Advanced Search

Study Preview



Study Title and Description

Brief strategic family therapy versus treatment as usual: results of a multisite randomized trial for substance using adolescents.



Key Questions Addressed
1 Evidence map
  • Comments Comments (
    0
    ) |

Primary Publication Information
  • Comments Comments (
    0
    ) |
TitleData
Title Brief strategic family therapy versus treatment as usual: results of a multisite randomized trial for substance using adolescents.
Author Robbins MS., Feaster DJ., Horigian VE., Rohrbaugh M., Shoham V., Bachrach K., Miller M., Burlew KA., Hodgkins C., Carrion I., Vandermark N., Schindler E., Werstlein R., Szapocznik J.
Country Miller School of Medicine, University of Miami, FL, USA. mrobbins@ori.org
Year 2011
Numbers Pubmed ID: 21967492

Secondary Publication Information
UI Title Author Country Year
Statistical issues in multisite effectiveness trials: the case of brief strategic family therapy for adolescent drug abuse treatment. Feaster DJ., Robbins MS., Horigian V., Szapocznik J. Center for Family Studies, Department of Psychiatry and Behavioral Sciences, University of Miami School of Medicine, Miami, USA. dfeaster@miami.edu 2004
  • Comments Comments (
    0
    ) |
Equivalence of family functioning and externalizing behaviors in adolescent substance users of different race/ethnicity. Feaster DJ., Robbins MS., Henderson C., Horigian V., Puccinelli MJ., Burlew AK., Szapocznik J. Department of Epidemiology and Public Health, University of Miami Miller School of Medicine, Miami, FL 33136, USA. dfeaster@med.miami.edu 2010
  • Comments Comments (
    0
    ) |
Principles for defining adverse events in behavioral intervention research: lessons from a family-focused adolescent drug abuse trial. Horigian VE., Robbins MS., Dominguez R., Ucha J., Rosa CL. Center for Family Studies, University of Miami, Miami, FL 33155, USA. vhorigian@med.miami.edu 2010
  • Comments Comments (
    0
    ) |
Reductions in anxiety and depression symptoms in youth receiving substance use treatment. Horigian VE., Weems CF., Robbins MS., Feaster DJ., Ucha J., Miller M., Werstlein R. Department of Epidemiology and Public Health, Center for Family Studies, Miller School of Medicine, University of Miami, Miami, FL 33136, USA. vhorigian@med.miami.edu -- Not Found --
  • Comments Comments (
    0
    ) |
The effects of Brief Strategic Family Therapy (BSFT) on parent substance use and the association between parent and adolescent substance use. Horigian VE., Feaster DJ., Brincks A., Robbins MS., Perez MA., Szapocznik J. Miller School of Medicine, University of Miami, Department of Epidemiology and Public Health, 1120 NW 14th St., Miami, FL 33136, United States. Electronic address: vhorigian@med.miami.edu. 2015
  • Comments Comments (
    0
    ) |
Brief strategic family therapy for adolescent drug abusers: a multi-site effectiveness study. Robbins MS., Szapocznik J., Horigian VE., Feaster DJ., Puccinelli M., Jacobs P., Burlew K., Werstlein R., Bachrach K., Brigham G. Center for Family Studies, Miller School of Medicine, University of Miami, Miami, FL 33136, USA. mrobbins@med.miami.edu 2009
  • Comments Comments (
    0
    ) |
Parallel demand-withdraw processes in family therapy for adolescent drug abuse. Rynes KN., Rohrbaugh MJ., Lebensohn-Chialvo F., Shoham V. Center on Alcoholism, Substance Abuse, and Addictions (CASAA). 2014
  • Comments Comments (
    0
    ) |



Extraction Form: Evidence Map
Arms
Number Title Description Comments
1 Fam Brief strategic family therapy
  • Comments Comments (
    0
    ) |
2 TAU Treatment as usual
  • Comments Comments (
    0
    ) |

Design Details
Question... Follow Up Answer Follow-up Answer
Should this citation be included? Yes
  • Comments Comments (
    0
    ) |
Does this paper originate from a primary study of interest? No
  • Comments Comments (
    0
    ) |
Ages eligible (in years) NA
  • Comments Comments (
    0
    ) |
NA
  • Comments Comments (
    0
    ) |
Total sample size (in all arms) 480
  • Comments Comments (
    0
    ) |
Age distribution of enrolled population (in years) 15.5
  • Comments Comments (
    0
    ) |
  • Comments Comments (
    0
    ) |
Substance used Alcohol
  • Comments Comments (
    0
    ) |
Cannabis
  • Comments Comments (
    0
    ) |
Opioid
  • Comments Comments (
    0
    ) |
Stimulant
  • Comments Comments (
    0
    ) |
Interventions studied? Behavioral
  • Comments Comments (
    0
    ) |
Outcome? ... Briefly describe if reported Other ... treatment engagement, retention, and participants’ reports of family functioning
  • Comments Comments (
    0
    ) |
Age variation of enrolled population (in years) 1.3
  • Comments Comments (
    0
    ) |
  • Comments Comments (
    0
    ) |
  • Comments Comments (
    0
    ) |
  • Comments Comments (
    0
    ) |
  • Comments Comments (
    0
    ) |
Study type RCT
  • Comments Comments (
    0
    ) |
Is any arm a brief intervention (or single session)? Yes
  • Comments Comments (
    0
    ) |
Income level of country(ies) of origin ... Country(ies) name(s) Unclear ... United States
  • Comments Comments (
    0
    ) |




Results & Comparisons


Results Data
Outcome: pct abstinent for nos      Population: All Participants
Time Point Measure Fam TAU


0 months

Percentage 39.3 43.4
N Analyzed 246 235


1 months

N Analyzed 246 235
Percentage 46.6 47.2


2 months

N Analyzed 246 235
Percentage 43.1 50.3


3 months

N Analyzed 246 235
Percentage 44.3 46.1


4 months

N Analyzed 246 235
Percentage 46.5 44.6


5 months

N Analyzed 246 235
Percentage 45.4 51.7


6 months

N Analyzed 246 235
Percentage 42.7 51.4


7 months

N Analyzed 246 235
Percentage 40 50.4


8 months

N Analyzed 246 235
Percentage 32.6 42.9


9 months

N Analyzed 246 235
Percentage 41.5 49.6


10 months

N Analyzed 246 235
Percentage 37.7 43.7


11 months

N Analyzed 246 235
Percentage 35.1 36.6


12 months

N Analyzed 246 235
Percentage 38.3 34.1
Outcome: nos use days      Population: All Participants
Time Point Measure Fam TAU


0 months

N Analyzed 242 234
Median 3 3
25th Percentile 1 0
75th Percentile 11 9


1 months

N Analyzed 219 201
Median 1 2
25th Percentile 0 0
75th Percentile 6 8


2 months

N Analyzed 211 192
Median 2 1
25th Percentile 0 0
75th Percentile 7 8.5


3 months

N Analyzed 208 185
Median 1 1
25th Percentile 0 0
75th Percentile 6.5 7


4 months

N Analyzed 194 179
Median 1 2
25th Percentile 0 0
75th Percentile 7 7


5 months

N Analyzed 186 176
Median 1 1
25th Percentile 0 0
75th Percentile 6 6


6 months

N Analyzed 187 170
Median 1 1.5
25th Percentile 0 0
75th Percentile 8 8


7 months

N Analyzed 173 162
Median 1 1
25th Percentile 0 0
75th Percentile 7 9


8 months

N Analyzed 165 162
Median 1 1
25th Percentile 0 0
75th Percentile 10 8


9 months

N Analyzed 170 161
Median 2 2
25th Percentile 0 0
75th Percentile 9 8


10 months

N Analyzed 169 155
Median 2 2
25th Percentile 0 0
75th Percentile 8 8


11 months

N Analyzed 162 153
Median 2 2
25th Percentile 0 0
75th Percentile 10 10


12 months

N Analyzed 157 140
Median 2 3
25th Percentile 0 0
75th Percentile 10 10
Outcome: Family      Population: All Participants
Time Point Measure Fam TAU


0 months

N Analyzed 245 235
Mean -0.03 0.04
SD 1.01 0.99


4 months

N Analyzed 194 188
Mean 0.15 0.21
SD 1.02 0.94


8 months

N Analyzed 169 164
Mean 0.31 0.25
SD 0.96 0.97


12 months

N Analyzed 169 158
Mean 0.35 0.14
SD 0.96 0.99


Quality Dimensions
Dimension Value Notes Comments
Intention-to-treat-analysis: Bias due to incomplete reporting and analysis according to group allocation Yes
  • Comments Comments (
    0
    ) |
Group similarity at baseline (selection bias): Selection bias due to dissimilarity at baseline for the most important prognostic indicators Yes similar
  • Comments Comments (
    0
    ) |
Co-interventions (performance bias): Performance bias because co-interventions were different across groups Yes no differences
  • Comments Comments (
    0
    ) |
Compliance (performance bias): Performance bias due to inappropriate compliance with interventions across groups No Differential retainment and receipt of allocated treatment between arms.
  • Comments Comments (
    0
    ) |
Timing of outcome assessments (detection bias): Detection bias because important outcomes were not measured at the same time across groups Yes no difference
  • Comments Comments (
    0
    ) |
Additional Bias: Bias due to problems not covered elsewhere in the table. If yes, describe them in the Notes. No
  • Comments Comments (
    0
    ) |
Random sequence generation (selection bias): Selection bias (biased allocation to interventions) due to inadequate generation of a randomized sequence Low Protocol: Robbins-2009-19470315
  • Comments Comments (
    0
    ) |
Allocation concealment (selection bias): Selection bias (biased allocation to interventions) due to inadequate concealment of allocations prior to assignment Low Protocol: Robbins-2009-19470315
  • Comments Comments (
    0
    ) |
Blinding of participants (performance bias): Performance bias due to knowledge of the allocated interventions by participants during the study High not possible
  • Comments Comments (
    0
    ) |
Blinding of personnel/ care providers (performance bias): Performance bias due to knowledge of the allocated interventions by personnel/care providers during the study. High not possible
  • Comments Comments (
    0
    ) |
Blinding of outcome assessor (detection bias): Detection bias due to knowledge of the allocated interventions by outcome assessors. Low
  • Comments Comments (
    0
    ) |
Incomplete outcome data (attrition bias): Attrition bias due to amount, nature or handling of incomplete outcome data High 37% (but even)
  • Comments Comments (
    0
    ) |
Selective Reporting (reporting bias): Reporting bias due to selective outcome reporting need to check From Protocol: Use (% days); National Youth Survey; Youth Self-Report; DISCPS; Self-Report Delinquency Scale; Risk Behavior Survey; Pittsburgh Youth Survey; Parenting Practices Questionnaire; Cohesion and Conflict scales (Family Environmental Scale)
  • Comments Comments (
    0
    ) |

Quality Rating
No quality rating data was found.