Evidence map›Paper›PMID 28800496›Full record

ArticleAddictive behaviors2018

Goal commitment predicts treatment outcome for adolescents with alcohol use disorder.

Yifrah Kaminer, Christine McCauley Ohannessian, James R McKay, Rebecca H Burke, Kaitlin Flannery

Open access · greenAbstract read
In one paragraph

Article in Addictive behaviors, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
1.7field-weighted citation impact, top 15% 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, 3 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Recovery and Youth: An Integrative Review.Alcohol research : current reviews · 2020
    Review
  9. Article
  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 3 institutions in 1 country.

Yifrah KaminerAlcohol Research Center and Department of Psychiatry, University of Connecticut School of Medicine, Farmington, CT 06030-2103, United States. Electronic address: kaminer@uchc.edu.
Christine McCauley OhannessianAlcohol Research Center and Department of Psychiatry, University of Connecticut School of Medicine, Farmington, CT 06030-2103, United States; Children's Center for Community Research, Connecticut Children's Medical Center, Hartford, CT 06106, United States.
James R McKayDepartment of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, United States.
Rebecca H BurkeAlcohol Research Center and Department of Psychiatry, University of Connecticut School of Medicine, Farmington, CT 06030-2103, United States.
Kaitlin FlanneryChildren's Center for Community Research, Connecticut Children's Medical Center, Hartford, CT 06106, United States; Department of Psychology, University of Connecticut, Storrs, CT 06269-1020, United States.
University of Connecticut · USChildren's Center · USUniversity of Pennsylvania · US

Funding

Treatment of Co-Occurring Alcohol Use Disorders and Depression/Anxiety DisordersR01AA021735 · NIAAA · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI HESSELBROCK, VICTOR M, KAMINER, YIFRAH · 2014 to 2018
$1.9M
Adaptive Treatment Models for the Management of Drug Use DisordersK24DA029062 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI MCKAY, JAMES R. · 2010 to 2021
$1.6M
NIAAA NIH HHS R01 AA021735NIDA NIH HHS K24 DA029062
6 · The paper itself

Abstract

objectiveCommitment to change is an innovative potential mediator and mechanism of behavior change (MOBC) that has not been examined in adolescents with substance use disorders (SUD). The Adolescent Substance Abuse Goal Commitment (ASAGC) questionnaire is a reliable and valid 2-scale measure developed to assess the adolescent's commitment to either abstinence or harm reduction (HR) that includes consumption reduction as a stated treatment goal. The objective of this study was to examine the ASAGC's ability to predict alcohol use treatment outcome.

methodDuring sessions three and nine of a 10-week treatment program, therapists completed the ASAGC for 170 adolescents 13-18years of age with alcohol use disorder (AUD). Drinking behaviors were assessed during and after a continued-care phase until 12-month from study onset.

resultsAnalysis of Variance results indicated that adolescents who reported no alcohol use had significantly higher scores on the commitment to abstinence scale than adolescents who reported alcohol use. None of the ANOVA models were significant for commitment to HR. When treatment outcome was examined, commitment to abstinence consistently predicted number of drinking days, number of heavy drinking days, and the maximum number of drinks post-treatment. In contrast, commitment to HR did not predict any of the drinking outcomes. These results suggest that the more adolescents were committed to abstinence during treatment, the less they used and abused alcohol after treatment completion.

conclusionsIn addition to the ASAGC's ability to differentiate between commitment to abstinence and commitment to HR, study findings demonstrate that goal commitment consistently predicts AUD treatment outcome.

Indexed as

GoalsAdolescentAlcohol AbstinenceAlcoholismFemaleHarm ReductionHumansMaleSurveys and QuestionnairesTreatment OutcomeUnderage DrinkingAdolescentAlcohol use disorderGoal commitmentHarm reduction (HR)Mechanism of behavior change (MOBC)Treatment outcome

Identifiers

PMID28800496
PMCPMC6490181
OpenAlexW2739751698

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.