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

doi:10.1016/j.jaac.2015.02.009

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

Psychiatry

Research output: Contribution to journal › Article › peer-review

35 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 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	https://doi.org/10.1016/j.jaac.2015.02.009
State	Published - 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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10.1016/j.jaac.2015.02.009

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title = "Clinic- and home-based contingency management plus parent training for adolescent cannabis use disorders",

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.",

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author = "Catherine Stanger and Ryan, {Stacy R.} and Scherer, {Emily A.} and Norton, {Gray E.} and Budney, {Alan J.}",

note = "Funding Information: Disclosure: Dr. Stanger has received research support from the National Institute on Alcohol Abuse and Alcoholism (NIAAA), the National Institute on Drug Abuse (NIDA), and The Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD). Dr. Ryan has received research support from NIDA. Dr. Scherer has received research support from NIDA, NIAAA, the National Center for Advancing Translational Sciences (NCATS), the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), the National Institute of Mental Health (NIMH), the Health Resources and Services Administration (HRSA), NICHD, and the McCarthy Foundation. Dr. Budney has received research support from NIDA, NIAAA, and NICHD. Ms. Norton has received research support from NIAAA, NIDA, and NICHD. Funding Information: This research was funded by a National Institutes of Health (NIH) grant (DA015186). Publisher Copyright: {\textcopyright} 2015 American Academy of Child and Adolescent Psychiatry.",

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AU - Stanger, Catherine

AU - Ryan, Stacy R.

AU - Scherer, Emily A.

AU - Norton, Gray E.

AU - Budney, Alan J.

N1 - Funding Information: Disclosure: Dr. Stanger has received research support from the National Institute on Alcohol Abuse and Alcoholism (NIAAA), the National Institute on Drug Abuse (NIDA), and The Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD). Dr. Ryan has received research support from NIDA. Dr. Scherer has received research support from NIDA, NIAAA, the National Center for Advancing Translational Sciences (NCATS), the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), the National Institute of Mental Health (NIMH), the Health Resources and Services Administration (HRSA), NICHD, and the McCarthy Foundation. Dr. Budney has received research support from NIDA, NIAAA, and NICHD. Ms. Norton has received research support from NIAAA, NIDA, and NICHD. Funding Information: This research was funded by a National Institutes of Health (NIH) grant (DA015186). Publisher Copyright: © 2015 American Academy of Child and Adolescent Psychiatry.

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.

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

Abstract

Keywords

ASJC Scopus subject areas

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