Brief Strategic Family Therapy versus Treatment as Usual: Extended Follow-up for

简短的战略家庭治疗与常规治疗：延长随访

• 批准号: 7853866
• 负责人: Michael Shawn Robbins
• 金额: $ 87.94万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7853866
• 关键词: 14 year old; Abstinence; Adolescence; Adolescent; Adult; African American; Aftercare; Age; Alcohol or Other Drugs use; Alcohols; Area; Behavior; Clinical Trials Network; Clinical effectiveness; Communities; DSM-IV; Diagnosis; Distal; Drug usage; Drug user; Effectiveness; Ethnic group; Evaluation; Family; Family psychotherapy; General Population; Goals; HIV; Hispanics; Illicit Drugs; Individual; Intervention; Knowledge; Lifestyle-related condition; Literature; Long-Term Effects; Marijuana Dependence; Mediating; National Institute of Drug Abuse; National Institute on Alcohol Abuse and Alcoholism; Not Hispanic or Latino; Outcome; Outcome Study; Outpatients; Parents; Participant; Patient Self-Report; Pharmaceutical Preparations; Population; Public Health; Reporting; Research; Residential Treatment; Risk Behaviors; Risk-Taking; Sampling; Substance abuse problem; Symptoms; Teenagers; Time; Tobacco; Unsafe Sex; Youth; adolescent drug use; adolescent substance abuse; base; brief intervention; career; design; effective therapy; effectiveness trial; emerging adult; externalizing behavior; follow up assessment; follow-up; health disparity; high risk sexual behavior; prevent; public health relevance; racial and ethnic; treatment as usual; young adult

DESCRIPTION (provided by applicant): The primary goal this project is to examine the long-term effects of outpatient treatments for illicit drug using adolescents. Specifically, this study proposes to complete a follow-up assessment with a sample of 379 young adults that participated in a recently completed effectiveness trial to examine the differential effectiveness of brief strategic family therapy (BSFT) and treatment as usual (TAU) in the rates of substance use, externalizing behaviors (including arrests and sexually risky behaviors), time in restricted settings (e.g., residential treatment, detention), and improvements in family functioning. The proposed study is designed to fill a knowledge gap regarding the long term effects of outpatient treatments for adolescent drug users and has implications for furthering research on both family therapy as well as treatment as usual in community agencies. Moreover, this study is particularly relevant for community-based agencies, and - as such - has broad implications for practice in outpatient adolescent substance abuse treatment. Also, the proposed sample includes a sizable population of African American and Hispanics participants. As such, the findings will be relevant for Hispanic and African American adolescent drug users, and will permit the evaluation of the long term impact of the interventions (BSFT and TAU) on specific racial/ethnic groups: African Americans, Hispanics and non-Hispanic Whites. PUBLIC HEALTH RELEVANCE: The primary goal this project is to examine the long-term effects of different outpatient treatments (brief strategic family therapy and treatment as usual) for illicit drug using adolescents. Given the stability and persistence of drug use over time, examining distal outcomes is critical for identifying effective strategies for preventing adult drug dependent careers. Moreover, the results of this study will have broad implications for practice in outpatient adolescent substance abuse treatment, and will be essential in furthering research on both family therapy as well as treatment as usual in community agencies.

描述（由申请人提供）：本项目的主要目标是检查门诊治疗对使用非法药物的青少年的长期影响。具体而言，本研究建议对379名参加最近完成的有效性试验的年轻人进行随访评估，以检查简短战略家庭治疗（BSFT）和常规治疗（TAU）在物质使用率，外化行为（包括逮捕和性风险行为），限制环境中的时间（例如，住院治疗、拘留）和改善家庭功能。拟议的研究旨在填补知识空白的长期影响门诊治疗青少年吸毒者和进一步研究的家庭治疗以及治疗的影响，在社区机构。此外，这项研究是特别相关的社区为基础的机构，并-因此-门诊青少年药物滥用治疗的实践具有广泛的影响。此外，拟议的样本包括相当大的非裔美国人和西班牙裔参与者。因此，研究结果将与西班牙裔和非洲裔美国青少年吸毒者相关，并将允许评估干预措施（BSFT和TAU）对特定种族/族裔群体的长期影响：非洲裔美国人，西班牙裔和非西班牙裔白人。 公共卫生关系：该项目的主要目标是研究不同的门诊治疗（简短的战略家庭治疗和治疗照常）对使用非法药物的青少年的长期影响。鉴于药物使用的稳定性和持久性，随着时间的推移，检查远端的结果是至关重要的，以确定有效的战略，防止成人药物依赖的职业生涯。此外，本研究的结果将有广泛的影响，在门诊青少年药物滥用治疗的实践，并将在进一步研究家庭治疗以及治疗在社区机构照常进行。