Addictive Behaviors, Cannabis Use Disorder, Mental Disorders
Conditions
Keywords
Adolescents, Substance Use Disorders
Brief summary
The purpose of this study is to examine an Adaptive Treatment approach in order to improve outcomes of youth with Cannabis Use Disorders who are poor responders to treatment.
Detailed description
The study will address the current contrasts in youth response to treatment, the problem of poor response to treatment and the prevention of relapse. Results from the study may support Adaptive Treatment as an efficacious approach for youth with Cannabis Use Disorder who are poor responders to treatment. Poor responders fall into two categories, those who failed to achieve a negative drug urinalysis during the last session of the initial MET/CBT-7 treatment they attended, and those who either dropped out or were administratively discharged at any time during the initial MET/CBT-7 treatment.
Interventions
BEHAVIORALACRA
Ten weekly,60-minute therapy sessions including six individual, two parent/guardian and two joint (individual and parent/guardian).
BEHAVIORALCBT
10 weekly, 60-minute sessions of augmented individualized CBT
Sponsors
National Institute on Drug Abuse (NIDA)
UConn Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
13 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* 13-18 years of age at the time of intake assessment * Current diagnosis of DSM-IV Cannabis Abuse or Dependence * Able to read and comprehend English at a 5th grade level * Residence within 45 minutes drive from the UCHC Farmington treatment site * Participant and a parent/legal guardian responsible for providing collateral information agree to sign an IRB approved consent form * Participant and a parent/legal guardian responsible for providing collateral information agree to provide locator information * The family is not planning to move from the area during the next six months
Exclusion criteria
* Meet criteria for dependence of any other substance of abuse other than nicotine or alcohol * Report suicidal ideation with a plan, suicidal behavior, a plan to hurt oneself or other, or a history of self-injurious behavior all occurring in the last 30 days * Meet a lifetime diagnosis of schizophrenia * Has any current health (i.e. medical, psychiatric) condition that will compromise the participant's ability to regularly attend treatment * Demonstrate an inability or unwillingness to provide locator information
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 1.) To evaluate the efficacy of AT for youth who have been defined as poor responders to an evidence-based practice intervention such as the initial MET/CBT-7. | one year | Each participant will serve as his/her own control. The outcomes will include the T-ASI, T-ASI-P, and drug urinalyses. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To assess outcomes as a function of mediator variables such as self-efficacy, coping skills, readiness to change, and environmental support (i.e., family and peer), within each of the AT interventions. | one year | The secondary outcome measures will include the SCQ, CRI, PRQ, and SSQ. |
Countries
United States
Outcome results
None listed