TABLE 2.
Descriptive Information for the 11 Studies in the Current Review Pool
Study | Substance Use Population | Demographic Characteristics | Treatment Conditions | Setting, Therapists, Training and Fidelity | Quality of Evidence |
---|---|---|---|---|---|
Cognitive-Behavioral Therapy | |||||
Burrow-Sánchez et al, 2015 | Outpatient treatment; all met criteria for SUD | Age: 13–18 | Standard CBT-G (n = 36): 1.5 hr/week | Doctoral students trained by licensed psychologist. Therapists and supervisor reviewed videotaped sessions and completed adherence ratings. | 2 |
Sex: 10% female | Culturally adapted CBT-G (n = 34): 1.5 hr/week | ||||
Ethnicity: Hispanic 100%; 61% born in U.S.; 74% of mothers and 81% of fathers born in Mexico | |||||
Henderson et al., 2016 | Adolescents under community supervision; 88% met criteria for SUD | Age: 12–17 | A-CRA (n = 63): weekly sessions of A-CRA over3–4 months followed by 12–14 weeks of continuing care | A-CRA: Trained and certified by model developers. Weekly supervision including audiotape review. | 1 |
Sex: 26% female | UC (n = 63): variety of options ranging in intensity from drug education to weekly individual counseling | ||||
Ethnicity: 79% White, 14% Hispanic, 6% African American | |||||
Drug Counseling/12 Step | |||||
Kelly et al., 2017 | Outpatient treatment; adolescents reported being abstinent for 35% of days in previous 90 | Age: 14–21 | DRC/12 (n = 29): 1 individual session followed by 8 group sessions | Weekly supervision with supervisor review of audio-recorded sessions. | 2 |
Sex: 27% female | MET/CBT (n = 30): 2 individual MET sessions followed by 8 CBT-G sessions | ||||
Ethnicity: 78% White, 8% African American, 5% Asian, 10% biracial | |||||
Ecological Family-Based Treatment | |||||
Dakof et al., 2015 | Juvenile drug court; all met criteria for SUD | Age: 13–18 | MDFT (n = 55): 2 sessions/week | MDFT: Trained and supervised by model developers. | 1 |
Sex: 12% female Ethnicity: 59% Hispanic, 35% African American | CBT-G (n = 57): 3 sessions/week | CBT-G: Agency therapists. | |||
Supervisors of both treatments reviewed all cases weekly. | |||||
Horigian et al., 2015 | Outpatient treatment; 73% met criteria for SUD | Age: 13–17 | BSFT (n = 246): 12–16 sessions over 12 months | Community therapists randomized to condition. | 1 |
Sex: 21% female | UC (n = 235): At least 1 session per week; expected to last 3–1 months | BSFT: Trained and supervised by model developers; 3-hr weekly group telephone supervision with BSFT supervisor. | |||
Ethnicity: 31% White, 23% African American, 44% Hispanic | |||||
Motivational Interviewing/Motivational Enhancement Therapy | |||||
de Gee et al., 2014 | Non-treatment-seeking, cannabis-using adolescents in school/community settings; averaged 11.4 joints per week | Age: 14–21 | MI (n = 58): 2 sessions | Interventionists previously trained in MI. Received training in both conditions over 2 days. Single 20 min supervision session. | 2 |
Sex: 26% female Ethnicity: 79% of Dutch descent | Information Only (n = 61): 1 session | ||||
Walker et al., 2016 | School setting; average 37 days of cannabis use in previous 60 | Age: 14–18 | Both conditions received 2 sessions of MET | Lead author and clinical director provided training; ongoing individual and group supervision. Audiotaped sessions reviewed in group supervision. | 2 |
Sex: 32% female | MI check-in (n = 128): 3 MET booster sessions | ||||
Ethnicity: 59% White; 6% African American; 4% Asian; 20% multiracial | Assessment Only (n = 124): Assessments at same time points | ||||
Winters et al., 2014 | School setting; 83% alcohol use disorder, 76% cannabis use disorder | Age: 13–17 | MI (n = 122): 2 sessions | Treatment provided in school setting. Supervision provided by model developer. Insufficient information provided on the frequency of supervision. | 1 |
Sex: 54% female | MI + Parent Session (n = 114): 2 sessions + 1 parent session | ||||
Ethnicity: 35% from ethnic minority groups | Attention control (n = 48): | ||||
Multicomponent Models | |||||
Letourneau et al., 2017 | Juvenile drug court; over 90% reported SU in previous 90 days, 31% testing SU positive at baseline | Age: 11–17 | FBT-E + CM + RR (n = 45): 6–7 months planned duration of family-based | Model developers provided FBT-E + CM + RR training and supervision. Weekly supervision with review of audiorecorded sessions. | 2 |
Sex: 16% female Ethnicity: 33% White, 30% African American, 31% Hispanic | CM and family-based risk reduction UC (n = 60): 4 days/week first 12 weeks and 1–2 days/week second 12 weeks of group-based interventions | UC: No information given. | |||
Rohde et al., 2014 | Outpatient treatment: comorbid SUD + depressive disorder | Age: 13–18 | FFT/CWD (n = 61): 12 sessions FFT followed by 12 sessions CWD | Model developers provided training. Weekly supervision with review of audiorecorded sessions. | 1 |
Sex: 22% female | CWD/FFT (n = 56): 12 sessions CWD followed by 12 sessions FFT | ||||
Ethnicity: 61% White, 28% Hispanic | Integrated FFT + CWD (n = 53): 4 family sessions followed by 10 weeks group and 2 additional sessions over 20 weeks | ||||
Stanger et al., 2015 | Outpatient treatment: 100% met criteria for cannabis use disorder | Age: 12–18 | MET/CBT + FBT-B + CM (n = 51): 190-min session/week over 14 weeks + 1 parent training session per week | Model developers provided training. Weekly group supervision with review of videotaped sessions. | 1 |
Sex: 11% female | MET/CBT + CM (n = 51): One 90-min session/week over 14 weeks with parents attending initial session. | ||||
Ethnicity: 62% African American; 35% White | MET/CBT (n = 51): One 90-min session/week over 14 weeks with parents attending initial session. |
Note. A-CRA = adolescent community reinforcement approach; BSFT = brief strategic family therapy; CBT = cognitive-behavioral therapy; CBT-G = group cognitive-behavioral therapy; CM = contingency management; DC/12 = drug counseling/12-step approach; FBT-B = behavioral family-based treatment; FBT-E = ecological family-based treatment; FFT = functional family therapy; MDFT = multidimensional family therapy; MET = motivational enhancement therapy; MI = motivational interviewing; SUD = substance use disorder; UC = usual care.