Individual vs. Group Community Reinforcement Training to Help Parents of Substance-using Treatment-refusing Youth

NCT01829789 | Completed

• 1 other identifier: 1R34DA034301
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to test the efficacy and cost-effectiveness of Community Reinforcement Training (CRT) provided in a group therapy format. The goals of CRT are to teach parents behavioral and communication skills to influence their youth's drug use and encourage them to enter treatment. Thirty parents will be randomly assigned to Group CRT and 30 will be randomly assigned to traditional, Individual CRT. Youth engaged in treatment will receive individual Cognitive Behavioral Therapy. Families are assessed for adolescent substance use and other areas of individual and family functioning. It is expected that Group CRT will be more effective for encouraging youth entry into treatment and improving parental functioning.

Conditions

Substance Use Disorders; Treatment Refusal

Keywords

Adolescents; Teens; Parents; Parenting; Substance Abuse; Treatment Efficacy

Outcome Measures

Primary Outcomes (1)

• Adolescent treatment engagement

  An adolescent may enter the CBT treatment program ("treatment engagement") at any point during the 4-month time period after his or her parents begin I-CRT or G-CRT therapy.

  4 months

Secondary Outcomes (1)

• Timeline Followback (TLFB) interview

  9 months

Other Outcomes (1)

• Medical Outcome Studies Social Support Survey

  9 months

Study Arms (2)

G-CRT

EXPERIMENTAL

Group Community Reinforcement Training for parents

Behavioral: Group Community Reinforcement Training for Parents

I-CRT

ACTIVE COMPARATOR

Individual Community Reinforcement Training for parents

Behavioral: Individual Community Reinforcement Training for Parents

Interventions

Group Community Reinforcement Training for Parents BEHAVIORAL

Also known as: G-CRT

G-CRT

Individual Community Reinforcement Training for Parents BEHAVIORAL

Also known as: I-CRT

I-CRT

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Parents have an adolescent between 15-20 years
• Parents have had contact with the adolescent on at least 40% of the past 12 weeks
• Parents have some knowledge or evidence that the adolescent would meet DSM-IV diagnostic criteria for a substance use disorder
• Adolescent has explicitly refused to attend any intake or therapy sessions
• Adolescent is not under a current court mandate for treatment or has refused to comply with the mandate
• English-speaking capability (parents and adolescents)

You may not qualify if:

• Evidence of adolescent psychotic or organic state of sufficient severity to interfere with understanding of study instruments and procedures
• Adolescent had received drug treatment (except detoxification) in the past 12 weeks.

Sponsors & Collaborators

• Oregon Research Institute: lead

Study Sites (1)

Center for Family and Adolescent Research

Portland, Oregon, 97232, United States

Location

MeSH Terms

Conditions

Substance-Related Disorders; Treatment Refusal

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Erica M Finstad, Ph.D.

  Oregon Research Institute

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 9, 2013
• First Posted: April 11, 2013
• Study Start: April 1, 2013
• Primary Completion: November 1, 2015
• Study Completion: March 1, 2016
• Last Updated: September 30, 2016

Record last verified: 2016-09

Locations

US (1)