Peer Network Counseling with Urban Adolescents: A Randomized Controlled Trial with Moderate Substance Users

Mason, Michael; Light, John M.; Campbell, Leah; Crewe, Stephanie; Way, Thomas; Saunders, Heather; King, Laura A.; Zaharakis, Nikola; McHenry, Chantal

doi:10.1016/j.jsat.2015.06.013

Cited by 27 publications

(27 citation statements)

References 41 publications

(44 reference statements)

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“…We conducted an exploratory, secondary analysis of a subsample of adolescents who were heavy users of cannabis, using data from our Peer Network Counseling (PNC) intervention study (Mason et al, 2015). PNC underwent rigorous motivational interviewing fidelity monitoring and testing.…”

Section: Motivational Interviewingmentioning

confidence: 99%

“…Adolescents assigned to the intervention condition received a 20-minute intervention referred to as Peer Network Counseling (Mason et al, 2015). Five key motivational interviewing clinical issues guided the intervention: rapport, acceptance, collaboration, reflections, and nonconfrontation.…”

Section: Interventionmentioning

confidence: 99%

“…Peer networks were reviewed for support, prosocial activities, and encouragement for healthful behavior as well as for substance use, influence/offers to use substances, and risky/dangerous activities. See Mason et al (2015) for an illustration of the peer network feedback graphic. Adolescents were shown the composition of their peer network using bar graphs representing levels of risk and protection for their three closest peers.…”

Section: Interventionmentioning

confidence: 99%

“…Objective: A small body of evidence supports targeting adolescents who are heavy users of cannabis with brief interventions, yet more research is needed to confirm the effectiveness of these studies. We conducted a secondary analysis of our Peer Network Counseling (PNC) study (Mason et al, 2015), focusing on 46 adolescents of the sample of 119 who reported heavy cannabis use at baseline. Method: Urban adolescents (91% African American) presenting for primary health care were randomized to intervention or control conditions and followed for 6 months.…”

mentioning

confidence: 99%

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Peer Network Counseling as Brief Treatment for Urban Adolescent Heavy Cannabis Users

Mason

Sabo

Zaharakis

2017

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: A small body of evidence supports targeting adolescents who are heavy users of cannabis with brief interventions, yet more research is needed to confirm the effectiveness of these studies. We conducted a secondary analysis of our Peer Network Counseling (PNC) study (Mason et al., 2015), focusing on 46 adolescents of the sample of 119 who reported heavy cannabis use at baseline. Method: Urban adolescents (91% African American) presenting for primary health care were randomized to intervention or control conditions and followed for 6 months. We selected cases (n = 46) to analyze based on heavy cannabis use reported at baseline ( 10 times in past month). The ordinal response data (cannabis use) were modeled using a mixed-effects proportional odds model, including fixed effects for treatment, time, and their interaction, and a subject-level random effect. Results: In the subsample of adolescents with heavy cannabis use, those assigned to PNC had a 35.9% probability of being abstinent at 6 months, compared with a 13.2% probability in the control condition. Adolescents in the PNC condition had a 16.6% probability of using cannabis 10 or more times per month, compared with a 38.1% probability in the control condition. This differs from results of the full sample (N = 119), where no significant effects on cannabis use were found. Conclusions: PNC increased the probability of abstinence and reduced heavy cannabis use. These results provide initial support for PNC as a model for brief treatment with non-treatmentseeking adolescents who are heavy users of cannabis. (J. Stud. Alcohol Drugs, 78, 152-157, 2017)

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Section: Motivational Interviewingmentioning

confidence: 99%

Section: Interventionmentioning

confidence: 99%

Section: Interventionmentioning

confidence: 99%

mentioning

confidence: 99%

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Peer Network Counseling as Brief Treatment for Urban Adolescent Heavy Cannabis Users

Mason

Sabo

Zaharakis

2017

J. Stud. Alcohol Drugs

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“…A total of 11 included studies investigated the efficacy of an MET-based intervention for cannabis use among adolescents (117)(118)(119)(120)(121)(122)(123)(124)(125)(126)(127). Participant groups receiving these interventions ranged in sample size from 20 (121) to 136 (127) across studies.…”

Section: Met For Adolescentsmentioning

confidence: 99%

A Narrative Review of Psychological Cannabis Use Treatments with And Without Pharmaceutical Adjunct

Copeland¹,

Gates²,

Pokorski³

2017

CPD

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Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in Adolescents and Adults

O’Connor

Perdue

Senger

et al. 2018

JAMA

179

220

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IMPORTANCE Unhealthy alcohol use is common, increasing, and a leading cause of premature mortality. OBJECTIVE To review literature on the effectiveness and harms of screening and counseling for unhealthy alcohol use to inform the US Preventive Services Task Force. DATA SOURCES MEDLINE, PubMed, PsycINFO, and the Cochrane Central Register of Controlled Trials through October 12, 2017; literature surveillance through August 1, 2018.STUDY SELECTION Test accuracy studies and randomized clinical trials of screening and counseling to reduce unhealthy alcohol use.DATA EXTRACTION AND SYNTHESIS Independent critical appraisal and data abstraction by 2 reviewers. Counseling trials were pooled using random-effects meta-analyses.MAIN OUTCOMES AND MEASURES Sensitivity, specificity, drinks per week, exceeding recommended limits, heavy use episodes, abstinence (for pregnant women), and other health, family, social, and legal outcomes. RESULTSOne hundred thirteen studies (N = 314 466) were included. No studies examined benefits or harms of screening programs to reduce unhealthy alcohol use. For adolescents (10 studies [n = 171 363]), 1 study (n = 225) reported a sensitivity of 0.73 (95% CI, 0.60 to 0.83) and specificity of 0.81 (95% CI, 0.74 to 0.86) using the AUDIT-C (Alcohol Use Disorders Identification Test-Consumption) to detect the full spectrum of unhealthy alcohol use. For adults (35 studies [n = 114 182]), brief screening instruments commonly reported sensitivity and specificity between 0.70 and 0.85. Two trials of the effects of interventions to reduce unhealthy alcohol use in adolescents (n = 588) found mixed results: one reported a benefit in high-risk but not moderate-risk drinkers, and the other reported a statistically significant reduction in drinking frequency for boys but not girls; neither reported health or related outcomes. Across all populations (68 studies [n = 36 528]), counseling interventions were associated with a decrease in drinks per week (weighted mean difference, −1.6 [95% CI, −2.2 to −1.0]; 32 studies [37 effects; n = 15 974]), the proportion exceeding recommended drinking limits (odds ratio [OR], 0.60 [95% CI, 0.53 to 0.67]; 15 studies [16 effects; n = 9760]), and the proportion reporting a heavy use episode (OR, 0.67 [95% CI, 0.58 to 0.77]; 12 studies [14 effects; n = 8108]), and an increase in the proportion of pregnant women reporting abstinence (OR, 2.26 [95% CI, 1.43 to 3.56]; 5 studies [n = 796]) after 6 to 12 months. Health outcomes were sparsely reported and generally did not demonstrate group differences in effect. There was no evidence that these interventions could be harmful.CONCLUSIONS AND RELEVANCE Among adults, screening instruments feasible for use in primary care are available that can effectively identify people with unhealthy alcohol use, and counseling interventions in those who screen positive are associated with reductions in unhealthy alcohol use. There was no evidence that these interventions have unintended harmful effects.Additionally, for the outcome drinks per week, whic...

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Peer Network Counseling with Urban Adolescents: A Randomized Controlled Trial with Moderate Substance Users

Cited by 27 publications

References 41 publications

Peer Network Counseling as Brief Treatment for Urban Adolescent Heavy Cannabis Users

Peer Network Counseling as Brief Treatment for Urban Adolescent Heavy Cannabis Users

A Narrative Review of Psychological Cannabis Use Treatments with And Without Pharmaceutical Adjunct

Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in Adolescents and Adults

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