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Drug refusal skills training does not enhance outcomes of African American adolescents with substance use problems

Smith, Douglas C., Ph.D ; Tabb, Karen M., Ph.D ; Fisher, Darnell, B.S.W ; Cleeland, Leah, M.S.W

Journal of substance abuse treatment, 2014-02, Vol.46 (2), p.274-279 [Periódico revisado por pares]

New York, NY: Elsevier Inc

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Título:
Drug refusal skills training does not enhance outcomes of African American adolescents with substance use problems
Autor: Smith, Douglas C., Ph.D ; Tabb, Karen M., Ph.D ; Fisher, Darnell, B.S.W ; Cleeland, Leah, M.S.W
Assuntos: Addictive behaviors ; Adolescent ; Adolescents ; Adult and adolescent clinical studies ; African Americans ; African Americans - psychology ; Biological and medical sciences ; Black American people ; Cultural competence ; Desintoxication. Drug withdrawal ; Drug abuse ; Drug addiction ; Drug use ; European Continental Ancestry Group - psychology ; Female ; Humans ; Male ; Medical sciences ; Miscellaneous ; Propensity matching ; Propensity Score ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotherapy ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Refusal ; Regression Analysis ; Reinforcement (Psychology) ; Remission ; Skills training ; Substance abuse ; Substance abuse treatment ; Substance-Related Disorders - ethnology ; Substance-Related Disorders - prevention & control ; Substance-Related Disorders - psychology ; Teenagers ; Treatment Outcome ; Treatments
É parte de: Journal of substance abuse treatment, 2014-02, Vol.46 (2), p.274-279
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Abstract In prior research by Witkiewitz and colleagues, African American adults receiving refusal skills training (RST) had fewer heavy drinking days and were categorized as having more successful outcomes. This study extends findings to adolescents receiving the Adolescent Community Reinforcement Approach (A-CRA). Propensity score matching was used to create three groups equivalent on baseline characteristics, including: African Americans receiving refusal skills training (AA + RST; n = 214), African Americans not receiving RST (AA-RST; n = 212), and Caucasians receiving RST (CA + RST; n = 214). In propensity weighted regression models that controlled for overall A-CRA exposure, racial group by RST status was not a significant predictor of substance use frequency or abstinence/early remission outcomes. Higher exposure to A-CRA, however, was a significant predictor of both outcomes. Universal receipt of RST may not improve the outcomes of African American adolescents with substance use problems, and outcomes may be driven more by the overall number of A-CRA procedures received.
Editor: New York, NY: Elsevier Inc
Idioma: Inglês

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Drug refusal skills training does not enhance outcomes of African American adolescents with substance use problems

Smith, Douglas C., Ph.D ; Tabb, Karen M., Ph.D ; Fisher, Darnell, B.S.W ; Cleeland, Leah, M.S.W

New York, NY: Elsevier Inc

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