Clinic- and home-based contingency management plus parent training for adolescent cannabis use disorders

Catherine Stanger, Stacy R. Ryan, Emily A. Scherer, Gray E. Norton, Alan J. Budney

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Objective The aim of this study was to conduct a randomized test comparing 2 multicomponent, contingency management interventions, 1 with and 1 without a full parent training curriculum, and an individual treatment for adolescent cannabis use disorders. Method A total of 153 adolescents who met DSM-IV criteria for cannabis abuse or dependence were randomized to motivational enhancement therapy/cognitive-behavioral therapy (MET/CBT), MET/CBT+abstinence-based contingency management (CM), or MET/CBT+CM+Parent Training (PT). Results Overall, during treatment, abstinence was greater for youth receiving clinic- and home-based CM without PT compared to those who received individual MET/CBT. There was no additional benefit of the full PT curriculum on marijuana use, youth externalizing problems, or parenting. Conclusion These results suggest that clinic- plus home-based CM for cannabis use disorders can increase rates of abstinence during treatment over and above an evidence-based treatment (individual MET/CBT), but in this study the addition of a comprehensive parenting training curriculum did not further enhance efficacy. Clinical trial registration information Treatment for Adolescent Marijuana Abuse; http://clinicaltrials.gov; NCT00580671.

Original languageEnglish (US)
Pages (from-to)445-453.e2
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume54
Issue number6
DOIs
StatePublished - Jun 1 2015

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Cannabis
Cognitive Therapy
Marijuana Abuse
Curriculum
Therapeutics
Parenting
Diagnostic and Statistical Manual of Mental Disorders
Clinical Trials

Keywords

  • cannabis
  • contingency management
  • parent training

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Developmental and Educational Psychology

Cite this

Clinic- and home-based contingency management plus parent training for adolescent cannabis use disorders. / Stanger, Catherine; Ryan, Stacy R.; Scherer, Emily A.; Norton, Gray E.; Budney, Alan J.

In: Journal of the American Academy of Child and Adolescent Psychiatry, Vol. 54, No. 6, 01.06.2015, p. 445-453.e2.

Research output: Contribution to journalArticle

Stanger, Catherine ; Ryan, Stacy R. ; Scherer, Emily A. ; Norton, Gray E. ; Budney, Alan J. / Clinic- and home-based contingency management plus parent training for adolescent cannabis use disorders. In: Journal of the American Academy of Child and Adolescent Psychiatry. 2015 ; Vol. 54, No. 6. pp. 445-453.e2.
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