Effectiveness of A-CRA/ACC in Treating Adolescents with Cannabis-Use Disorders
Effectiveness of A-CRA/ACC in Treating Adolescents with Cannabis-Use Disorders
复制标题
A-CRA/ACC 在治疗青少年大麻使用障碍方面的有效性
DOI：
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发表时间：
2014
影响因子：
2.7
通讯作者：
Jennifer C. Smith
中科院分区：
文献类型：
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作者：
E. McGarvey;M. Leon;Karen Bloomfield;Sharon Wood;E. Winters;Jennifer C. Smith
在美国的一个农村县和小城市实施了一项针对青少年大麻使用者的循证治疗，青少年社区强化方法与自信的持续护理。共有147名年龄在12 - 18岁的青少年入组，并在基线和3个时间点（3个月、6个月和12个月）使用全球个人需求评估和相关措施进行评估。项目的有效性得到了证实。这种治疗对城市和乡村的年轻人同样有效。超过三分之二（68.7%）的青少年报告在12个月内停止使用大麻。与第一次随访相比，在控制年龄的情况下，最后90天的大麻使用天数显著减少（p值< 0.01），并且在治疗结束前呈持续下降趋势。除了减少药物使用外，从治疗开始到治疗结束，缺课和被开除的平均天数也显著减少。
An evidence-based treatment for adolescent cannabis users, Adolescent Community Reinforcement Approach with Assertive Continuing Care, was implemented in a rural county and small city in the USA. A total of 147 adolescents, ages 12–18, were enrolled and assessed at baseline and three time points: 3, 6, and 12 months using the Global Appraisal of Individual Needs and related measures. Program effectiveness was confirmed. The treatment was equally effective for youth from the city versus the county. More than two-thirds (68.7 %) of the adolescents reported quitting use of cannabis by 12 months. The days of cannabis use in the last 90 days decreased significantly from the first follow-up, controlling for age (p value < .01), and shows consistent decline until the end of the treatment. In addition to reduction in substance use, the average number of days missing school and expelled from school decreased significantly from baseline to the end of the treatment.