Disorders - Substance Use Disorders
Maalouf, W., Stojanovic, M., Kiefer, M., Campello, G., Heikkila, H., El-Khatib, Z.
Development of personal and social skills in a classroom prevents later drug use and alcohol abuse, and influence-
related risk factors. However, clinical trials on the potential impact of such programs from low- or middle-income countries remain limited. Lions
Quest Skills for Adolescence (LQSFA), a school-based prevention intervention supporting life skills, was implemented in three South East European
countries. This was a collaboration between the United Nations Office on Drugs and Crime, the Lions Clubs International Foundation, and the
Ministries of Education of Serbia, the Former Yugoslav Republic of Macedonia and Montenegro. The pilot was a multisite non-randomized trial. A total
of 2964 elementary school students received the intervention through 232 instructors trained by the same internationally certified trainer. These
were compared to 2232 students following the regular curriculum, which does not include LQFSA, in the same elementary schools. The assessment was
done at the beginning and at the end of the same academic year (period of 10 months). Despite limited fluctuations, the overall results indicated an
encouraging outcome on the current use of substances (alcohol, cigarettes, and marijuana) as well as intention to using these substances in the next
3 months among current users. This study attempts to address this aforementioned gap in literature and contributes to the body of research
demonstrating the value, feasibility, and transferability of life skills programs in achieving prevention outcomes in South East Europe. Moreover, it
paves the way to a future randomized clinical trial to further corroborate the results, overcoming limitation in current study design.
Prevention
Science, 20(4) : 555-565
- Year: 2019
- Problem: Substance Use Disorders (any)
- Type: Controlled clinical trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Skills training, Other Psychological Interventions
Schwinn, T.M., Schinke,
S.P., Keller, B., Hopkins, J.
Introduction: Rates of drug use among early adolescent girls meet or
exceed rates of their male counterparts. Girls are also vulnerable to differential risk factors for drug use. Yet, expressly designed prevention
programs targeting this population are absent. The present study reports 2- and 3-year findings on a web-based drug abuse prevention program for
adolescent girls. Methods: A sample of adolescent girls (N = 788) were recruited via Facebook. Online, all girls completed pretests; girls were
randomly assigned to a 9-session intervention arm or to a measurement-only control arm and all girls completed posttests. All girls also completed 1
-, 2-, and 3-year follow-up measurements. Results: At 2-year follow-up and compared to girls in the control arm, intervention-arm girls reported less
past-month cigarette, marijuana, and \"other\" drug use (club drugs, cocaine, ecstasy, hallucinogens, heroin, inhalants, methamphetamines, steroids,
prescription drugs), lower rates of peer drug use, and increased scores on drug refusal skills, coping skills, self-esteem, media literacy, and
self-efficacy. At 3-year follow-up, and compared to girls in the control arm, intervention-arm girls reported less past-month cigarette and e-
cigarette use, lower rates of peer drug use, lower reported anxiety and stress, and increased scores on drug refusal skills, self-esteem, media
literacy, self-efficacy, and body image. Conclusions: Longitudinal outcome data lend support to the efficacy of a gender-specific, web-based drug
abuse prevention program to reduce adolescent girls' drug use rates and associated risk factors. (PsycINFO Database Record (c) 2019 APA, all rights
reserved)
Addictive Behaviors, 93 : 86-92
- 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, Technology, interventions delivered using technology (e.g. online, SMS)
Godley, M. D., Passetti, L. L., Hunter, B. D., Greene, A. R., White, W.
L.
Research on continuing care treatment for adolescents following discharge from primary treatment has
demonstrated benefit, yet treatment providers encounter multiple barriers in its implementation. Less formal recovery support following treatment is
promising, but controlled trials of effectiveness are lacking. This study reports results of a randomized trial of recovery support provided by
student volunteers via telephone to youth discharged from residential treatment. Both direct and indirect effects were predicted for proximal (pro-
recovery peers, recovery management activities) and distal (AOD use and problems, AOD remission) outcomes.\rMethod: Prior to treatment discharge,
participants were randomized to either 9?months of post-treatment Volunteer Recovery Support for Adolescents (VRSA; n?=?201) or continuing care
services as usual (SAU; n?=?201) and assessed over 12?months post- discharge.\rResults: There were significant direct effects for VRSA to have more
involvement with pro-recovery peers and recovery management activities than SAU. VRSA also had significant indirect effects on reducing AOD use and
problems and increasing remission via increases in pro-recovery peers and recovery management activities at 9- and 12-month assessments. Dose-
response analyses demonstrated significant increments of improvement in proximal and distal outcomes as VRSA session completion rate increased, but
effectiveness attenuated at the post-VRSA (12- month) follow-up assessment.\rConclusion: Findings suggest that VRSA is a promising option for post-
treatment recovery support, especially in the higher dose range. Additional research is needed to test the feasibility of providing VRSA in the
higher dose range to a larger proportion of intent to treat samples and extending VRSA duration.
Journal of Substance Abuse Treatment, 98 : 15
-25
- Year: 2019
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Other service delivery and improvement
interventions
Marsiglia, F. F., Wu, S., Ayers, S., Weide, A.
This article advances
knowledge about the effectiveness of applying a community-based efficacious parenting intervention in parallel with an efficacious preadolescent
intervention in changing substance abuse norms among preadolescent Latino youth. The study employed a longitudinal, randomized control group design
comparing three groups: (1) Parent intervention combined with a Youth intervention: Parent/Youth; (2) Parent intervention without a Youth
intervention: Parent Only; and (3) Treatment as usual: Comparison. In the comparison group, parents participated in a standard parenting program
delivered by the community partner, and the youth received the usual drug use prevention programming offered in their schools. Data from both parents
and youth at the19 participating schools were collected at pre-test, immediate post-test (4 months after pre-test), and two follow-up (8 & 20 months
after the pre-test). The total sample includes 532 families (parent-child dyads). The parent-child dyads consisted of one parent and one youth ages
12-14. The retention rates for both parents and preadolescent were high across the different waves of data collection (79%-96%). Regression results
of youth substance use norms were calculated based on three permutations of data: (a) original data, with no imputation and no propensity score
matching; (b) imputed data but no propensity score matching; and (c) imputed data plus propensity score matching. Compared to the Comparison group,
the Parent/Youth condition was the most effective in changing youth's norms, closely followed by the Parent Only condition. These findings make a
significant contribution in advancing knowledge on family/youth substance use prevention for Latinos in a community environment. Although the study
took place in a specific urban center in the Southwest US, its findings can be generalized to other urban communities of similar characteristics
across the country. Copyright © 2018 Elsevier Inc.
Journal of Substance Abuse Treatment, 97 : 75-
83
- Year: 2019
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Morgan-Lopez, A. A., Elek, E., Graham, P. W., Saavedra,
L. M., Bradshaw, M., Clarke, T.
The emerging dual threats of underaged drinking (UAD) and prescription drug misuse (PDM) require sustained
prevention efforts across multiple levels of interventions. In response to the continuing proliferation of UAD and PDM among youth and young adults,
the Substance Abuse and Mental Health Services Administration (SAMHSA) developed the Partnerships for Success (PFS) program. Across five cohorts
funded from 2012 to 2016, PFS created linkages between health care providers, treatment and prevention services providers, government agencies, and
nonprofit organizations for the delivery of multiple sets of services (e.g., prevention education, community activities, screening) targeted toward
UAD and PDM. This paper reports on the impact of the PFS program on reductions in ethanol and prescription drug poisoning exposures as reported from
data in the National Poisoning Data System (NPDS). Across 35 States, communities targeted by PFS interventions were compared to non-targeted
communities using a non-equivalent comparison groups design and propensity score weighting. Using propensity-weighted, multilevel latent growth
modeling, steeper reductions in ethanol and prescription drug poisoning exposure call rates were observed in States which had a higher proportion of
communities participating in PFS. Grantee-level longitudinal analogs to Cohen's d effect sizes ranged from -0.24 to -0.97, whereas PFS' effects on
individual communities (net of Statewide effects) were negligible. The study serves as a unique exemplar of using the NPDS to extract community-level
intervention effects that might otherwise be \"hidden\" within epidemiological data while underscoring the cumulative effects of PFS' community-
level efforts in stemming the tide on underaged drinking and prescription drug misuse. Copyright © 2019
Addictive
Behaviors, 95 : 220-225
- Year: 2019
- Problem: Substance Use Disorders (any)
- Type: Controlled clinical trials
-
Stage: Universal prevention, At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, 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
Maalouf, W., Stojanovic, M., Kiefer, M., Campello, G., Heikkila, H., El-Khatib, Z.
Development of personal and social skills in a classroom prevents later drug use and alcohol abuse, and influence-
related risk factors. However, clinical trials on the potential impact of such programs from low- or middle-income countries remain limited. Lions
Quest Skills for Adolescence (LQSFA), a school-based prevention intervention supporting life skills, was implemented in three South East European
countries. This was a collaboration between the United Nations Office on Drugs and Crime, the Lions Clubs International Foundation, and the
Ministries of Education of Serbia, the Former Yugoslav Republic of Macedonia and Montenegro. The pilot was a multisite non-randomized trial. A total
of 2964 elementary school students received the intervention through 232 instructors trained by the same internationally certified trainer. These
were compared to 2232 students following the regular curriculum, which does not include LQFSA, in the same elementary schools. The assessment was
done at the beginning and at the end of the same academic year (period of 10 months). Despite limited fluctuations, the overall results indicated an
encouraging outcome on the current use of substances (alcohol, cigarettes, and marijuana) as well as intention to using these substances in the next
3 months among current users. This study attempts to address this aforementioned gap in literature and contributes to the body of research
demonstrating the value, feasibility, and transferability of life skills programs in achieving prevention outcomes in South East Europe. Moreover, it
paves the way to a future randomized clinical trial to further corroborate the results, overcoming limitation in current study design.
Prevention
Science, 20(4) : 555-565
- Year: 2019
- Problem: Substance Use Disorders (any)
- Type: Controlled clinical trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Skills training, Other Psychological Interventions
Schwinn, T.M., Schinke,
S.P., Keller, B., Hopkins, J.
Introduction: Rates of drug use among early adolescent girls meet or
exceed rates of their male counterparts. Girls are also vulnerable to differential risk factors for drug use. Yet, expressly designed prevention
programs targeting this population are absent. The present study reports 2- and 3-year findings on a web-based drug abuse prevention program for
adolescent girls. Methods: A sample of adolescent girls (N = 788) were recruited via Facebook. Online, all girls completed pretests; girls were
randomly assigned to a 9-session intervention arm or to a measurement-only control arm and all girls completed posttests. All girls also completed 1
-, 2-, and 3-year follow-up measurements. Results: At 2-year follow-up and compared to girls in the control arm, intervention-arm girls reported less
past-month cigarette, marijuana, and \"other\" drug use (club drugs, cocaine, ecstasy, hallucinogens, heroin, inhalants, methamphetamines, steroids,
prescription drugs), lower rates of peer drug use, and increased scores on drug refusal skills, coping skills, self-esteem, media literacy, and
self-efficacy. At 3-year follow-up, and compared to girls in the control arm, intervention-arm girls reported less past-month cigarette and e-
cigarette use, lower rates of peer drug use, lower reported anxiety and stress, and increased scores on drug refusal skills, self-esteem, media
literacy, self-efficacy, and body image. Conclusions: Longitudinal outcome data lend support to the efficacy of a gender-specific, web-based drug
abuse prevention program to reduce adolescent girls' drug use rates and associated risk factors. (PsycINFO Database Record (c) 2019 APA, all rights
reserved)
Addictive Behaviors, 93 : 86-92
- 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, Technology, interventions delivered using technology (e.g. online, SMS)
Godley, M. D., Passetti, L. L., Hunter, B. D., Greene, A. R., White, W. L.
Research on continuing care treatment for adolescents following discharge from primary treatment has
demonstrated benefit, yet treatment providers encounter multiple barriers in its implementation. Less formal recovery support following treatment is
promising, but controlled trials of effectiveness are lacking. This study reports results of a randomized trial of recovery support provided by
student volunteers via telephone to youth discharged from residential treatment. Both direct and indirect effects were predicted for proximal (pro-
recovery peers, recovery management activities) and distal (AOD use and problems, AOD remission) outcomes.\rMethod: Prior to treatment discharge,
participants were randomized to either 9?months of post-treatment Volunteer Recovery Support for Adolescents (VRSA; n?=?201) or continuing care
services as usual (SAU; n?=?201) and assessed over 12?months post- discharge.\rResults: There were significant direct effects for VRSA to have more
involvement with pro-recovery peers and recovery management activities than SAU. VRSA also had significant indirect effects on reducing AOD use and
problems and increasing remission via increases in pro-recovery peers and recovery management activities at 9- and 12-month assessments. Dose-
response analyses demonstrated significant increments of improvement in proximal and distal outcomes as VRSA session completion rate increased, but
effectiveness attenuated at the post-VRSA (12- month) follow-up assessment.\rConclusion: Findings suggest that VRSA is a promising option for post-
treatment recovery support, especially in the higher dose range. Additional research is needed to test the feasibility of providing VRSA in the
higher dose range to a larger proportion of intent to treat samples and extending VRSA duration.
Journal of Substance Abuse Treatment, 98 : 15
-25
- Year: 2019
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Other service delivery and improvement
interventions
Marsiglia, F. F., Wu,
S., Ayers, S., Weide, A.
This article advances
knowledge about the effectiveness of applying a community-based efficacious parenting intervention in parallel with an efficacious preadolescent
intervention in changing substance abuse norms among preadolescent Latino youth. The study employed a longitudinal, randomized control group design
comparing three groups: (1) Parent intervention combined with a Youth intervention: Parent/Youth; (2) Parent intervention without a Youth
intervention: Parent Only; and (3) Treatment as usual: Comparison. In the comparison group, parents participated in a standard parenting program
delivered by the community partner, and the youth received the usual drug use prevention programming offered in their schools. Data from both parents
and youth at the19 participating schools were collected at pre-test, immediate post-test (4 months after pre-test), and two follow-up (8 & 20 months
after the pre-test). The total sample includes 532 families (parent-child dyads). The parent-child dyads consisted of one parent and one youth ages
12-14. The retention rates for both parents and preadolescent were high across the different waves of data collection (79%-96%). Regression results
of youth substance use norms were calculated based on three permutations of data: (a) original data, with no imputation and no propensity score
matching; (b) imputed data but no propensity score matching; and (c) imputed data plus propensity score matching. Compared to the Comparison group,
the Parent/Youth condition was the most effective in changing youth's norms, closely followed by the Parent Only condition. These findings make a
significant contribution in advancing knowledge on family/youth substance use prevention for Latinos in a community environment. Although the study
took place in a specific urban center in the Southwest US, its findings can be generalized to other urban communities of similar characteristics
across the country. Copyright © 2018 Elsevier Inc.
Journal of Substance Abuse Treatment, 97 : 75-
83
- Year: 2019
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Morgan-Lopez, A. A., Elek, E., Graham, P. W., Saavedra, L. M., Bradshaw, M., Clarke, T.
The emerging dual threats of underaged drinking (UAD) and prescription drug misuse (PDM) require sustained
prevention efforts across multiple levels of interventions. In response to the continuing proliferation of UAD and PDM among youth and young adults,
the Substance Abuse and Mental Health Services Administration (SAMHSA) developed the Partnerships for Success (PFS) program. Across five cohorts
funded from 2012 to 2016, PFS created linkages between health care providers, treatment and prevention services providers, government agencies, and
nonprofit organizations for the delivery of multiple sets of services (e.g., prevention education, community activities, screening) targeted toward
UAD and PDM. This paper reports on the impact of the PFS program on reductions in ethanol and prescription drug poisoning exposures as reported from
data in the National Poisoning Data System (NPDS). Across 35 States, communities targeted by PFS interventions were compared to non-targeted
communities using a non-equivalent comparison groups design and propensity score weighting. Using propensity-weighted, multilevel latent growth
modeling, steeper reductions in ethanol and prescription drug poisoning exposure call rates were observed in States which had a higher proportion of
communities participating in PFS. Grantee-level longitudinal analogs to Cohen's d effect sizes ranged from -0.24 to -0.97, whereas PFS' effects on
individual communities (net of Statewide effects) were negligible. The study serves as a unique exemplar of using the NPDS to extract community-level
intervention effects that might otherwise be \"hidden\" within epidemiological data while underscoring the cumulative effects of PFS' community-
level efforts in stemming the tide on underaged drinking and prescription drug misuse. Copyright © 2019
Addictive
Behaviors, 95 : 220-225
- Year: 2019
- Problem: Substance Use Disorders (any)
- Type: Controlled clinical trials
-
Stage: Universal prevention, At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Other service delivery and improvement
interventions