title: 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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
  
  
  BACKGROUND
  Treatment for Adolescent Marijuana Abuse; http://clinicaltrials.gov; NCT00580671.
authors.affiliation: Geisel School of Medicine at Dartmouth College, Lebanon, NH. Electronic address: Catherine.stanger@dartmouth.edu.
authors.forename: Catherine
authors.initials: C
authors.lastname: Stanger
authors.affiliation: University of Texas Health Science Center at San Antonio.
authors.forename: Stacy R
authors.initials: SR
authors.lastname: Ryan
authors.affiliation: Geisel School of Medicine at Dartmouth College, Lebanon, NH.
authors.forename: Emily A
authors.initials: EA
authors.lastname: Scherer
authors.affiliation: Geisel School of Medicine at Dartmouth College, Lebanon, NH.
authors.forename: Gray E
authors.initials: GE
authors.lastname: Norton
authors.affiliation: Geisel School of Medicine at Dartmouth College, Lebanon, NH.
authors.forename: Alan J
authors.initials: AJ
authors.lastname: Budney
mesh_terms: D000293:Adolescent; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D002189:Marijuana Abuse / Q000628:therapy*; D009042:Motivation; D009513:New Hampshire; D010290:Parents / Q000193:education*; D016896:Treatment Outcome
keywords: cannabis; contingency management; parent training