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Special Supplement to Journal of Substance Abuse Treatment, "A Decade of Research by the National Drug Abuse Treatment Clinical Trials Network."


Equivalence of Family Functioning and Externalizing Behaviors in Adolescent Substance Users of Different Race/Ethnicity.

Journal of Substance Abuse Treatment 2010;38(suppl 1):S113-S124. [doi: 10.1016/j.jsat.2010.01.010]

Daniel J. Feaster, PhD (University of Miami Miller School of Medicine, FL Node), Michael S. Robbins, PhD (University of Miami Miller School of Medicine, FL Node), Craig Henderson, PhD (Sam Houston State University, TX Node), Viviana E. Horigian, MD (University of Miami Miller School of Medicine, FL Node), Marc J. Puccinelli (University of Miami Miller School of Medicine, FL Node), Ann Kathleen Burlew, PhD (The Crossroads Center, OV Node), José Szapocznik, PhD (University of Miami Miller School of Medicine, FL Node).

The Brief Strategic Family Therapy for Adolescent Drug Abusers clinical trial (protocol CTN-0014) of 480 adolescent boys and girls aged 12 to 17 years and their parents was designed to maximize the chance that a sufficient number of Hispanic and Black adolescents would be included to allow valid subgroup comparisons. Examination of measurement invariance is an important step to ensure valid analysis. Two construct areas important to the analysis of trial results, adolescent problem behaviors and family functioning, showed a high degree of measurement invariance, which allowed valid comparisons of mean baseline differences across groups. Results showed that Black families had significantly higher initial levels of family functioning and lower levels of adolescent externalizing behaviors than either Hispanic or White non-Hispanic families. This pattern is consistent with an increased likelihood of referral of Black adolescents with more severe problems to restricted setting rather than to outpatient drug abuse treatment. This possibility highlights the importance of considering differing baseline characteristics of subgroups prior to assessing differential treatment effectiveness to prevent confounding. (Article (Peer-Reviewed), PDF, English, 2010)

Keywords: Adolescents | African Americans | Behavior therapy | Brief Strategic Family Therapy (BSFT) | CTN 10-year anniversary | CTN platform/ancillary study | Family therapy | Hispanics and Latinos | Minority groups | Research design | Journal of Substance Abuse Treatment (journal)

Document No: 437, PMID: 20307791, PMCID: PMC2844880.

Submitted by the CTN Dissemination Librarians (3/23/2010).

Burlew, Ann Kathleen search mail
Feaster, Daniel J. search mail
Henderson, Craig search
Horigian, Viviana E. search mail
Puccinelli, Marc J. search mail
Robbins, Michael S. search mail
Szapocznik, José search mail
NIDA-CTN-0014 search www
Florida Node Alliance (Lead) search www
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