Family Based Contingency Management for Adolescent Alcohol Abuse

基于家庭的青少年酗酒应急管理

• 批准号: 7299054
• 负责人: CATHERINE STANGER
• 金额: $ 39.71万
• 依托单位: UNIV OF ARKANSAS FOR MED SCIS
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-08-05 至 2012-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7299054
• 关键词: Abstinence; Accounting; Adolescent; Adult; Age; Alcohol abuse; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Behavior; Behavioral; Behavioral Mechanisms; Child; Classification; Clinic; Cognitive Therapy; Communities; Condition; Contracts; Data; Dependence; Drug abuse; Drug usage; Educational process of instructing; Family; Family Practice; Future; Goals; Health; Home environment; Illicit Drugs; Incentives; Individual; Intervention; Intervention Studies; Laboratories; Learning; Link; Maintenance; Marijuana Abuse; Measures; Modeling; Monitor; Outcome; Outpatients; Parenting behavior; Parents; Patient Self-Report; Pharmaceutical Preparations; Population; Positive Reinforcements; Prevention intervention; Procedures; Process; Psychopathology; Publishing; Randomized Clinical Trials; Randomized Controlled Clinical Trials; Range; Rate; Relapse; Reporting; Research; Research Personnel; Risk; Risk Factors; Risk-Taking; Schools; Staging; Standards of Weights and Measures; Substance abuse problem; Surveys; Symptoms; Testing; Time; Training; Training Programs; Treatment outcome; Urine; Work; Youth; aged; alcohol abstinence; alcohol abuse therapy; alcohol and other drug; base; contingency management; cost effectiveness; discounting; drug testing; improved; motivational enhancement therapy; novel; peer; programs; therapy development; treatment duration; underage drinking

DESCRIPTION (provided by applicant): Based on the 2003-2004 National Survey on Drug Use and Health, 1.5 million youth aged 12-17 years (6.1% of youth in that age range) needed treatment for alcohol abuse, and alcohol is the primary drug reported by 19% of the adolescent treatment population. Recent intervention research on adolescent alcohol abuse has focused primarily on school-based, community, or ER populations. Although new outpatient family-based and contingency-management (CM) interventions for adolescent marijuana abuse have been developed, not one of them specifically targets adolescent primary alcohol users. We could find no published outpatient randomized trial specifically targeting alcohol abuse in adolescents. Thus, little is known about how to most effectively intervene with primary adolescent alcohol abuse and dependence in an outpatient setting. Our goal is to adapt our family-based CM treatment to target primary adolescent alcohol abuse and dependence. Specific Aim 1 is to provide a preliminary demonstration of the efficacy of a familybased CM intervention to treat adolescent alcohol abuse and dependence. CM components include 1) an incentive program to enhance the adolescent's engagement in the treatment process and engender alcohol abstinence by providing positive reinforcement for documented abstinence via breathalyzers administered by parents regularly at home, self and parent report, and clinic-based urine drug testing; and 2) a parent management training program to enhance and maintain the positive effects of the incentive program by teaching parents how to effectively use contingency management in the home environment to motivate their adolescent to achieve abstinence and improve their behavior in other domains. A randomized trial will determine whether the CM intervention enhances outcomes when added to a standard individual cognitive behavioral therapy. Specific Aim 2 is to determine whether and how treatment interventions modify parental and adolescent risk and protective factors using observational and laboratory measures (parenting practices, family functioning, risk taking, delay discounting, and child and parent psychopathology) and to determine whether these factors are associated with outcomes over time. Findings will extend the scientific evidence for CM and support the ability of parents to implement CM at home. Findings that support the CM model's efficacy will make a significant contribution to research on the treatment of adolescent alcohol abuse, which has lagged behind research on adult substance abuse and on adolescent illicit drug use. Future projects will include isolation of active treatment components, dissemination to community clinics, and cost-effectiveness studies.

描述（由申请人提供）：根据2003-2004年全国药物使用和健康调查，150万12-17岁青年（占该年龄段青年的6.1%）需要接受酒精滥用治疗，19%接受治疗的青少年报告酒精是主要药物。最近对青少年酒精滥用的干预研究主要集中在学校、社区或急诊室人群。虽然针对青少年大麻滥用的新的门诊家庭和应急管理（CM）干预措施已经开发出来，但其中没有一个是专门针对青少年初级酒精使用者的。我们找不到已发表的针对青少年酒精滥用的门诊随机试验。因此，对于如何在门诊环境中最有效地干预青少年酒精滥用和依赖知之甚少。我们的目标是调整我们以家庭为基础的CM治疗，以针对初级青少年酒精滥用和依赖。具体目标1是提供一个基于家庭的CM干预治疗青少年酒精滥用和依赖的有效性的初步论证。CM组件包括1)和