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 journalArticlepeer-review

32 Scopus citations

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

Keywords

  • cannabis
  • contingency management
  • parent training

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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