Adolescent Substance Abuse: Progressive Treatment (ADAPT)
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Purpose
The purpose of this study is to find out more about how to provide effective further treatment for adolescents who have received six weeks of group therapy for substance-use problems and continue to use drugs. Treatments used in the study include a group therapy (MET/CBT), an individual therapy (CBT), and a family therapy (FFT). The study will look at whether abstinence or a very low level of use is a better guide for deciding whether further treatment is needed, how well different combinations of treatment work to reduce substance use, and whether it is possible to predict in advance which adolescents will respond best to which types of treatment. Study investigators expect that a treatment strategy using what is learned about these issues in the first half of the project to develop an "adaptive" treatment model will work better than a "fixed" treatment to reduce adolescent substance use.
| Condition | Intervention | Phase |
|---|---|---|
|
Substance Abuse |
Behavioral: CBT, Cognitive Behavioral Therapy Behavioral: FFT, Family Functional Therapy |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Factorial Assignment Masking: Open Label Primary Purpose: Treatment |
- Urine drug screens [ Time Frame: Pretx, 6, 14 and 22 weeks, 3 and 6 months after initial treatment session ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 140 |
| Study Start Date: | March 2008 |
| Estimated Study Completion Date: | June 2013 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: 1
Eight weeks of individual CBT for adolescents who have completed six weeks of group therapy and continue to use drugs.
|
Behavioral: CBT, Cognitive Behavioral Therapy
Eight weekly sessions of individual Cognitive Behavioral Therapy, to develop skills enabling adolescents stop or reduce their drug use.
|
|
Active Comparator: 2
Eight weeks of FFT for adolescents who have received six weeks of group therapy and continue to use drugs.
|
Behavioral: FFT, Family Functional Therapy
Eight weekly sessions of Functional Family Therapy designed to strengthen family relationships and build skills to help the adolescent stop or reduce his/her drug use.
|
Eligibility| Ages Eligible for Study: | 13 Years to 18 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- 13 to 18 years if age
- Meet DSM-IV (APA, 1994) diagnostic criteria for substance abuse or dependence
- Live in the Albuquerque metropolitan area or surrounding communities
- Sufficient residential stability to permit probable contact at follow-up (e.g., not homeless at time of intake).
Exclusion Criteria:
- There is evidence of psychotic or organic state of sufficient severity to interfere with the understanding of study instruments and procedures
- The adolescent is deemed dangerous to self or others during evaluation
- Services other than outpatient treatment are required for the adolescent (e.g., inpatient, detoxification)
- Marijuana use is reported as being less than 13% of days in the previous 90 days.
Contacts and Locations| United States, New Mexico | |
| Oregon Res. Inst. Center for Family & Adolescent Research (CFAR) | |
| Albuquerque, New Mexico, United States, 87102 | |
| Principal Investigator: | Holly B Waldron, Ph.D. | Oregon Research Institute Center for Family and Adolescent Research (ORI/CFAR) |
More Information
No publications provided
| Responsible Party: | Oregon Research Institute |
| ClinicalTrials.gov Identifier: | NCT00680576 History of Changes |
| Other Study ID Numbers: | DA023568, R01DA023568 |
| Study First Received: | May 16, 2008 |
| Last Updated: | December 17, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Oregon Research Institute:
|
adolescent substance abuse |
Additional relevant MeSH terms:
|
Substance-Related Disorders Mental Disorders |
ClinicalTrials.gov processed this record on May 16, 2013