Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use, 2014-2017: Outcomes, Treatment Delivery, and Promising Horizons
Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use, 2014-2017: Outcomes, Treatment Delivery, and Promising Horizons
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DOI：
10.1080/15374416.2018.1466307
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发表时间：
2018-01-01
影响因子：
4.2
通讯作者：
Knight, Danica K.
中科院分区：
文献类型：
--
作者：
Hogue, Aaron;Henderson, Craig E.;Knight, Danica K.
自Hogue、Henderson、Ozechowski和Robbins（2014）为本杂志完成的上一篇综述发表以来，本文更新了青少年药物使用门诊行为治疗（ASU）的证据基础。本文首先总结了Hogue等人的研究结果以及最近的文献综述和ASU治疗的荟萃分析研究。然后介绍了研究设计和方法标准，用于选择11个比较研究，接受临床儿童与青少年心理学杂志的支持水平评估。这11项研究在样本特征、方法质量和药物使用结果方面进行了详细介绍。然后为每一种确定的治疗方法指定累积支持水平。这些累积名称实际上与之前的综述相同：基于生态家庭的治疗、个体认知行为治疗和群体认知行为治疗仍然是公认的；以家庭为基础的行为治疗和动机性访谈可能仍然有效；药物咨询可能仍然有效；最新的5种多组分治疗方法结合了1种以上的方法（其中3种包括应急管理）被认为是行之有效的或可能有效的。然后回顾与循证方法相关的治疗交付问题，重点关注客户参与、保真度和中介，以及预测和调节效应。最后，为了帮助加速ASU治疗科学和实践的创新，文章概述了在改善青少年识别和获取，在社区环境中指定和实施务实治疗，以及利用实施科学的新经验方面有希望的前景。
This article updates the evidence base on outpatient behavioral treatments for adolescent substance use (ASU) since publication of the previous review completed for this journal by Hogue, Henderson, Ozechowski, and Robbins (2014). It first summarizes the Hogue et al. findings along with those from recent literature reviews and meta-analytic studies of ASU treatments. It then presents study design and methods criteria used to select 11 comparative studies subjected to Journal of Clinical Child and Adolescent Psychology level of support evaluation. These 11 studies are detailed in terms of their sample characteristics, methodological quality, and substance use outcomes. Cumulative level of support designations are then made for each identified treatment approach. These cumulative designations are virtually identical to those of the previous review: ecological family-based treatment, individual cognitive-behavioral therapy, and group cognitive-behavioral therapy remain well-established; behavioral family-based treatment and motivational interviewing remain probably efficacious; drug counseling remains possibly efficacious; and an updated total of 5 multicomponent treatments combining more than 1 approach (3 of which include contingency management) are deemed well-established or probably efficacious. Treatment delivery issues associated with evidence-based approaches are then reviewed, focusing on client engagement, fidelity and mediator, and predictor and moderator effects. Finally, to help accelerate innovation in ASU treatment science and practice, the article outlines promising horizons in improving youth identification and access, specifying and implementing pragmatic treatment in community settings, and leveraging emerging lessons from implementation science.