Evelyn Cho,Bruce F Chorpita,Kendal Reeder,Margarita Alegría,Maggi A Price,John R Weisz,
OBJECTIVEPersonalizable modular treatments may be helpful in addressing the mental health needs of minoritized youths. We used data from five randomized effectiveness trials of the Modular Approach to Therapy for Children, a personalizable, individually tailored, modular treatment for common youth mental health concerns, to investigate whether clinical outcomes were predicted by ethnicity, family income, and their interaction.METHODParticipants were drawn from a pool of 537 clinically referred youths treated for internalizing and/or externalizing problems in community clinics and their caregivers. The mean youth age was 9.97 (SD = 2.59); 57% were male; 49% were White, 22% Hispanic or Latinx, 14% Black, 13% multiethnic, 1% Asian, and 1% other ethnicity. Family income ranged from 21% to 776% of the federal poverty threshold, with 38% below the threshold. Youths and caregivers completed standardized measures of internalizing and externalizing problems quarterly for up to 24 months and standardized measures of internalizing and externalizing problems and idiographic top problem severity weekly throughout treatment.RESULTSFollowing adjustment for multiple analyses, ethnicity, income, and their interaction did not predict symptom improvement on any youth or caregiver-reported outcomes.CONCLUSIONSYouths treated with the Modular Approach to Therapy for Children experienced comparable clinical benefits across ethnic groups and income levels, with no predictor effects when the number of tests was controlled for. The findings support future research on personalizable modular treatment for minoritized youths. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
目的：个性化模块化治疗可能有助于解决少数民族青少年的心理健康需求。我们使用了来自儿童模块化治疗方法的五项随机有效性试验的数据，这是一种针对常见青少年心理健康问题的个性化、量身定制的模块化治疗，我们研究了临床结果是否与种族、家庭收入及其相互作用有关。参与者从537名在社区诊所接受内化和/或外化问题治疗的临床转诊青少年及其护理人员中抽取。青年平均年龄为9.97岁（SD = 2.59）；57%为男性;49%为白人，22%为西班牙裔或拉丁裔，14%为黑人，13%为多种族，1%为亚洲人，1%为其他种族。家庭收入在联邦贫困线的21%到776%之间，有38%低于贫困线。在长达24个月的时间里，青少年和照顾者每季度完成内化和外化问题的标准化测量，并在整个治疗过程中每周完成内化和外化问题和具体顶级问题严重程度的标准化测量。结果：对多重分析进行调整后，种族、收入及其相互作用不能预测任何青少年或照顾者报告的结果的症状改善。结论：接受儿童模块化治疗方法治疗的青少年在不同种族和收入水平的临床获益相当，在控制测试数量时没有预测效应。研究结果支持未来针对少数族裔青少年的个性化模块化治疗研究。（PsycInfo Database Record (c) 2025 APA，版权所有）。
{"title":"Ethnicity and income as predictors of clinical outcomes of a youth-focused personalizable modular treatment.","authors":"Evelyn Cho,Bruce F Chorpita,Kendal Reeder,Margarita Alegría,Maggi A Price,John R Weisz, ","doi":"10.1037/ccp0000979","DOIUrl":"https://doi.org/10.1037/ccp0000979","url":null,"abstract":"OBJECTIVEPersonalizable modular treatments may be helpful in addressing the mental health needs of minoritized youths. We used data from five randomized effectiveness trials of the Modular Approach to Therapy for Children, a personalizable, individually tailored, modular treatment for common youth mental health concerns, to investigate whether clinical outcomes were predicted by ethnicity, family income, and their interaction.METHODParticipants were drawn from a pool of 537 clinically referred youths treated for internalizing and/or externalizing problems in community clinics and their caregivers. The mean youth age was 9.97 (SD = 2.59); 57% were male; 49% were White, 22% Hispanic or Latinx, 14% Black, 13% multiethnic, 1% Asian, and 1% other ethnicity. Family income ranged from 21% to 776% of the federal poverty threshold, with 38% below the threshold. Youths and caregivers completed standardized measures of internalizing and externalizing problems quarterly for up to 24 months and standardized measures of internalizing and externalizing problems and idiographic top problem severity weekly throughout treatment.RESULTSFollowing adjustment for multiple analyses, ethnicity, income, and their interaction did not predict symptom improvement on any youth or caregiver-reported outcomes.CONCLUSIONSYouths treated with the Modular Approach to Therapy for Children experienced comparable clinical benefits across ethnic groups and income levels, with no predictor effects when the number of tests was controlled for. The findings support future research on personalizable modular treatment for minoritized youths. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"10 1","pages":"677-689"},"PeriodicalIF":5.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kate H Bentley,Molly I Ball,Swaraj Bose,Rebecca G Fortgang,Daniel D L Coppersmith,Dylan DeMarco,Nancy Hu,Felipe Herrmann,Merryn Daniel,Walter Dempsey,Matthew K Nock
OBJECTIVEThe goal of this study was to conduct a pilot microrandomized trial to assess the feasibility and acceptability of a brief digital intervention aimed at promoting in-the-moment coping strategy use for suicidal thoughts after psychiatric hospitalization.METHODSeventy-one adults hospitalized for suicide risk (Mage = 31.94 years, 46.48% female, 78.87% White) were enrolled and included in analyses. Real-time reports of suicidal thoughts were collected for 28 days after discharge via ecological momentary assessment. Each time participants reported an elevated momentary suicide urge or intent on an ecological momentary assessment survey, they were randomized to smartphone-based messages aimed at promoting the use of evidence-based coping strategies (vs. "no message" control). Messages included either personalized or general coping strategy recommendations.RESULTSForty-four participants (57.89%) met criteria for randomization at least once and were randomized on average 11.48 times (SD = 23.38); 8.85% of completed ecological momentary assessments met randomization criteria. Participants found the intervention messages feasible and acceptable. Most described the messages as helpful and preferred personalized (over general) messages. Statistical analyses revealed no group-level iatrogenic intervention effects. Following intervention (vs. no intervention), participants were significantly more likely to report use of a coping strategy to manage suicidal thoughts, with stronger effects for personalized messages.CONCLUSIONSThis pilot microrandomized trial supports the feasibility and acceptability of a brief digital intervention for promoting in-the-moment coping strategy use during episodes of suicidal thinking. Results inform the development of novel just-in-time adaptive interventions for suicide prevention and the design of larger-scale microrandomized trials to evaluate and optimize them. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
目的：本研究的目的是进行一项试点微随机试验，以评估一种简短的数字干预的可行性和可接受性，该干预旨在促进精神病院住院后自杀念头的即时应对策略的使用。方法纳入71例因自杀风险住院的成人（年龄31.94岁，女性46.48%，白人78.87%）进行分析。通过生态瞬间评估收集出院后28天自杀念头的实时报告。每次参与者在生态瞬间评估调查中报告瞬间自杀冲动或意图升高时，他们被随机分配到基于智能手机的信息中，旨在促进使用循证应对策略(vs。“无消息”控制)。信息包括个性化或一般应对策略建议。结果44例（57.89%）患者至少符合一次随机化标准，平均随机化11.48次（SD = 23.38）；8.85%完成的生态瞬时评价符合随机化标准。参与者认为干预信息是可行和可接受的。大多数人认为这些消息很有帮助，而且更喜欢个性化的（而不是一般的）消息。统计分析显示没有组水平的医源性干预效果。干预后（与不干预相比），参与者更有可能报告使用应对策略来管理自杀念头，个性化信息的效果更强。结论：本试点微随机试验支持一种简短的数字干预在自杀念头发作期间促进即时应对策略使用的可行性和可接受性。研究结果为新型及时适应自杀预防干预措施的发展和大规模微随机试验的设计提供了信息，以评估和优化这些干预措施。（PsycInfo Database Record (c) 2025 APA，版权所有）。
{"title":"Pilot microrandomized trial of a brief digital intervention for suicidal thoughts.","authors":"Kate H Bentley,Molly I Ball,Swaraj Bose,Rebecca G Fortgang,Daniel D L Coppersmith,Dylan DeMarco,Nancy Hu,Felipe Herrmann,Merryn Daniel,Walter Dempsey,Matthew K Nock","doi":"10.1037/ccp0000978","DOIUrl":"https://doi.org/10.1037/ccp0000978","url":null,"abstract":"OBJECTIVEThe goal of this study was to conduct a pilot microrandomized trial to assess the feasibility and acceptability of a brief digital intervention aimed at promoting in-the-moment coping strategy use for suicidal thoughts after psychiatric hospitalization.METHODSeventy-one adults hospitalized for suicide risk (Mage = 31.94 years, 46.48% female, 78.87% White) were enrolled and included in analyses. Real-time reports of suicidal thoughts were collected for 28 days after discharge via ecological momentary assessment. Each time participants reported an elevated momentary suicide urge or intent on an ecological momentary assessment survey, they were randomized to smartphone-based messages aimed at promoting the use of evidence-based coping strategies (vs. \"no message\" control). Messages included either personalized or general coping strategy recommendations.RESULTSForty-four participants (57.89%) met criteria for randomization at least once and were randomized on average 11.48 times (SD = 23.38); 8.85% of completed ecological momentary assessments met randomization criteria. Participants found the intervention messages feasible and acceptable. Most described the messages as helpful and preferred personalized (over general) messages. Statistical analyses revealed no group-level iatrogenic intervention effects. Following intervention (vs. no intervention), participants were significantly more likely to report use of a coping strategy to manage suicidal thoughts, with stronger effects for personalized messages.CONCLUSIONSThis pilot microrandomized trial supports the feasibility and acceptability of a brief digital intervention for promoting in-the-moment coping strategy use during episodes of suicidal thinking. Results inform the development of novel just-in-time adaptive interventions for suicide prevention and the design of larger-scale microrandomized trials to evaluate and optimize them. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"45 1","pages":"690-704"},"PeriodicalIF":5.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xutong Zhang, Lisa M. Gatzke-Kopp, Elizabeth A. Skowron
{"title":"Dynamic physiology–behavior association patterns in child welfare parents predict response to parenting intervention.","authors":"Xutong Zhang, Lisa M. Gatzke-Kopp, Elizabeth A. Skowron","doi":"10.1037/ccp0000966","DOIUrl":"https://doi.org/10.1037/ccp0000966","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"5 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supplemental Material for Dynamic Physiology–Behavior Association Patterns in Child Welfare Parents Predict Response to Parenting Intervention","authors":"","doi":"10.1037/ccp0000966.supp","DOIUrl":"https://doi.org/10.1037/ccp0000966.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"38 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supplemental Material for Transdiagnostic Interventions in Prediagnostic Youth With Elevated Distress: A Meta-Analysis of Outcomes","authors":"","doi":"10.1037/ccp0000968.supp","DOIUrl":"https://doi.org/10.1037/ccp0000968.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"10 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marcela Radunz, Catherine Johnson, Tim Dalgleish, Roz Shafran, Tracey D. Wade
{"title":"Transdiagnostic interventions in prediagnostic youth with elevated distress: A meta-analysis of outcomes.","authors":"Marcela Radunz, Catherine Johnson, Tim Dalgleish, Roz Shafran, Tracey D. Wade","doi":"10.1037/ccp0000968","DOIUrl":"https://doi.org/10.1037/ccp0000968","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"23 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supplemental Material for Long-Term Effects of the Pregnant Moms’ Empowerment Program (PMEP) on Intimate Partner Violence Revictimization, Maternal Mental Health, and Child Internalizing and Externalizing Problems","authors":"","doi":"10.1037/ccp0000976.supp","DOIUrl":"https://doi.org/10.1037/ccp0000976.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"23 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kathryn H. Howell, Hannah C. Gilliam, Jessica R. Carney, Catherine A. Maloney, Laura E. Miller-Graff
{"title":"Long-term effects of the Pregnant Moms’ Empowerment Program (PMEP) on intimate partner violence revictimization, maternal mental health, and child internalizing and externalizing problems.","authors":"Kathryn H. Howell, Hannah C. Gilliam, Jessica R. Carney, Catherine A. Maloney, Laura E. Miller-Graff","doi":"10.1037/ccp0000976","DOIUrl":"https://doi.org/10.1037/ccp0000976","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"33 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
OBJECTIVESeveral large studies have identified perceptions of treatment credibility and treatment outcome expectations as potential moderators of treatment response in internet-delivered psychological treatment. However, no studies have specifically focused on these two constructs and their potential roles in the moderation of treatment-related change, treatment completion, or study dropout.METHODAdult samples were derived from four large randomized controlled trials examining internet-delivered treatment for symptoms of depression (n = 445), generalized anxiety (n = 454), social anxiety (n = 486), and panic disorder (n = 292). In these studies, relevant symptom measures were administered at pretreatment and posttreatment, and credibility and expectancy were assessed in Week 2 after participants had had some experience with treatment.RESULTSTreatment credibility and outcome expectations were relatively high overall, with a majority of participants scoring in the upper ranges. Both variables significantly moderated treatment response across all symptom domains. Specifically, each 1-point increase in either average credibility scores or average expectancy scores were associated with a 5%-8% reduction in symptoms at posttreatment. Higher treatment credibility and outcome expectations were also significantly associated with increased treatment completion and lower rates of study dropout or missingness.CONCLUSIONSThe findings suggest that perceptions of treatment credibility and outcome expectancies are important factors in understanding treatment engagement and response to internet-delivered interventions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
{"title":"Credibility and expectations: Important factors for understanding clinical response, treatment completion, and dropout in internet-delivered psychological interventions.","authors":"Blake F Dear","doi":"10.1037/ccp0000969","DOIUrl":"https://doi.org/10.1037/ccp0000969","url":null,"abstract":"OBJECTIVESeveral large studies have identified perceptions of treatment credibility and treatment outcome expectations as potential moderators of treatment response in internet-delivered psychological treatment. However, no studies have specifically focused on these two constructs and their potential roles in the moderation of treatment-related change, treatment completion, or study dropout.METHODAdult samples were derived from four large randomized controlled trials examining internet-delivered treatment for symptoms of depression (n = 445), generalized anxiety (n = 454), social anxiety (n = 486), and panic disorder (n = 292). In these studies, relevant symptom measures were administered at pretreatment and posttreatment, and credibility and expectancy were assessed in Week 2 after participants had had some experience with treatment.RESULTSTreatment credibility and outcome expectations were relatively high overall, with a majority of participants scoring in the upper ranges. Both variables significantly moderated treatment response across all symptom domains. Specifically, each 1-point increase in either average credibility scores or average expectancy scores were associated with a 5%-8% reduction in symptoms at posttreatment. Higher treatment credibility and outcome expectations were also significantly associated with increased treatment completion and lower rates of study dropout or missingness.CONCLUSIONSThe findings suggest that perceptions of treatment credibility and outcome expectancies are important factors in understanding treatment engagement and response to internet-delivered interventions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"724 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-01Epub Date: 2025-06-26DOI: 10.1037/ccp0000960
Michael G McDonell, Sara Parent, Julianne D Jett, Mohammad Keshtkar, Katharine Palmer, Rachael Beck, Diana Tyutyunnyk, Michael Williams, Douglas L Weeks, Naomi S Chaytor, Sterling McPherson, Sean M Murphy, Richard K Ries, John M Roll
Objective: To determine if adults with an alcohol use disorder (AUD), who had a preintervention urine ethyl glucuronide (uEtG) level predictive of nonresponse to contingency management (CM), would respond to two intervention modifications (https://clinicaltrials.gov/ ID: NCT03481049).
Method: One hundred fifty-eight adults (53.2% female) with AUD, serious mental illness, and a mean uEtG ≥ 350 ng/mL over a 4-week induction period were randomized to (a) usual CM (uEtG-negative [<150 ng/mL] samples reinforced with $1,686); (b) high magnitude CM (uEtG-negative samples reinforced with $2,983); or (c) shaping CM (reduced drinking [uEtG < 500 ng/mL] samples reinforced for 4 weeks, then uEtG-negative samples reinforced for 12 weeks with $1,686). The primary outcome was uEtG-negative samples during induction and Weeks 5-16 of CM. The relationship between outcomes and uEtG-defined heavy drinking (≥ 500 ng/mL) immediately prior to randomization was assessed.
Results: CM conditions did not differ in uEtG-negative samples during the intervention period, Wald, χ²(2) = 1.96, p = .46. Participants were 4.2 times (95% CI [3.02, 5.92], p < .01) more likely to submit a uEtG-negative sample during CM, relative to induction. Those with a heavy drinking uEtG result immediately before randomization were less likely to submit uEtG-negative samples during CM, Wald, χ²(1) = 15.33, p < .01.
Conclusions: CM modifications were not associated with lower levels of alcohol use. Participants engaged in less alcohol use during CM, relative to induction. Two patterns of response to CM were observed based on uEtG-defined heavy drinking immediately prior to CM. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
目的：确定干预前尿乙基葡萄糖醛酸苷（uEtG）水平预测对应急管理（CM）无反应的酒精使用障碍（AUD）成人是否会对两种干预修改（https://clinicaltrials.gov/ ID: NCT03481049）有反应。方法：在4周的诱导期内，158名患有AUD、严重精神疾病、平均uEtG≥350 ng/mL的成年人（53.2%为女性）随机分为(a)正常CM （uEtG阴性）组[结果：干预期间，uEtG阴性样本的CM情况无差异，Wald, χ²(2)= 1.96,p = 0.46。与诱导相比，参与者在CM期间提交uetg阴性样本的可能性高出4.2倍（95% CI [3.02, 5.92], p < 0.01）。随机分组前尿检结果为重度饮酒的患者在CM期间提交尿检阴性样本的可能性较小，Wald, χ²(1)= 15.33,p < 0.01。结论：CM改变与较低水平的酒精使用无关。相对于诱导，参与者在CM期间较少饮酒。两种对CM的反应模式是基于uetg定义的在CM之前立即大量饮酒。（PsycInfo Database Record (c) 2025 APA，版权所有）。
{"title":"Testing adaptations to contingency management for alcohol use disorders: A randomized controlled trial.","authors":"Michael G McDonell, Sara Parent, Julianne D Jett, Mohammad Keshtkar, Katharine Palmer, Rachael Beck, Diana Tyutyunnyk, Michael Williams, Douglas L Weeks, Naomi S Chaytor, Sterling McPherson, Sean M Murphy, Richard K Ries, John M Roll","doi":"10.1037/ccp0000960","DOIUrl":"10.1037/ccp0000960","url":null,"abstract":"<p><strong>Objective: </strong>To determine if adults with an alcohol use disorder (AUD), who had a preintervention urine ethyl glucuronide (uEtG) level predictive of nonresponse to contingency management (CM), would respond to two intervention modifications (https://clinicaltrials.gov/ ID: NCT03481049).</p><p><strong>Method: </strong>One hundred fifty-eight adults (53.2% female) with AUD, serious mental illness, and a mean uEtG ≥ 350 ng/mL over a 4-week induction period were randomized to (a) usual CM (uEtG-negative [<150 ng/mL] samples reinforced with $1,686); (b) high magnitude CM (uEtG-negative samples reinforced with $2,983); or (c) shaping CM (reduced drinking [uEtG < 500 ng/mL] samples reinforced for 4 weeks, then uEtG-negative samples reinforced for 12 weeks with $1,686). The primary outcome was uEtG-negative samples during induction and Weeks 5-16 of CM. The relationship between outcomes and uEtG-defined heavy drinking (≥ 500 ng/mL) immediately prior to randomization was assessed.</p><p><strong>Results: </strong>CM conditions did not differ in uEtG-negative samples during the intervention period, Wald, χ²(2) = 1.96, <i>p</i> = .46. Participants were 4.2 times (95% CI [3.02, 5.92], <i>p</i> < .01) more likely to submit a uEtG-negative sample during CM, relative to induction. Those with a heavy drinking uEtG result immediately before randomization were less likely to submit uEtG-negative samples during CM, Wald, χ²(1) = 15.33, <i>p</i> < .01.</p><p><strong>Conclusions: </strong>CM modifications were not associated with lower levels of alcohol use. Participants engaged in less alcohol use during CM, relative to induction. Two patterns of response to CM were observed based on uEtG-defined heavy drinking immediately prior to CM. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":" ","pages":"540-550"},"PeriodicalIF":5.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12825428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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