Evidence map›Paper›PMID 26413463›Full record

ArticleAdolescent psychiatry (Hilversum, Netherlands)

Caregiver Involvement in Sexual Risk Reduction with Substance Using Juvenile Delinquents: Overview and Preliminary Outcomes of a Randomized Trial.

Elizabeth J Letourneau, Michael R McCart, Kammarauche Asuzu, Pia M Mauro, Ashli J Sheidow

Abstract read
In one paragraph

Article in Adolescent psychiatry (Hilversum, Netherlands). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Trial
  3. The Landscape of Randomized Controlled Trials for Behavioral Health-Focused Psychosocial Interventions for Youth in the Juvenile Legal System: A Systematic Review.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2025
    Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Parent and Youth Engagement in Court-Mandated Substance Use Disorder Treatment.Journal of child & adolescent substance abuse · 2017
    Article
  9. Advances in Research on Contingency Management for Adolescent Substance Use.Child and adolescent psychiatric clinics of North America · 2016
    Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Elizabeth J LetourneauDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University.
Michael R McCartDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC.
Kammarauche AsuzuDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University.
Pia M MauroDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University.
Ashli J SheidowDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC.
Johns Hopkins University · USMedical University of South Carolina · US

Funding

NIDA Epidemiology Training Program: Johns Hopkins UniversityT32DA007292 · NIDA · JOHNS HOPKINS UNIVERSITY · PI RENEE M. JOHNSON, Brion S Maher · 1993 to 2026
$17.7M
Targeting HIV Risk Behaviors in Juvenile Drug Court-Involved YouthR01DA025880 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI LETOURNEAU, ELIZABETH J · 2008 to 2012
$1.8M
NIDA NIH HHS R01 DA025880NIDA NIH HHS T32 DA007292
6 · The paper itself

Abstract

backgroundSubstance using juvenile offenders have some of the highest rates for engaging in risky sexual behaviors compared to other adolescent subgroups.

methodsAn overview of the literature on sexual risk behaviors among these youth is provided, including the empirical support for including caregivers/parents as critical partners in sexual risk reduction efforts with this population. In particular, there is (a) evidence that family factors contribute to adolescent sexual risk, (b) emerging support for caregiver focused interventions that target adolescent sexual risk, and (c) established support for caregiver focused interventions that target other complex adolescent behavior problems. In addition, this paper presents preliminary results from a randomized controlled trial evaluating a family-based intervention for substance using juvenile delinquents that combines contingency management (CM) for adolescent substance use with a novel sexual risk reduction (SRR) protocol. Results through six months post-baseline (corresponding with the end of treatment) are presented for intervention fidelity and outcomes including number of intercourse acts (Sex Acts), use of condoms or abstinence (Safe Sex), and obtaining HIV testing (Testing).

conclusionsIn comparison to youth focused group substance abuse treatment, the CM-SRR intervention was associated with significantly greater therapist use of SRR techniques and greater caregiver involvement in treatment sessions (supporting treatment fidelity) and significantly lower increases in Sex Acts (supporting treatment efficacy). There were also higher odds for Safe Sex and for Testing, although these results failed to reach statistical significance. Findings add to the growing literature supporting the feasibility and efficacy of caregiver focused interventions targeting sexual risk behaviors among high-risk adolescent populations.

Indexed as

HIV preventionjuvenile offendersrandomized controlled trialsexual risksubstance use

Identifiers

PMID26413463
PMCPMC4581580
OpenAlexW2334504623

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.