Family Based Contingency Management for Adolescent Alcohol Abuse
The goal is to adapt the 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 family-based CM intervention to treat adolescent alcohol abuse and dependence. CM components include:
- 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
- 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 (CBT).
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.
Specific Aim 3 is to test gene x environment (treatment) interactions in adolescent substance abuse. 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.
|Alcohol Abuse||Behavioral: Motivational Enhancement Therapy (MET)/CBT+CM Behavioral: Motivational Enhancement Therapy (MET)/CBT|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
|Official Title:||Family Based Contingency Management for Adolescent Alcohol Abuse|
- Alcohol abstinence [ Time Frame: Weekly ]
- Days of alcohol use [ Time Frame: Monthly ]
|Study Start Date:||August 2007|
|Study Completion Date:||May 2014|
|Primary Completion Date:||May 2014 (Final data collection date for primary outcome measure)|
Motivational Enhancement Therapy (MET)/CBT+CM/BPT
Behavioral: Motivational Enhancement Therapy (MET)/CBT+CM
Active Comparator: 2
Motivational Enhancement Therapy (MET)/CBT
Behavioral: Motivational Enhancement Therapy (MET)/CBT
Please refer to this study by its ClinicalTrials.gov identifier: NCT00595478
|United States, New Hampshire|
|Geisel School of Medicine at Dartmouth|
|Lebanon, New Hampshire, United States, 03766|
|Principal Investigator:||Catherine Stanger, Ph.D.||Dartmouth College|