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 language | English (US) |
|---|---|
| Pages (from-to) | 445-453.e2 |
| Journal | Journal of the American Academy of Child and Adolescent Psychiatry |
| Volume | 54 |
| Issue number | 6 |
| DOIs | |
| State | Published - Jun 1 2015 |
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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 journal › Article
}
TY - JOUR
T1 - Clinic- and home-based contingency management plus parent training for adolescent cannabis use disorders
AU - Stanger, Catherine
AU - Ryan, Stacy R.
AU - Scherer, Emily A.
AU - Norton, Gray E.
AU - Budney, Alan J.
PY - 2015/6/1
Y1 - 2015/6/1
N2 - 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.
AB - 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.
KW - cannabis
KW - contingency management
KW - parent training
UR - http://www.scopus.com/inward/record.url?scp=84930182180&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84930182180&partnerID=8YFLogxK
U2 - 10.1016/j.jaac.2015.02.009
DO - 10.1016/j.jaac.2015.02.009
M3 - Article
C2 - 26004659
AN - SCOPUS:84930182180
VL - 54
SP - 445-453.e2
JO - Journal of the American Academy of Child and Adolescent Psychiatry
JF - Journal of the American Academy of Child and Adolescent Psychiatry
SN - 0890-8567
IS - 6
ER -