Evidence map›Paper›PMID 34338542›Full record

ArticleThe American journal of orthopsychiatry2021

Testing the competing life reinforcers model for substance use in reserve-dwelling First Nation youth.

Nichea S Spillane, Melissa R Schick, Tessa Nalven, Silvi C Goldstein, Katelyn T Kirk-Provencher, Danielle Hill, Christopher W Kahler

Open access · hybridAbstract read
In one paragraph

Article in The American journal of orthopsychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.4field-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

16 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Substance use negatively impacts change in reinforcement during the year following substance use treatment.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Application of the acquired preparedness model for alcohol and cigarette use among reserve-dwelling first nation adolescents.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. 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

7 authors at 2 institutions in 1 country.

Nichea S SpillaneDepartment of Psychology, PATHS Lab, University of Rhode Island.
Melissa R SchickDepartment of Psychology, PATHS Lab, University of Rhode Island.ORCID 0000-0003-0689-6672
Tessa NalvenDepartment of Psychology, PATHS Lab, University of Rhode Island.ORCID 0000-0002-1332-195X
Silvi C GoldsteinDepartment of Psychology, PATHS Lab, University of Rhode Island.ORCID 0000-0002-1460-9752
Katelyn T Kirk-ProvencherDepartment of Psychology, PATHS Lab, University of Rhode Island.ORCID 0000-0003-4106-2526
Danielle HillDepartment of Psychology, PATHS Lab, University of Rhode Island.
Christopher W KahlerDepartment of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown University School of Public Health.ORCID 0000-0002-6248-4149
University of Rhode Island · USJohn Brown University · US

Funding

Substance Use Among American Indian Youth: Epidemiology & EtiologyR01DA003371 · NIDA · COLORADO STATE UNIVERSITY-FORT COLLINS · PI Meghan A Crabtree, KIMBERLY L HENRY · 1985 to 2026
$13.7M
Contextual risk factors for substance use in adolescent Reservation-Dwelling American IndiansK08DA029094 · NIDA · UNIVERSITY OF RHODE ISLAND · PI SPILLANE, NICHEA SOLOMON · 2010 to 2014
$862k
NIDA NIH HHS K08 DA029094
6 · The paper itself

Abstract

purposeNorth American Indigenous (NAI) communities often cite substance misuse as problematic in their communities. The Competing Life Reinforcers (CLRs) model suggests that when reinforcers are valued, important, and incompatible with substance use, they will be associated with less substance misuse. Three categories of CLRs were identified in our formative work and include the following: cultural, social, and extracurricular activities. The aims of the current study were to test the associations among valuing and availability of CLRs and NAI adolescent alcohol and marijuana use.

methodsAdolescents living in rural First Nation reserve communities (N = 106, 50.0% female) reported their substance use and perceived availability and valuing of CLRs (e.g., smudging and after school activities).

findingsGreater value placed on cultural reinforcers was significantly associated with reduced likelihood of past 3-month drinking to get drunk (OR = 0.85, 95% CI[0.73, 0.98]). Greater value placed on social reinforcers was associated with lower likelihood of past 3-month drinking (OR = 0.94, 95% CI[0.89, 0.995]) and past-3 month drinking to get drunk (OR = 0.94, 95% CI[0.88, 0.99]). Greater valuing extracurricular activities were associated with lower likelihood of past month marijuana use (OR = 0.84, 95% CI[0.72, 098]), past 3-month drinking (OR = 0.77, 95% CI[0.64, 0.92]), and past 3-month drinking to get drunk (OR = 0.76, 95% CI[0.63, 0.92]).

conclusionsCLRs may be protective against NAI adolescent substance use and may be useful targets for prevention and treatment for NAI adolescent substance use. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Indexed as

Adolescent BehaviorAlcoholismMarijuana SmokingSubstance-Related DisordersAdolescentFemaleHumansMaleSchools

Identifiers

PMID34338542
PMCPMC8594143
OpenAlexW3190580724

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.