Evidence map›Paper›PMID 27883927›Full record

Trial reportBehaviour research and therapy2017

Randomized pilot trial of a cognitive-behavioral alcohol, self-harm, and HIV prevention program for teens in mental health treatment.

Christianne Esposito-Smythers, Wendy Hadley, Timothy W Curby, Larry K Brown

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Behaviour research and therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Reducing self-harm in adolescents: the RISA-IPD comprehensive synopsis.Health technology assessment (Winchester, England) · 2026
    Pooled it
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  6. Interventions for self-harm in children and adolescents.The Cochrane database of systematic reviews · 2021
    Pooled it
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  8. Review
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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

4 authors.

Christianne Esposito-SmythersGeorge Mason University, Department of Psychology, MSN 35F, Fairfax, VA, USA. Electronic address: cesposi1@gmu.edu.
Wendy HadleyRhode Island Hospital & Alpert Medical School of Brown University, Bradley/Hasbro Children's Research Center, One Hoppin Street, Suite 204, Providence, RI, 02903, USA.
Timothy W CurbyGeorge Mason University, Department of Psychology, MSN 35F, Fairfax, VA, USA.
Larry K BrownRhode Island Hospital & Alpert Medical School of Brown University, Bradley/Hasbro Children's Research Center, One Hoppin Street, Suite 204, Providence, RI, 02903, USA.

Funding

Alcohol, Suicide & HIV Prevention of Teens in Mental Health TreatmentR01AA016854 · NIAAA · GEORGE MASON UNIVERSITY · PI ESPOSITO-SMYTHERS, CHRISTIANNE L. · 2008 to 2011
$1.2M
NIAAA NIH HHS R01 AA016854
6 · The paper itself

Abstract

Adolescents with mental health conditions represent a high-risk group for substance use, deliberate self-harm (DSH), and risky sexual behavior. Mental health treatment does not uniformly decrease these risks. Effective prevention efforts are needed to offset the developmental trajectory from mental health problems to these behaviors. This study tested an adjunctive cognitive-behavioral family-based alcohol, DSH, and HIV prevention program (ASH-P) for adolescents in mental healthcare. A two group randomized design was used to compare ASH-P to an assessment only control (AO-C). Participants included 81 adolescents and a parent. Assessments were completed at pre-intervention as well as 1, 6, and 12-months post-enrollment, and included measures of family-based mechanisms and high-risk behaviors. ASH-P relative to AO-C was associated with greater improvements in most family process variables (perceptions of communication and parental disapproval of alcohol use and sexual behavior) as well as less DSH and greater refusal of sex to avoid a sexually transmitted infection. It also had a moderate (but non-significant) effect on odds of binge drinking. No differences were found in suicidal ideation, alcohol use, or sexual intercourse. ASH-P showed initial promise in preventing multiple high-risk behaviors. Further testing of prevention protocols that target multiple high-risk behaviors in clinical samples is warranted.

Indexed as

Cognitive Behavioral TherapyAdolescentAdolescent BehaviorAlcohol DrinkingBinge DrinkingFamily TherapyFemaleHIV InfectionsHumansMalePilot ProjectsSelf-Injurious BehaviorSuicidal IdeationUnsafe SexAdolescentAlcoholClinical trialFamilyPreventionSexual riskSuicide

Identifiers

PMID27883927
PMCPMC5345345

What OpenQuestion holds

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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.