A Randomized Controlled Trial of an Online Relapse Prevention Program for Adolescents in Substance Abuse Treatment

Autor/inn/en	Trudeau, Kimberlee J.; Black, Ryan A.; Kamon, Jody L.; Sussman, Steve
Titel	A Randomized Controlled Trial of an Online Relapse Prevention Program for Adolescents in Substance Abuse Treatment
Quelle	In: Child & Youth Care Forum, 46 (2017) 3, S.437-454 (18 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Trudeau, Kimberlee J.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1053-1890
DOI	10.1007/s10566-016-9387-5
Schlagwörter	Randomized Controlled Trials; Recidivism; Prevention; Internet; Supplementary Education; Adolescents; Substance Abuse; Drug Rehabilitation; Program Effectiveness; Outcomes of Treatment; Experimental Groups; Control Groups; Information Seeking; Evidence Based Practice; Skill Development; Lesson Plans; Data Collection; Models; Scores; Intervention + Suchen Sie Ihr Suchwort? Rückfall; Prävention; Vorbeugung; Ergänzungsunterricht; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Drug use; Drug consomption; Drogenkonsum; Drogentherapie; Informationserschließung; Kompetenzentwicklung; Qualifikationsentwicklung; Lesson planning; Unterrichtsplanung; Data capture; Datensammlung; Analogiemodell
Abstract	Background: 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. Objective: To assess the efficacy of the online Navigating my Journey (NmJ) program. Methods: 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. Results: 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. Conclusions: Relapse prevention treatment with adolescents may be facilitated by theory-based online interventions. ClinicalTrials.gov Identifier: NCT02125539. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01