Trial reportJournal of consulting and clinical psychology2014
A randomized trial of assertive continuing care and contingency management for adolescents with substance use disorders.
Trial report in Journal of consulting and clinical psychology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 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
43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.
- The effect of youth assertive community treatment: a systematic PRISMA review.BMC psychiatry · 2017Pooled it
- Psychosocial interventions for cannabis use disorder.The Cochrane database of systematic reviews · 2016Pooled it
- Testing mediational processes of substance use relapse among youth who participated in a mobile texting aftercare project.Substance abuse · 2022Trial
- Randomized Controlled Trial of an Integrated Family-Based Treatment for Adolescents Presenting to Community Mental Health Centers.Community mental health journal · 2021Trial
- Juvenile probation officers' perceptions on youth substance use varies from task-shifting to family-based contingency management.Journal of substance abuse treatment · 2021Trial
- Working memory training and high magnitude incentives for youth cannabis use: A SMART pilot trial.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2020Trial
- Clinical and cost-effectiveness of contingency management for cannabis use in early psychosis: the CIRCLE randomised clinical trial.BMC medicine · 2019Trial
- A randomized trial of Volunteer Recovery Support for Adolescents (VRSA) following residential treatment discharge.Journal of substance abuse treatment · 2019Trial
- Abstinence based incentives plus parent training for adolescent alcohol and other substance misuse.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2017Trial
- An independent replication of the Adolescent-Community Reinforcement Approach with justice-involved youth.The American journal on addictions · 2016Trial
- Cost-effectiveness analysis of a continuing care intervention for cocaine-dependent adults.Drug and alcohol dependence · 2016Trial
- A comparison of three interventions for homeless youth evidencing substance use disorders: results of a randomized clinical trial.Journal of substance abuse treatment · 2015Trial
- Clinic- and home-based contingency management plus parent training for adolescent cannabis use disorders.Journal of the American Academy of Child and Adolescent Psychiatry · 2015Trial
- Using contingency management procedures to reduce at-risk drinking in heavy drinkers.Alcoholism, clinical and experimental research · 2015Trial
- Exposure to Adolescent Community Reinforcement Approach treatment procedures as a mediator of the relationship between adolescent substance abuse treatment retention and outcome.Journal of substance abuse treatment · 2009Trial
- Clarity and consistency in government-funded implementation strategies associated with greater evidence-based practice reach: a mixed-method comparative case study.Implementation science : IS · 2025Article
- Real-World Implementation of Contingency Management and Benefits of a Controlled Environment "Head Start".Brain and behavior · 2025Article
- Narrative Review: Revised Principles and Practice Recommendations for Adolescent Substance Use Treatment and Policy.Journal of the American Academy of Child and Adolescent Psychiatry · 2025Review
- Engagement, initiation, and retention in medication treatment for opioid use disorder among young adults: A narrative review of challenges and opportunities.Journal of substance use and addiction treatment · 2024Review
- An Assertive Community Intervention to Engage Youth with Opioid Use Disorder and Their Families.Child and adolescent psychiatric clinics of North America · 2024Review
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 at 2 institutions in 1 country.
Funding
Abstract
objectiveMost adolescents relapse within 90 days of discharge from residential substance use treatment. We hypothesized that contingency management (CM), assertive continuing care (ACC), and their combination (CM + ACC) would each be more effective than usual continuing care (UCC).
methodFollowing residential treatment, 337 adolescents were randomized to 4 continuing care conditions: UCC alone, CM, ACC, or CM + ACC. UCC was available across all conditions. Outcome measures over 12 months included percentage of days abstinent from alcohol, heavy alcohol, marijuana, and any alcohol or other drugs (AOD) using self-reports and toxicology testing and remission status at 12 months.
resultsCM had significantly higher rates of abstinence than UCC for heavy alcohol use, t(297) = 2.50, p < .01, d = 0.34; any alcohol use, t(297) = 2.58, p < .01, d = 0.36; or any AOD use, t(297) = 2.12, p = .01, d = 0.41; and had a higher rate in remission, odds ratio (OR) = 2.45, 90% confidence interval (CI) [1.18, 5.08], p = .02. ACC had significantly higher rates of abstinence than UCC from heavy alcohol use, t(297) = 2.66, p < .01, d = 0.31; any alcohol use, t(297) = 2.63, p < .01, d = 0.30; any marijuana use, t(297) = 1.95, p = .02, d = 0.28; or any AOD use, t(297) = 1.88, p = .02, d = 0.30; and had higher rates in remission, OR = 2.31, 90% CI [1.10, 4.85], p = .03. The ACC + CM condition was not significantly different from UCC on any outcomes.
conclusionsCM and ACC are promising continuing care approaches after residential treatment. Future research should seek to further improve their effectiveness.
Indexed as
Identifiers
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.