Tailoring cannabis dependence treatment for a diverse population

Steinberg, Karen; Roffman, Roger A.; Carroll, Kathleen M.; Kabela, Elise; Kadden, Ronald M.; Miller, Michael; Duresky, David

doi:10.1046/j.1360-0443.97.s01.5.x

Cited by 62 publications

(37 citation statements)

References 22 publications

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“…The scientific evidence base for MI is growing, yet the primary appeal of the method may be its wide application in many different behavioural domains and client categories. MI is considered to be compatible with many different treatment approaches, which permits its integration into many clinical practices [14,15]. MI can be used as a brief intervention, which is important for its use in many settings where there are time constraints [2].…”

Section: Introductionmentioning

confidence: 99%

A systematic review of motivational interviewing training for general health care practitioners

Söderlund

Madson

Rubak

et al. 2011

Patient Education and Counseling

244

221

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Section: Introductionmentioning

confidence: 99%

A systematic review of motivational interviewing training for general health care practitioners

Söderlund

Madson

Rubak

et al. 2011

Patient Education and Counseling

244

221

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“…The Case Management intervention was based on that used in the Marijuana Treatment Project [33]. It was supportive in nature, designed to help participants with problems of daily living that may be due to, or contribute to, their marijuana use.…”

Section: Treatment Interventionsmentioning

confidence: 99%

“…If a participant was positive for marijuana, no reward was given and the voucher value was reset to $10 for the next marijuana-negative urine. Vouchers could be redeemed for retail goods or services that were not drug-related [17,31,32].The Case Management intervention was based on that used in the Marijuana Treatment Project [33]. It was supportive in nature, designed to help participants with problems of daily living that may be due to, or contribute to, their marijuana use.…”

mentioning

confidence: 99%

Coping skills training and contingency management treatments for marijuana dependence: exploring mechanisms of behavior change

et al. 2008

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Aims-Achieving abstinence in the treatment of marijuana dependence has been difficult. To date the most successful treatments have included combinations of motivation enhancement treatment (MET) plus cognitive-behavioral coping skills training (CBT) and/or contingency management (ContM) approaches. Although these treatment approaches are theoretically based, their mechanisms of action have not been fully explored. The purpose of the present study was to explore mechanisms of behavior change from a marijuana treatment trial in which cognitive-behavioral treatment (CBT) and contingency management (ContM) were evaluated separately and in combination. Design-A dismantling design was used in the context of a randomized clinical trial.Setting-The setting was an outpatient treatment research facility located in a university medical center.Participants-Participants were 240 adult marijuana smokers, meeting criteria for cannabis dependence.Interventions-Participants were assigned to one of four 9-week treatment conditions: a case management control condition, MET/CBT coping skills training, contingency management (ContM), and MET/CBT+ContM.Measurements-Outcome measures were total 90-day abstinence, recorded every 90 days for 12 months posttreatment.Findings-Regardless of treatment condition, abstinence in near-term follow-ups was best predicted by abstinence during treatment, but long-term abstinence was predicted by use of coping skills and especially by posttreatment self-efficacy for abstinence.Conclusions-It was concluded that the most efficacious treatments for marijuana dependence are likely to be those that increase self-efficacy. KeywordsMarijuana dependence; contingency management; cognitive-behavioral treatment; self-efficacy; coping skills; treatment mechanisms Marijuana is the most widely used illicit drug in the U.S.A. [1]. Despite recent attention to the treatment of marijuana dependence (e.g., [2]), prolonged abstinence has been difficult to Correspondence concerning this article may be addressed to: Mark D. Litt, Ph.D., Division of Behavioral Sciences and Community Health, MC3910, University of Connecticut Health Center, Farmington, CT 06030. Electronic mail should be sent to E-mail: Litt@nso.uchc.edu.. NIH Public Access NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript achieve [2,3]. There is thus a pressing need to determine what mechanisms of treatment lead to behavior change in this population.Several treatment strategies offer promise in the treatment of marijuana dependence, namely cognitive-behavioral coping skills training (CBT), motivational enhancement (MET), contingency management, or a combination of these. In the largest controlled trial of treatment for marijuana dependence to date, the multi-site Marijuana Treatment Project (MTP) showed results indicating that nine sessions of combined MET and CBT were superior to two sessions of MET, and both were superior to a delayed treatment control group [2]. The highest abstinence rate achieved was 23% at 4-month foll...

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“…The Case Management treatment (Steinberg et al, 2002) provided an active control condition that avoided any recommendations regarding social support or coping skills development. The therapist and participant used a problem checklist to identify problems in several domains that could be barriers to abstinence, including psychiatric, interpersonal (e.g., family), medical, employment, educational, financial, housing, legal, and transportation.…”

Section: Methodsmentioning

confidence: 99%

Network Support treatment for alcohol dependence: Gender differences in treatment mechanisms and outcomes

Litt

Kadden

Tennen

2015

Addictive Behaviors

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Objective Network Support treatment was intended to help alcohol dependent patients alter their close social support networks to be more supportive of sobriety and less supportive of drinking. The purpose of the present study was to examine the differential influences of Network Support treatment on men and women. Methods Alcohol dependent men (n=122) and women (n=88) recruited from the community were randomly assigned to 1 of 3 12-week outpatient treatment conditions: Network Support (NS), Network Support + Contingency Management (NS+CM), or case management (CaseM; a control condition). Patients were then followed for a period of 27 months. Multilevel modeling was used to evaluate Sex X Treatment interaction effects on outcome variables over time. Tests of mediation were used to determine what factors might account for differential effectiveness for men or women in the NS conditions. Results Analyses of drinking-related outcome measures over the 27 months indicated that women fared less well overall, and particularly poorly in the Network Support conditions, relative to men. Tests of mediation indicated that self-efficacy change and change in the number of non-drinking close associates partially mediated the effect of NS treatments on outcome. Conclusions It was concluded that the NS conditions failed to alter women’s social networks, and may have had the effect of undermining women’s self-efficacy. Network Support treatment might be applicable for women and more effective generally if particular attention is paid to understanding preexisting social support networks.

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Tailoring cannabis dependence treatment for a diverse population

Cited by 62 publications

References 22 publications

A systematic review of motivational interviewing training for general health care practitioners

A systematic review of motivational interviewing training for general health care practitioners

Coping skills training and contingency management treatments for marijuana dependence: exploring mechanisms of behavior change

Network Support treatment for alcohol dependence: Gender differences in treatment mechanisms and outcomes

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