A Meta-Analysis of Interventions to Reduce Adolescent Cannabis Use

A Meta-Analysis of Interventions to Reduce Adolescent Cannabis Use
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DOI:
10.1177/1049731510380226
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发表时间:
2011-03-01
影响因子:
1.8
通讯作者:
Vaughn, Michael G.
Vaughn, Michael G.
中科院分区:
法学3区
文献类型:
--
作者:
Bender, Kimberly;Tripodi, Stephen J.;Vaughn, Michael G.

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目的:本荟萃分析综述评估药物滥用干预减少青少年大麻使用的有效性。方法:系统搜索确定了1960年至2008年间发表的15项减少青少年大麻使用干预措施的随机对照评估。主要结局变量,大麻使用频率和大麻使用数量,在治疗完成后1个月至1年之间进行测量。结果:随机效应模型分析显示,个体(g = -.437; 95% CI[-.671, -.203])和基于家庭的治疗(g = -.404; 95% CI =[-.613, -.195])的效果相似。药物滥用治疗与大麻使用的适度减少有关,尽管效应量往往随着治疗后时间的延长而减弱。讨论:药物滥用治疗项目应考虑实施本荟萃分析中强调的基于证据的干预措施,以适应其客户基础和机构设置的需求和特点。
Objective: This meta-analytic review assesses the effectiveness of substance abuse interventions to reduce adolescent cannabis use. Method: A systematic search identified 15 randomized controlled evaluations of interventions to reduce adolescent cannabis use published between 1960 and 2008. The primary outcome variables, frequency of cannabis use, and quantity of cannabis use, were measured between 1 month and 1 year posttreatment completion. Results: Analyses of random effects models revealed similarly moderate effects for individual (g = -.437; 95% CI [-.671, -.203]) and family-based treatments (g = -.404; 95% CI = [-.613, -.195]). Substance abuse treatments are associated with moderate reductions in cannabis use although effect sizes tended to wane with greater length of time posttreatment. Discussion: Substance abuse treatment programs should consider implementing evidence-based interventions highlighted in this meta-analysis that fit the needs and characteristics of their client base and agency setting.