A Randomized Controlled Trial of an Online Relapse Prevention Program for Adolescents in Substance Abuse Treatment
| Autor: | Kimberlee J. Trudeau, Jody L. Kamon, Steve Sussman, Ryan A. Black |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Evidence-based practice
Recidivism business.industry Attentional control Psychological intervention 030508 substance abuse medicine.disease Relapse prevention law.invention Substance abuse 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Intervention (counseling) medicine 030212 general & internal medicine 0305 other medical science Life-span and Life-course Studies business Social Sciences (miscellaneous) Clinical psychology |
| Zdroj: | Child & Youth Care Forum. 46:437-454 |
| ISSN: | 1573-3319 1053-1890 |
| Popis: | An Internet-based relapse prevention supplement to adolescent substance abuse treatment programming is a promising modality to reinforce treatment gains and enhance recovery; however, an evidence base is lacking. To assess the efficacy of the online Navigating my Journey (NmJ) program. 129 adolescent-aged participants (ages 13–23) receiving substance abuse treatment participated in a randomized parallel group study comparing two conditions: experimental (NmJ) versus attention control (viewed wellness articles from the Nemours Foundation at their discretion). Participants in the experimental condition were asked to complete 12 core lessons over 3 months. Lesson content was developed to teach evidence-based relapse prevention skills. Data were collected at four time points: baseline, 1-month follow up, 3-month follow up, and 6-month follow up. We used a linear mixed modeling approach to test for differences between conditions on each outcome. Participants in the experimental condition reported a significantly greater increase in motivation to reduce or not misuse drugs from baseline to 3-month follow up and from baseline to 6-month follow up, compared to the control participants. Participants in the experimental condition also reported a greater decrease in drug use score from baseline to 3-month follow up, compared to the control participants. An analysis of age as a potential moderator suggested that the intervention may be more effective for older adolescents. Greater use of the program was associated with greater self-efficacy and lower self-reported substance use over time. Relapse prevention treatment with adolescents may be facilitated by theory-based online interventions. NCT02125539. |
| Databáze: | OpenAIRE |
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