Trial reportJournal of substance abuse treatment2009
Exposure to Adolescent Community Reinforcement Approach treatment procedures as a mediator of the relationship between adolescent substance abuse treatment retention and outcome.
Trial report in Journal of substance abuse treatment, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Systematic literature review and meta-analysis of the relationship between adherence, competence and outcome in psychotherapy for children and adolescents.European child & adolescent psychiatry · 2020Pooled it
- Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use, 2014-2017: Outcomes, Treatment Delivery, and Promising Horizons.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53Pooled it
- Pay-for-performance as a cost-effective implementation strategy: results from a cluster randomized trial.Implementation science : IS · 2018Trial
- An independent replication of the Adolescent-Community Reinforcement Approach with justice-involved youth.The American journal on addictions · 2016Trial
- Motivational Interviewing With and Without Normative Feedback for Adolescents With Substance Use Problems: A Preliminary Study.Substance abuse · 2015Trial
- Using pay for performance to improve treatment implementation for adolescent substance use disorders: results from a cluster randomized trial.Archives of pediatrics & adolescent medicine · 2012Trial
- Enduring contributions to implementation science: Honoring the legacy of Bryan R. Garner.Frontiers in health services · 2025Article
- Mechanisms of Behavior Change in Adolescent Substance Use Treatment: A Systematic Review of Treatment Mediators and Recommendations for Advancing Future Research.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2024Article
- Intersections between environmental reward availability, loss aversion, and delay discounting as potential risk factors for cigarette smoking and other substance use.Preventive medicine · 2022Article
- Leveraging behavioral economics and reinforcement theory in treating heavy episodic drinking among college students.Alcoholism, clinical and experimental research · 2022Article
- Priority domains, aims, and testable hypotheses for implementation research: Protocol for a scoping review and evidence map.Systematic reviews · 2020Article
- Factors associated with an evidence-based measure of implementation for the Adolescent Community Reinforcement Approach.Drug and alcohol dependence · 2017Article
- Toward Evidence-Based Measures of Implementation: Examining the Relationship Between Implementation Outcomes and Client Outcomes.Journal of substance abuse treatment · 2016Article
- Six Month Outcomes of a Peer-Enhanced Community Reinforcement Approach for Emerging Adults with Substance Misuse: A Preliminary Study.Journal of substance abuse treatment · 2016Article
- The influence of cultural variables on treatment retention and engagement in a sample of Mexican American adolescent males with substance use disorders.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2015Article
- Recovery among adolescents: models for post-treatment gains in drug abuse treatments.Journal of substance abuse treatment · 2014Article
- Drug refusal skills training does not enhance outcomes of African American adolescents with substance use problems.Journal of substance abuse treatment · 2014Article
- Effectiveness of A-CRA/ACC in treating adolescents with cannabis-use disorders.Community mental health journal · 2014Article
- A Behaviorally-Anchored Rating System to Monitor Treatment Integrity for Community Clinicians Using the Adolescent Community Reinforcement Approach.Journal of child & adolescent substance abuse · 2014Article
- The relationship between clinician turnover and adolescent treatment outcomes: an examination from the client perspective.Journal of substance abuse treatment · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
Data from 399 adolescents, who participated in one of four randomly controlled trials of the Adolescent Community Reinforcement Approach (A-CRA) intervention, were used to examine the extent to which exposure to A-CRA procedures mediated the relationship between treatment retention and outcomes. Although zero-order correlations indicated that retention in treatment was a significant predictor of alcohol and other drug (AOD) use (r = -0.18, p < .001), this relationship was reduced to nonsignificance (p = .39) when exposure to A-CRA procedures was included in the model. Overall, the final model evidenced a very good fit (root mean square error of approximation = .00; comparative fit index = 1.00) and explained 29% and 43% of the variance in adolescents' posttreatment AOD use and AOD-related problems, respectively. In addition, Chi-Squared Automatic Interaction Detection analysis was used to derive a target level of A-CRA exposure, which was found to be significantly related to being in recovery at follow-up. The current findings are useful, as little research to date has identified significant mediators of the relationship between retention and treatment outcomes or identified target thresholds of treatment exposure.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.