Intervention With Substance-Abusing Runaway Adolescents and Their Families: Results of a Randomized Clinical Trial.
Objectives: To examine the efficacy of 3 theoretically distinct interventions among substance-abusing runaway adolescents and to explore individual differences in trajectories of change. Method: Adolescents (N = 179) between the ages of 12 and 17 were recruited from a runaway shelter in a midwestern...
| Publicado en: | Journal of Consulting & Clinical Psychology Vol. 81; no. 4; pp. 600 - 615 |
|---|---|
| Autores principales: | , , , |
| Formato: | Artículo |
| Publicado: |
American Psychological Association
Aug2013
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=89524577&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 89524577 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 0022006X JCC jtl: Journal of Consulting & Clinical Psychology issn: 0022006X maglogo: N pubinfo: dt: Aug2013 vid: 81 iid: 4 pid: 34 pub: American Psychological Association artinfo: ui: 89524577 10.1037/a0033463 ppf: 600 ppct: 15 formats: tig: atl: Intervention With Substance-Abusing Runaway Adolescents and Their Families: Results of a Randomized Clinical Trial. aug: au: Slesnick, Natasha Erdem, Gizem Bartle-Haring, Suzanne Brigham, Gregory S. affil: Ohio State University Maryhaven, Columbus, Ohio su: Runaway teenagers Substance use of teenagers African American teenagers Clinical trials Health Multilevel models sug: subj: Runaway teenagers Substance use of teenagers African American teenagers Clinical trials Health Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology) Multilevel models keyword: randomized controlled trial runaway adolescents substance abuse treatment randomized controlled trial runaway adolescents substance abuse treatment ab: Objectives: To examine the efficacy of 3 theoretically distinct interventions among substance-abusing runaway adolescents and to explore individual differences in trajectories of change. Method: Adolescents (N = 179) between the ages of 12 and 17 were recruited from a runaway shelter in a midwestern city. The sample included 94 females (52.5%) and 85 males (47.5%); the majority of the adolescents were African American (n = 118, 65.9%). Adolescents were randomly assigned to the Community Reinforcement Approach (CRA, n = 57), Motivational Interviewing (MI, n = 61), or Ecologically-Based Family Therapy (EBFT, n = 61). Substance use was assessed at baseline, 3, 6, 9, 12, 18, and 24 months via Form 90 and urine screens. Results: Hierarchical linear modeling revealed statistically significant improvement in frequency of substance use among runaways in all 3 treatment groups, with a slight increase at posttreatment. Latent trajectory profile analysis explored individual differences in change trajectories and yielded a 3-class model. The majority of adolescents (n = 136, 76%) showed reductions in substance use over time, with a slight increase at follow-up (Class 1: Decreasing). Twenty-four (13.4%) adolescents had shown high levels of substance use over time with patterns of increase and decrease (Class 2: Fluctuating high users), and 19 (10.6%) decreased but returned to baseline levels by 2 years postbaseline (Class 3: U shaped). Few differences among treatment conditions were noted; within the "decreasing" group, adolescents in MI treatment showed a quicker decline in their substance use but a faster relapse compared with those receiving EBFT. Conclusions: These findings suggest that CRA, EBFT, and MI are viable treatments for runaway substance-abusing adolescents. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|