L A R Stein1, Rosemarie Martin2, Mary Clair-Michaud3, Rebecca Lebeau4, Warren Hurlbut5, Christopher W Kahler6, Peter M Monti2, Damaris Rohsenow2. 1. Department of Psychology, The University of Rhode Island, 130 Flagg Road, Kingston, RI 02881, United States; Center for Alcohol & Addiction Studies, Brown University, Brown University, Box G-S121-5, 121 South Main Street, Providence, RI 02912, United States; Department of Behavioral & Social Sciences, Brown University, Box G-S121-4, 121 South Main Street, Providence, RI 02912, United States; Rhode Island Training School, 300 New London Avenue, Cranston, RI 02920, United States. Electronic address: larstein@uri.edu. 2. Center for Alcohol & Addiction Studies, Brown University, Brown University, Box G-S121-5, 121 South Main Street, Providence, RI 02912, United States. 3. Rhode Island Training School, 300 New London Avenue, Cranston, RI 02920, United States. 4. Rhode Island Executive Office of Health & Human Services, 3 West Road, Cranston, RI 02920, United States. 5. Administration of Justice, Salve Regina University, 100 Ochre Street, Newport, RI 02840, United States. 6. Center for Alcohol & Addiction Studies, Brown University, Brown University, Box G-S121-5, 121 South Main Street, Providence, RI 02912, United States; Department of Behavioral & Social Sciences, Brown University, Box G-S121-4, 121 South Main Street, Providence, RI 02912, United States.
Abstract
BACKGROUND:Motivational Interviewing plus Cognitive Behavior Therapy (MI/CBT) has been used to reduce adolescent substance use, but has rarely been applied in youth correctional settings. This trial compared MI/CBT against Relaxation Training plusSubstance-Education/12-Steps (RT/SET) to reduce substance use and crime among incarcerated youth. METHODS:Participants (N = 199) were incarcerated juveniles (64.8 % non-White, 10.1 % girls, mean age of 17.1 years). Two individual sessions of MI (or RT) were followed by 10 group sessions of CBT (or SET). Youth were randomized to condition with follow-ups at 3- and 6-months after release. Major outcomes included alcohol, marijuana and crimes involving aggression. RESULTS: A marginal treatment by time interaction was found for percent heavy drinking days, with follow-up tests indicating less alcohol use in RT/SET than MI/CBT at 6 months, and increased use within MI/CBT from 3 to 6 months. A significant treatment by time interaction was found for alcohol-related predatory aggression, with follow-up tests indicating fewer youth engaged in this behavior from 3 to 6 months within RT/SET, and weak evidence favoring MI/CBT over RT/SET at 3 months. General predatory aggression decreased from 3 to 6-months for both treatments. CONCLUSIONS: Although weak evidence was found favoring MI/CBT with respect to alcohol-related predatory aggression, results generally support RT/SET in reducing percent heavy drinking days.
RCT Entities:
BACKGROUND: Motivational Interviewing plus Cognitive Behavior Therapy (MI/CBT) has been used to reduce adolescent substance use, but has rarely been applied in youth correctional settings. This trial compared MI/CBT against Relaxation Training plus Substance-Education/12-Steps (RT/SET) to reduce substance use and crime among incarcerated youth. METHODS:Participants (N = 199) were incarcerated juveniles (64.8 % non-White, 10.1 % girls, mean age of 17.1 years). Two individual sessions of MI (or RT) were followed by 10 group sessions of CBT (or SET). Youth were randomized to condition with follow-ups at 3- and 6-months after release. Major outcomes included alcohol, marijuana and crimes involving aggression. RESULTS: A marginal treatment by time interaction was found for percent heavy drinking days, with follow-up tests indicating less alcohol use in RT/SET than MI/CBT at 6 months, and increased use within MI/CBT from 3 to 6 months. A significant treatment by time interaction was found for alcohol-related predatory aggression, with follow-up tests indicating fewer youth engaged in this behavior from 3 to 6 months within RT/SET, and weak evidence favoring MI/CBT over RT/SET at 3 months. General predatory aggression decreased from 3 to 6-months for both treatments. CONCLUSIONS: Although weak evidence was found favoring MI/CBT with respect to alcohol-related predatory aggression, results generally support RT/SET in reducing percent heavy drinking days.
Authors: Mary Clair-Michaud; Rosemarie A Martin; Linda A R Stein; Shayna Bassett; Rebecca Lebeau; Charles Golembeske Journal: J Subst Abuse Treat Date: 2015-09-25
Authors: Mary Clair; L A R Stein; Rosemarie Martin; Nancy P Barnett; Suzanne M Colby; Peter M Monti; Charles Golembeske; Rebecca Lebeau Journal: Addict Behav Date: 2011-01-20 Impact factor: 3.913
Authors: Jennifer G Clarke; L A R Stein; Rosemarie A Martin; Stephen A Martin; Donna Parker; Cheryl E Lopes; Arthur R McGovern; Rachel Simon; Mary Roberts; Peter Friedman; Beth Bock Journal: JAMA Intern Med Date: 2013-05-13 Impact factor: 21.873
Authors: Lauren Micalizzi; Alexander W Sokolovsky; Daniel J Delaney; Rachel L Gunn; Lynn Hernandez; Kathleen Kemp; Anthony Spirito; L A R Stein Journal: Addict Behav Date: 2021-10-14 Impact factor: 4.591