Trial reportJournal of consulting and clinical psychology2012
Drink refusal training as part of a combined behavioral intervention: effectiveness and mechanisms of change.
Trial report in Journal of consulting and clinical psychology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03842670 (Neurocognitive and Neurobehavioral Mechanisms of Change Following Psychological), which is not on this map. Cited by 33 papers, 1 of them a synthesis 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.
Neurocognitive and Neurobehavioral Mechanisms of Change Following Psychological
Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.
- The search for mechanisms of cognitive behavioral therapy for alcohol or other drug use disorders: A systematic review.Behaviour research and therapy · 2020Pooled it
- Using causal mediation to examine self-efficacy as a mechanism through which continuing care interventions reduce alcohol use.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2024Trial
- Trajectories of change in subclinical anxiety and alcohol use during alcohol treatment: A parallel process growth model.Drug and alcohol dependence · 2023Trial
- Delivering Personalized Protective Behavioral Drinking Strategies via a Smartphone Intervention: a Pilot Study.International journal of behavioral medicine · 2019Trial
- Association between change in self-efficacy to resist drinking and drinking behaviors among an HIV-infected sample: Results from a large randomized controlled trial.Journal of health psychology · 2018Trial
- Mediators of Treatment Effect in the Back In Action Trial: Using Latent Growth Modeling to Take Change Over Time Into Account.The Clinical journal of pain · 2017Trial
- Alcohol-Adapted Anger Management Treatment: A Randomized Controlled Trial of an Innovative Therapy for Alcohol Dependence.Journal of substance abuse treatment · 2015Trial
- Willpower versus "skillpower": Examining how self-efficacy works in treatment for marijuana dependence.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2015Trial
- Does group cognitive-behavioral therapy module type moderate depression symptom changes in substance abuse treatment clients?Journal of substance abuse treatment · 2014Trial
- Attributions of change and self-efficacy in a randomized controlled trial of medication and psychotherapy for problem drinking.Behavior therapy · 2013Trial
- Drinking outcomes following drink refusal skills training: differential effects for African American and non-Hispanic White clients.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2011Trial
- Self-Efficacy as a Mechanism of Behavior Change in Addiction Science and Practice.Current addiction reports · 2025Article
- Digital Integrated Interventions for Comorbid Depression and Substance Use Disorder: Narrative Review and Content Analysis.JMIR mental health · 2025Review
- Neurocognitive and neurobehavioral mechanisms of change following psychological treatment for alcohol use disorder.Contemporary clinical trials · 2024Article
- Evaluation of a Primary E-Health Intervention for People with Alcohol Use Disorder: Clinical Characteristics of Users and Efficacy.International journal of environmental research and public health · 2023Article
- Using a multi-module web-app to prevent substance use among students at a Hispanic Serving Institution: development and evaluation design.BMC public health · 2022Article
- Mechanisms of Behavior Change in Substance Use Disorder With and Without Formal Treatment.Annual review of clinical psychology · 2022Review
- College students' receptiveness to intervention approaches for alcohol and cannabis use.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2022Article
- Article
- Integrative data analysis of self-efficacy in 4 clinical trials for alcohol use disorder.Alcoholism, clinical and experimental research · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveMany trials have demonstrated the effectiveness of cognitive behavioral interventions for alcohol dependence, yet few studies have examined why particular treatments are effective. This study was designed to evaluate whether drink refusal training was an effective component of a combined behavioral intervention (CBI) and whether change in self-efficacy was a mechanism of change following drink refusal training for individuals with alcohol dependence.
methodThe present study is a secondary analysis of data from the COMBINE study (COMBINE Study Research Group, 2003), a randomized clinical trial that combined pharmacotherapy with behavioral intervention in the treatment of alcohol dependence. The goal of the present study was to examine whether a drink refusal skills training module, administered as part of a 16-week CBI (n = 776; 31% female, 23% non-White, average age = 44) predicted changes in drinking frequency and self-efficacy during and following the CBI, and whether changes in self-efficacy following drink refusal training predicted changes in drinking frequency up to 1 year following treatment.
resultsParticipants (n = 302) who received drink refusal skills training had significantly fewer drinking days during treatment (d = 0.50) and up to 1 year following treatment (d = 0.23). In addition, the effect of the drink refusal skills training module on drinking outcomes following treatment was significantly mediated by changes in self-efficacy, even after controlling for changes in drinking outcomes during treatment (proportion mediated = 0.47).
conclusionsDrink refusal training is an effective component of CBI, and some of the effectiveness may be attributed to changes in client self-efficacy.
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What OpenQuestion holds
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.