural Memory Test, Wisconsin Cart Sorting Test, work-site test and self-efficacy pre- and post-test and during 3- and
6-month follow-ups. The VRG exhibited significant improvements in attention and improvements in memory that were maintained after 3 months. Both the
VRG and TAG exhibited significantly improved vocational skills after training which were maintained during follow-up, and improved self-efficacy.
VR-based cognitive training might target cognitive problems in KU.
Neuropsychological rehabilitation, 30(2) : 315-332
- Year: 2020
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Technology, interventions delivered using technology (e.g. online, SMS), Other service delivery and improvement
interventions
Kargin, M., Hicdurmaz, D.
The current study was
designed to assess the effect of a psychoeducation program on relapse rate, social functioning, perceived wellness, and ways of coping in individuals
with substance use disorder (SUD). The study sample comprised 92 individuals (n = 46 intervention group, n = 46 control group) who received SUD
treatment, had undergone detoxification, and agreed to participate in the study. A 10-session psychoeducation program was applied to individuals in
the intervention group. Data collection included a urine sample and completion of the Personal Information Form, Social Functioning Scale, Perceived
Wellness Scale, and Ways of Coping Scale. The relapse rate in the control group was found to be higher than in the intervention group; thus, it was
determined that the relapse prevention psychoeducation program led to positive changes in relapse rate, social functioning, perceived wellness, and
stress in individuals with SUD. [Journal of Psychosocial Nursing and Mental Health Services, 58(8), 39-47.]. Copyright 2020, SLACK Incorporated.
Journal of psychosocial nursing and mental health services, 58(8) : 39-
47
- Year: 2020
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder), Relapse prevention
-
Treatment and intervention: Psychological Interventions
(any), Psychoeducation
Gilbey, D., Morgan, H., Lin, A., Perry,
Y.
Background: Young people (aged
12-25 years) with diverse sexuality, gender, or bodily characteristics, such as those who identify as lesbian, gay, bisexual, transgender, intersex,
or queer (LGBTIQ+), are at substantially greater risk of a range of mental, physical, and sexual health difficulties compared with their peers.
Digital health interventions have been identified as a potential way to reduce these health disparities. Objective(s): This review aims to summarize
the characteristics of existing evidence-based digital health interventions for LGBTIQ+ young people and to describe the evidence for their
effectiveness, acceptability, and feasibility. Method(s): A systematic literature search was conducted using internet databases and gray literature
sources, and the results were screened for inclusion. The included studies were synthesized qualitatively. Result(s): The search identified 38
studies of 24 unique interventions seeking to address mental, physical, or sexual health-related concerns in LGBTIQ+ young people. Substantially more
evidence-based interventions existed for gay and bisexual men than for any other population group, and there were more interventions related to risk
reduction of sexually transmitted infections than to any other health concern. There was some evidence for the effectiveness, feasibility, and
acceptability of these interventions overall; however, the quality of evidence is often lacking. Conclusion(s): There is sufficient evidence to
suggest that targeted digital health interventions are an important focus for future research aimed at addressing health difficulties in LGBTIQ+
young people. Additional digital health interventions are needed for a wider range of health difficulties, particularly in terms of mental and
physical health concerns, as well as more targeted interventions for same gender-attracted women, trans and gender-diverse people, and people with
intersex variations. Copyright © Dylan Gilbey, Helen Morgan, Ashleigh Lin, Yael Perry. Originally published in the Journal of Medical Internet
Research (http://www.jmir.org), 03.12.2020. This is an open-access article distributed under the terms of the Creative Commons Attribution License
(https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original
work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original
publication on http://www.jmir.org/, as well as this copyright and license information must be included.
Journal of Medical Internet
Research, 22(12) :
- Year: 2020
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Technology, interventions delivered using technology (e.g. online, SMS)
Ariss, T., Fairbairn, C. E
Objective: Substantial research has accrued in support of a key role for social processes in substance use disorders (SUD). Researchers
have developed a range of interventions that capitalize on these social processes to bolster treatment outcomes by involving significant others
(e.g., romantic partners, family, friends) in SUD treatment. Yet dissemination of these treatments to many contexts has been slow, and information on
their broad efficacy is lacking. This meta-analysis aims to quantify the effect of significant other involvement in SUD treatments above and beyond
individually-based therapies. Method: A total of 4,901 records were screened for randomized controlled trials examining the effect of Significant
Other Involved SUD Treatments (SOIT) versus individually-based active comparator treat- ments. Our search yielded 77 effect sizes based on data from
2,115 individuals enrolled in 16 independent trials. Results: Findings indicated a significant effect of SOIT above and beyond individually-based
active comparator treatments for reducing substance use and substance-related problems, d ? 0.242, 95% CI [0.148, 0.336], I2 ? 10.596, Q(15) ?
16.778. This effect was consistent across SOIT treatment types and endured 12 - 18 months after the end of treatment. Analyses of raw mean
differences indicated that this effect translates to a 5.7% reduction in substance use frequency - the equivalent of approximately 3 fewer weeks a
year of drinking/drug use. Conclusion: Findings indicate a significant advantage for SOIT in SUD treatment, and hold interesting conceptual
implications for theories of SUD maintenance.
Journal of
Consulting and Clinical Psychology, 88(6) : 526
- Year: 2020
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Family therapy, Other Psychological Interventions
Orsini, M. M., Wyrick, D. L., Hansen, W.
B., OSullivan, R. G., Hallfors, D., Steckler, A. B., Ridenour, T. A.
Purpose: Alcohol, tobacco, marijuana and other drugs use typically increases in prevalence and frequency
during middle and late adolescence. School health instruction often focusses on providing facts and rarely provides tools for addressing the
psychosocial risk factors needed to prevent substance use. The purpose of this paper is to report about the effectiveness of a prevention programme
delivered in US high school health classes. The intervention augments typical instruction by providing teachers with activities that can be infused
in their daily teaching. Design/methodology/approach: In total, 26 schools were randomly assigned to receive the intervention or serve as controls.
Pupils were pretested near the beginning of the school year, posttest near the end of the school year and administered a final test near the
beginning of the following school year. Teachers in treatment schools were provided with activities designed to target psychosocial variables known
to mediate substance use onset and self-initiated cessation. These include normative beliefs, intentionality, lifestyle incongruence, beliefs about
consequences of use, peer pressure resistance skills, decision-making skills, goal setting skills and stress management skills. Findings:
Hierarchical modelling analytic strategies revealed the intervention to have definable positive impacts on alcohol and cigarette use. Moreover, the
intervention had strongest effects on alcohol and cigarette use among pupils who were identified at pretest as being lower-than-average risk.
Originality/value: This research provides support for providing teachers with a strategy for preventing alcohol, tobacco and other drugs that can be
used in a flexible manner to augment the instruction they are already mandated to provide. (PsycInfo Database Record (c) 2020 APA, all rights
reserved)
Health Education, 119(3) : 230-
243
- Year: 2019
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Mello, M. J., Bromberg, J. R., Baird, J., Wills, H., Gaines, B.
A., Lapidus, G., Ranney, M. L., Parnagian, C., Spirito, A.
Background: Identifying problem drinkers and providing brief intervention (BI) for those who screen positive are required within all level I
trauma centers. While parent-adolescent relationships impact adolescent alcohol use, parenting skills are rarely included in adolescent alcohol BIs
within pediatric trauma centers.Introduction: The primary objective of this study was to examine the feasibility and acceptability of an electronic
parenting skills intervention for parents of injured adolescents who report alcohol or drug use.Materials and Methods: Across three pediatric level I
trauma centers, admitted trauma patients 12-17 years of age, screening positive for alcohol or drug use, were consented along with one parent.
Adolescent-parent dyads were enrolled and assigned to the intervention (Parenting Wisely web-based modules coupled with text messaging) or standard
care conditions using a 2:1 allocation ratio. Teens completed 3- and 6-month follow-up surveys; parents completed 3-month follow-up surveys. Result
(s): Thirty-seven dyads were enrolled into the study. Only one-third of parents accessed the web-based Parenting Wisely after baseline. All parents
completed the text message program. At 3-month follow-up, 78% of parents endorsed that they would recommend the program to others. There were no
significant differences in adolescent substance use or parenting behaviors between groups at follow-up. Discussion(s): A texting component is well
received, but web-based components may be underutilized. Larger studies are necessary to determine if an electronic skills intervention has an effect
on parenting skills and adolescent substance use. Conclusion(s): This study demonstrated accessibility and feasibility of an e-parenting intervention
with more utilization of text components than web-based.
Telemedicine journal and
e-health : the official journal of the American Telemedicine Association, 25(9) : 833-
839
- Year: 2019
- 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), Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)
Marsiglia, F. F., Ayers, S. L., Han, S., Weide, A.
The purpose of this study was to assess the combined effectiveness of a parenting intervention, Families
Preparing the New Generation (FPNG), and a youth curriculum, keepin' it REAL (kiR), on substance use prevention for middle school students in a
large urban metro area of the southwest USA. The study aimed to generate usable knowledge on what works in adolescent substance use prevention and
how it works best-a combined parent and youth programming or parent-only programming. A total of 532 adolescents in the 7th grade from 19
participating middle schools were randomly assigned into three intervention conditions: parent-youth (PY), parent-only (PO), and comparison (C). This
article focuses on the comparison between PY and PO in order to determine which intervention strategy works best to reduce adolescent substance use
including alcohol, inhalant, cigarette, and marijuana uses. A generalized estimating equation (GEE) model examined the longitudinal data. The results
for alcohol use show that PO yielded better results than PY and that PY outperformed C after 20 months. Further, PO showed a decreasing trajectory in
any substance use over time since the implementation of the intervention. The effect sizes based on Cohen's h indicate small effects in any
substance use and alcohol use for PO condition and smaller effects for the PY condition. These findings have implications for the design of future
culturally specific parenting and youth prevention interventions with Latino families.
Prevention science : the official journal of the Society for Prevention Research, 20(5) : 643-
654
- Year: 2019
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Skills training, Other Psychological Interventions
Evans, E., Tseloni, A.
Aims: Results from the first evaluation of
the UK Drug Abuse Resistance Education (D.A.R.E.) Primary programme, designed and undertaken by the (independent academic) authors on data collected
in late 2015/early 2016 by the UK providers of the programme are presented. The evaluation assessed the programme against its learning outcomes
(covering topics including pupils' ability to communicate and listen, handle relationships and stress, make safe choices, get help from others) as
well as their knowledge and use of substances. Methods: Pre- and post- intervention online surveys of pupils aged 9-11 years from a randomly assigned
group of state primary schools in the English East Midlands, split between trial and control samples. Responses from 1496 pupils from 51 schools were
analysed and modelled via a set of ordinary least squares regression analyses, controlling for pupils' and schools' characteristics. Findings: An
overall positive change between the pre- and the post-survey was found, with significant differences in the extent of change between trial and
control samples regarding four of the programme's nine learning outcomes (getting help from others, improving communication and listening skills,
knowledge about alcohol and drugs, and making safe choices). Conclusions: This evaluation shows this version of D.A.R.E. to be effective regarding
four of the programme's learning outcomes. Further research is needed to measure the programme's medium and long-term effects and the potential
benefits of D.A.R.E. officers and teachers delivering the programme together, identified in this study. (PsycInfo Database Record (c) 2020 APA, all
rights reserved)
Drugs: Education, Prevention & Policy, 26(3) : 238-
249
- Year: 2019
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Other service delivery and improvement
interventions
Marsiglia, F. F., Ayers, S. L., Robbins, D., Nagoshi,
J., Baldwin-White, A., Castro, F. G.
Drawing from an ecodevelopmental framework, this
article examines if adding a parenting component, Families Preparing the New Generation (Familias Preparando la Nueva Generacion), to an efficacious
classroom-based drug abuse prevention intervention, keepin'it REAL, will boost the effects of the youth intervention in preventing substance use for
middle school Mexican-heritage students. Youth attending schools in a large urban area in the Southwestern U.S. (N = 462) were randomly assigned to 1
of 3 conditions: parent and youth, youth only, or control. Using ordinary least squares regression, changes in youth substance use outcomes were
examined. Results indicate that youth whose parents also participated in prevention programming exhibited significantly lower use of alcohol,
cigarettes, marijuana, and inhalants compared to youth who received only keepin'it REAL. These initial effects indicate that involving parents in
prevention efforts can strengthen the overall efficacy of a youth prevention intervention. This article discusses specific implications for the
design of prevention interventions, policy, and future research. Copyright © 2018 Wiley Periodicals, Inc.
Journal of Community Psychology, 47(2) : 195-
209
- Year: 2019
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Botzet, A.
M., Dittel, C., Birkeland, R., Lee, S., Grabowski, J., Winters, K. C.
Much research and attention has focused on addressing the extremes of the adolescent substance use spectrum: either the
prevention of substance use prior to its onset or the treatment of those with a substance use disorder (SUD). Little research has looked at
adolescents who fall mid-continuum. Adolescents who use substances in this mild-to-moderate range may be efficiently and cost-effectively treated
using brief interventions based on cognitive-behavioral (CB) and motivational interviewing (MI) strategies. Accessibility and feasibility of
providing interventions may also be enhanced by training parents in application of CB and MI principles. An innovative home-based brief intervention
for parents whose children engaged in mild to moderate drug abuse was developed and evaluated using a quasi-experimental design. Participants were
parents and their adolescent child from the 7-county metro area of Minneapolis-St. Paul, Minnesota. Decreased substance use and increased family
cohesion were the predicted outcomes of the Home Base intervention. Results suggest decreased adolescent marijuana use frequency, decreased alcohol
use disorder symptomology, and increased parental happiness with their adolescent child. Alcohol and tobacco use frequency were statistically
unchanged. Baseline levels of drug use severity moderated the relation between intervention and outcomes. These findings support the potential
utility of this approach and also indicate the need to further develop accessible and efficient interventions for mild to moderate SUD. Copyright ©
2019 Elsevier Inc.
Journal of Substance Abuse Treatment, 99 : 124-
133
- Year: 2019
- 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