Mediators and Moderators of Brief Strategic Family Therapy (BSFT) for Adolescent Drug Use Lead investigator information unavailable.

This ancillary study is related to CTN-0014, "Brief Strategic Family Therapy (BSFT) for Adolescent Drug Abusers."

The main aims of this study involve testing theory-derived hypotheses about mediators and moderators (M&Ms) of BSFT's clinical effects. Based on family systems theory, we hypothesize that family functioning plays a critical mediating and moderating role in effective implementation of BSFT. Specifically, family change assessed during therapy should mediate effects of treatment (or BSFT intervention quality) on subsequent drug use outcomes, whereas family functioning assessed before therapy should moderate those effects, with BSFT proving most useful when prior family functioning is poor. Secondary aims are to compare the relative M&M contributions of observational vs. self-report measures of family functioning, and to identify therapist characteristics and training processes that predict effective implementation of BSFT in community treatment programs. This study will collect supplementary data on all therapists prior to their randomization (e.g., professional experience, recovery status, theoretical orientation) and on skill-acquisition trajectories of the BSFT therapists as they progress through training and the clinical trial.

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