Evidence map›Paper›PMID 28282523›Full record

ArticleDrug and alcohol dependence2017

Adolescent Community Reinforcement Approach implementation and treatment outcomes for youth with opioid problem use.

Mark D Godley, Lora L Passetti, Geetha A Subramaniam, Rodney R Funk, Jane Ellen Smith, Robert J Meyers

Registry-linked trialAbstract readControlled Clinical TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Drug and alcohol dependence, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04901312 (Identifying an Effective and Cost Beneficial Approach to Preventing OUD in Justice-Involved Youth), which is not on this map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% 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.

NCT04901312 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Identifying an Effective and Cost Beneficial Approach to Preventing OUD in Justice-Involved Youth

TypeinterventionalSponsorSeattle Children's HospitalRan2021 to 2024Enrolled215ConditionsSubstance Use Disorders, RecidivismArmsAdolescent Community Reinforcement Approach, Assertive Continuing Care, Trauma Affect Regulation Guide for Education and Therapy, Motivational Interviewing, Opioid Education Workbook
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use, Update 2018-2023: Current Status, Best Practices, and Opportunities for Advancing the Science.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Pooled it
  2. 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 53
    Pooled it
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  10. An Assertive Community Intervention to Engage Youth with Opioid Use Disorder and Their Families.Child and adolescent psychiatric clinics of North America · 2024
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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

6 authors at 4 institutions in 1 country.

Mark D GodleyChestnut Health Systems, 448 Wylie Drive, Normal, IL 61761, USA. Electronic address: mgodley@chestnut.org.
Lora L PassettiChestnut Health Systems, 448 Wylie Drive, Normal, IL 61761, USA. Electronic address: lpassetti@chestnut.org.
Geetha A SubramaniamCenter for Clinical Trials Network, National Institute on Drug Abuse, 6001 Executive Boulevard, Room 3122, MSC 9557, Bethesda, MD 20892-9593, USA; School of Medicine, Johns Hopkins University, Baltimore, MD, USA. Electronic address: geetha.subramaniam@nih.gov.
Rodney R FunkChestnut Health Systems, 448 Wylie Drive, Normal, IL 61761, USA. Electronic address: rfunk@chestnut.org.
Jane Ellen SmithDepartment of Psychology, University of New Mexico, Logan Hall Room 178, Albuquerque, NM 87131, USA. Electronic address: janellen@unm.edu.
Robert J MeyersDepartment of Psychology, University of New Mexico, Logan Hall Room 178, Albuquerque, NM 87131, USA; RJM and Associates, 3216 LaMancha Dr. NW, Albuquerque, NM 87104, USA. Electronic address: bmeyers@unm.edu.
Chestnut Health Systems · USJohns Hopkins University · USRadiology Associates of Albuquerque · USUniversity of New Mexico · US

Funding

Volunteer Telephone Continuing Care for Adolescents with AOD Use DisordersR01AA021118 · NIAAA · CHESTNUT HEALTH SYSTEMS, INC. · PI GODLEY, MARK D · 2013 to 2017
$2.2M
NIAAA NIH HHS R01 AA021118
6 · The paper itself

Abstract

backgroundThis paper compares adolescents with primary opioid problem use (OPU) to those with primary marijuana or alcohol problem use (MAPU) who received up to six months of Adolescent Community Reinforcement Approach (A-CRA), an empirically supported treatment.

methodsIntake clinical characteristics, treatment implementation measures, and clinical outcomes of two substance problem groups (OPU and MAPU) were compared using data from 1712 adolescents receiving A-CRA treatment. Data were collected at intake and 3, 6, and 12 months post-intake.

resultsAt intake, adolescents in the OPU group were more likely than those in the MAPU group to be Caucasian, older, female, and not attending school; report greater substance and mental health problems; and engage in social and health risk behaviors. There was statistical equivalence between groups in rates of A-CRA treatment initiation, engagement, retention, and satisfaction. Both groups decreased significantly on most substance use outcomes, with the OPU group showing greater improvement; however, the OPU group had more severe problems at intake and continued to report higher frequency of opioid use and more days of emotional problems and residential treatment over 12 months.

conclusionsThe feasibility and acceptability of A-CRA for OPUs was demonstrated. Despite significantly greater improvement by the OPU group, they did not improve to the level of the MAPU group over 12 months, suggesting that they may benefit from A-CRA continuing care up to 12 months, medication to address opioid withdrawal and craving, and the inclusion of opioid-focused A-CRA procedures.

Indexed as

Reinforcement, PsychologyAdolescentAdolescent BehaviorAlcoholismBehavior TherapyFemaleHumansMaleMarijuana AbuseOpioid-Related DisordersPatient CompliancePatient SatisfactionResidence CharacteristicsRisk FactorsTreatment OutcomeAdolescentAdolescent community reinforcement approachOpioidOutcomesSubstance use treatment

Identifiers

PMID28282523
PMCPMC5400724
OpenAlexW2590211736

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.