A Comparison of Adolescent Group Therapy and Transitional Family Therapy for Adolescent Alcohol and Drug Abusers

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00484367
Recruitment Status : Unknown
Verified November 2008 by The Morton Center, Inc..
Recruitment status was:  Active, not recruiting
First Posted : June 8, 2007
Last Update Posted : August 26, 2011
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Information provided by:
The Morton Center, Inc.

Brief Summary:
The purpose of this study is to compare the effectiveness of two psychosocially-based, manual-driven, behavioral modalities. One of these is a standardized version of the established modality of Adolescent Group Therapy (AGT), which includes both psychoeducational and therapeutic components. The other is a state-of-the-art family therapy approach, Transitional Family Therapy (TFT), which integrates management of the current problem with exploration of multigenerational issues. Both approaches have been developed to expressly target adolescent alcohol problems.

Condition or disease Intervention/treatment Phase
Alcohol Abuse Alcohol Dependence Cannabis Abuse Cannabis Dependence Other Substance Abuse Behavioral: Adolescent group therapy Behavioral: Transitional family therapy Phase 2 Phase 3

Detailed Description:

Despite well-founded societal concerns over the use of illicit drugs by youth, alcohol use has persisted for decades as the number one adolescent substance abuse problem in the U.S. Further, research has shown that the earlier the onset of alcohol use, the more likely is a person to develop alcohol dependence later, during adulthood. Consequently, the need is clear for interventions which will arrest this process at the earliest point possible. Hence, interventions that mobilize a youth's social systems to help that young person deal with the problem, i.e., the family and peer systems, would make sense from a number of standpoints. Two primary modalities developed to deal with such issues are those examined here: family therapy and group therapy.

The participants were males and females, ages 13-17 at intake, with a DSM-IV diagnosis of either alcohol abuse or alcohol dependence. Following random assignment to condition, basic treatment in both conditions was based on a 12-session model and took approximately 3-4 months, followed by 1-2 aftercare sessions over an additional 1-2 months. The treatment was provided by therapists who were already working within the community (as opposed, for instance, to graduate students). Follow-up assessments were obtained at 3 months post-treatment, 1 year post-treatment, and 2 years post-treatment, thus allowing determination of the extent to which treatment effects "held up" to a degree not attained by most of the previous outcome studies within this domain.

Comparisons: AGT and TFT are being compared on the extent to which their participants used alcohol, as well as other substances, during the three post-treatment periods. Other comparisons include school performance (grade point average), family relations/functioning, and involvement with the legal system.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 120 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Family and Group Therapies for Adolescent Alcohol Abuse
Study Start Date : July 1999
Estimated Primary Completion Date : August 2012
Estimated Study Completion Date : August 2012

Arm Intervention/treatment
Active Comparator: 1 AGT Behavioral: Adolescent group therapy
Adolescent group therapy
Active Comparator: 2 TFT Behavioral: Transitional family therapy
Transitional family therapy

Primary Outcome Measures :
  1. Alcohol use Cannabis use Other substance use [ Time Frame: Baseline, 3 months post-treatment, 1 year post-treatment, and 2 years post-treatment ]

Information from the National Library of Medicine

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Ages Eligible for Study:   13 Years to 17 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Male and female outpatients 13-17 years of age at intake.
  • Participants had a current DSM-IV diagnosis of either alcohol abuse or alcohol dependence.
  • Participants signed a witnessed informed consent.
  • Parent or custodian of each (adolescent) participant signed a witnessed informed consent.

Exclusion Criteria:

  • Participants who met current DSM-IV criteria for bipolar disorder, psychotic disorder, or eating disorder.
  • Enrollment in a residential substance abuse treatment program within 2 months prior to intake.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00484367

United States, Kentucky
The Morton Center
Louisville, Kentucky, United States, 40204
Sponsors and Collaborators
The Morton Center, Inc.
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Principal Investigator: Morris D. Stanton, PhD The Morton Center

Responsible Party: Morris D. Stanton, PhD, The Morton Center Identifier: NCT00484367     History of Changes
Other Study ID Numbers: NIAAA-STA12178
R01AA012178 ( U.S. NIH Grant/Contract )
NIH Grant R01 AA12178
First Posted: June 8, 2007    Key Record Dates
Last Update Posted: August 26, 2011
Last Verified: November 2008

Keywords provided by The Morton Center, Inc.:
Alcohol abuse
Substance abuse
Cannabis abuse
Group therapy
Family therapy

Additional relevant MeSH terms:
Substance-Related Disorders
Marijuana Abuse
Alcohol-Related Disorders
Chemically-Induced Disorders
Mental Disorders
Anti-Infective Agents, Local
Anti-Infective Agents
Central Nervous System Depressants
Physiological Effects of Drugs