TY - JOUR
T1 - Parent training plus contingency management for substance abusing families
T2 - A Complier Average Causal Effects (CACE) analysis
AU - Stanger, Catherine
AU - Ryan, Stacy R.
AU - Fu, Hongyun
AU - Budney, Alan J.
N1 - Funding Information:
This study was supported by NIDA grants DA016609 , DA015186 , and T32 DA022981 , and NIAAA grant AA016917 . The project described was also supported by Award Number 1UL1RR029884 from the National Center For Research Resources. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Center For Research Resources or the National Institutes of Health. There was no involvement of the sponsors in study design; collection, analysis and interpretation of data; writing of the report; nor in the decision to submit the paper for publication.
PY - 2011/11/1
Y1 - 2011/11/1
N2 - Background: Children of substance abusers are at risk for behavioral/emotional problems. To improve outcomes for these children, we developed and tested an intervention that integrated a novel contingency management (CM) program designed to enhance compliance with an empirically-validated parent training curriculum. CM provided incentives for daily monitoring of parenting and child behavior, completion of home practice assignments, and session attendance. Methods: Forty-seven mothers with substance abuse or dependence were randomly assigned to parent training. +. incentives (PTI) or parent training without incentives (PT). Children were 55% male, ages 2-7. years. Results: Homework completion and session attendance did not differ between PTI and PT mothers, but PTI mothers had higher rates of daily monitoring. PTI children had larger reductions in child externalizing problems in all models. Complier Average Causal Effects (CACE) analyses showed additional significant effects of PTI on child internalizing problems, parent problems and parenting. These effects were not significant in standard Intent-to-Treat analyses. Conclusion: Results suggest our incentive program may offer a method for boosting outcomes.
AB - Background: Children of substance abusers are at risk for behavioral/emotional problems. To improve outcomes for these children, we developed and tested an intervention that integrated a novel contingency management (CM) program designed to enhance compliance with an empirically-validated parent training curriculum. CM provided incentives for daily monitoring of parenting and child behavior, completion of home practice assignments, and session attendance. Methods: Forty-seven mothers with substance abuse or dependence were randomly assigned to parent training. +. incentives (PTI) or parent training without incentives (PT). Children were 55% male, ages 2-7. years. Results: Homework completion and session attendance did not differ between PTI and PT mothers, but PTI mothers had higher rates of daily monitoring. PTI children had larger reductions in child externalizing problems in all models. Complier Average Causal Effects (CACE) analyses showed additional significant effects of PTI on child internalizing problems, parent problems and parenting. These effects were not significant in standard Intent-to-Treat analyses. Conclusion: Results suggest our incentive program may offer a method for boosting outcomes.
KW - Children of substance abusers
KW - Complier Average Causal Effects
KW - Contingency management
KW - Parent training
KW - Preschool
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U2 - 10.1016/j.drugalcdep.2011.03.007
DO - 10.1016/j.drugalcdep.2011.03.007
M3 - Article
C2 - 21466925
AN - SCOPUS:80053563019
VL - 118
SP - 119
EP - 126
JO - Drug and Alcohol Dependence
JF - Drug and Alcohol Dependence
SN - 0376-8716
IS - 2-3
ER -