Parental consent in adolescent substance abuse treatment outcome studies

Smith, Douglas C.; Boel-Studt, Shamra; Cleeland, Leah

doi:10.1016/j.jsat.2009.03.007

Cited by 22 publications

(17 citation statements)

References 67 publications

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“…We selected this method of consent as passive consent is commonly used in school-based research (Smith, Shamra Boel-Studt, & Cleeland, 2009) and has several advantages over active consent including higher response rates and less sample bias relative to active consent procedures (Courser, Shamblen, Lavrakas, Collins, & Ditterline, 2009). Response rate estimates for school-based research are 90% for passive consent and 30-60% for active consent and samples recruited with active consent procedures are less diverse and have lower rates of high risk participants (Smith et al, 2009). …”

Section: Methodsmentioning

confidence: 99%

A test of the efficacy of a brief, web-based personalized feedback intervention to reduce drinking among 9th grade students

Doumas

Esp

Turrisi

et al. 2014

Addictive Behaviors

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Alcohol use increases substantially during the transition from middle school to high school. This study tested a brief, web-based personalized feedback program aimed at reducing risk factors for drinking, alcohol use, and alcohol-related consequences among 9 th grade students. At a 3-month follow-up, students in the intervention group showed positive results relative to those in the control group on variables associated with reduced risk, including positive alcohol expectancies and positive beliefs about alcohol. Students in the intervention group also reported a reduction in drinking frequency and alcohol-related consequences relative to those in the control group. There were, however, no differences in normative beliefs regarding peer drinking or quantity of weekly drinking between the two groups. Results indicate a brief, web-based personalized normative feedback program delivered in the school setting is a promising approach to reducing alcohol use and the associated consequences among 9 th grade students.

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Section: Methodsmentioning

confidence: 99%

A test of the efficacy of a brief, web-based personalized feedback intervention to reduce drinking among 9th grade students

Doumas

Esp

Turrisi

et al. 2014

Addictive Behaviors

View full text Add to dashboard Cite

show abstract

“…This is important to know, as diminished capacity to consent may be used as a rationale for asking adolescent researchers for extra protections for adolescents. For example, parental consent is collected in the vast majority of adolescent substance use disorder treatment studies, even though adolescents are often legally able to consent to their own treatment (Smith et al., 2009). Thus, these findings implore IRB members to carefully examine whether they have implicit biases regarding capacity to assent for adolescents with heavy substance use and comorbid conditions (See Table 1).…”

Section: Discussionmentioning

confidence: 99%

“…In research where adolescents are not legally allowed to consent to their study participation without parental consent, they are asked to provide informed assent (Smith, Boel-Studt, & Cleeland, 2009). Under the Common Rule (Code of Federal Regulations Title 45, Part 46 & subpart D, 1994) the same principles apply to both informed consent and informed assent.…”

Section: Introductionmentioning

confidence: 99%

Informed Assent Recall Among Adolescents in Substance Use Disorder Treatment Research

Davis

Lux

Smith

et al. 2016

Journal of Child & Adolescent Substance Abuse

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Evidence suggests that vulnerable populations such as substance users, those involved in the criminal justice system, and those with cognitive deficits often fail to recall information regarding the informed assent process. This study investigated correlates of assent quiz errors (AQE) among adolescents enrolling in a substance use disorder treatment study. Method Adolescents (age 13-19) entering substance use treatment completed a standard informed consent procedure to participate in a longitudinal research study, followed by a brief 6-item assent quiz. Results Informed assent quiz errors were lower in this study relative to those observed in the adult literature. Being male and having lower treatment resistance was associated with making an AQE. Both days of marijuana use and days spent in the criminal justice system were associated with AQE. Hyperactivity-impulsivity approached significance (p = .057) but was not a correlate of AQE. Conclusion Those collecting assent should be aware that heavily-using males involved in the criminal justice system are prone to make more errors, and should use procedures such as assent quizzes to enhance their understanding of study procedures. Future research should investigate the impact of motivation and consider using experimental designs to test adolescent recall of study procedures under various assenting conditions.

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“…In two other studies using the same definition of engagement, approximately 60% of youth engaged in treatment. 6,54 Our treatment engagement was highly variable between the two sites, which we think is explained by the extra treatment resources one site had as part of a treatment demonstration project funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) at the time of the study. In future studies, treatment resources (e.g., outreach and case management time) should be rigorously tracked in multi-site treatment engagement studies.…”

Section: Discussionmentioning

confidence: 99%

Motivational Interviewing with and without Normative Feedback for Adolescents with Substance Use Problems: A Preliminary Study

et al. 2015

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Background Many adolescents in need of substance use disorder treatments never engage in treatment. Further, the most promising interventions that could be adapted to target treatment engagement often use normative feedback (NF) despite concerns about its appropriateness for adolescents. This preliminary study will inform a larger trial designed to isolate whether NF is an inert, helpful, or harmful active ingredient within pre-treatment Motivational Interviewing (MI) interventions designed to increase treatment engagement. Methods Adolescents (n=48) presenting for treatment intake assessments were randomized to receive MI (n=22) or MI +NF (n=26) immediately following their assessments. Three-month outcomes included the percentage of youth engaged in treatment, the percentage of youth reporting past month binge drinking, and the percentage of days of abstinence. Results Treatments were delivered with high fidelity, and a high proportion of eligible participants were recruited and retained in this study. Participants significantly increased their percentage of days of abstinence by approximately 10% at follow up (d=.32, p =.03), with no significant differences between groups. Fifty-five percent of youth in MI and 41.7% of youth in MI+NF engaged in treatment (OR=.60, ns, 95% CI [.136 – 2.68]). Conclusions Larger trials should test whether NF is an active ingredient in adolescent MI interventions, and also determine the mechanisms through which MI+NF may produce effects.

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Parental consent in adolescent substance abuse treatment outcome studies

Cited by 22 publications

References 67 publications

A test of the efficacy of a brief, web-based personalized feedback intervention to reduce drinking among 9th grade students

A test of the efficacy of a brief, web-based personalized feedback intervention to reduce drinking among 9th grade students

Informed Assent Recall Among Adolescents in Substance Use Disorder Treatment Research

Motivational Interviewing with and without Normative Feedback for Adolescents with Substance Use Problems: A Preliminary Study

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