Clinic- and home-based contingency management plus parent training for adolescent cannabis use disorders

Abstract

Objective: The aim of this study was to conduct a randomized test comparing 2 multicomponent, contingency management interventions, 1 with and 1 without a full parent training curriculum, and an individual treatment for adolescent cannabis use disorders.

Method: A total of 153 adolescents who met DSM-IV criteria for cannabis abuse or dependence were randomized to motivational enhancement therapy/cognitive-behavioral therapy (MET/CBT), MET/CBT+abstinence-based contingency management (CM), or MET/CBT+CM+Parent Training (PT).

Results: Overall, during treatment, abstinence was greater for youth receiving clinic- and home-based CM without PT compared to those who received individual MET/CBT. There was no additional benefit of the full PT curriculum on marijuana use, youth externalizing problems, or parenting.

Conclusion: These results suggest that clinic- plus home-based CM for cannabis use disorders can increase rates of abstinence during treatment over and above an evidence-based treatment (individual MET/CBT), but in this study the addition of a comprehensive parenting training curriculum did not further enhance efficacy.

Clinical trial registration information: Treatment for Adolescent Marijuana Abuse; https://ichgcp.net/clinical-trials-registry/NCT00580671" title="See in ClinicalTrials.gov">NCT00580671.

Keywords: cannabis; contingency management; parent training.

Copyright © 2015 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.

Figures

Figure 1

Consort diagram. Note: CBT = cognitive-behavioral therapy; CM = contingency management; MET = motivational enhancement therapy; PT = parent training; UA = urinalysis.