Evaluating a Selective Prevention Program for Substance Use and Comorbid Behavioral Problems in Adolescents with Mild to Borderline Intellectual Disabilities: Study Protocol of a Randomized Controlled Trial

Overview

Journal BMC Psychiatry

Publisher Biomed Central

Specialty Psychiatry

Date 2015 Jul 23

PMID 26198744

Citations 4

Authors

Esmee P Schijven

Rutger C M E Engels

Marloes Kleinjan

Evelien A P Poelen

Affiliations

Soon will be listed here.

Abstract

Background: Substance use and abuse is a growing problem among adolescents with mild to borderline intellectual disabilities (ID). Substance use patterns in general population are similar to patterns among non-disabled peers, but substance use has more negative consequences for adolescents with mild to borderline ID, and they are at an increased risk for developing a substance use disorder. Nevertheless, effective and evidence based prevention programs for this groups are lacking. The study described in this protocol tested the effectiveness of a selective intervention aimed at reducing substance use in adolescents with mild to borderline ID and behavioral problems. In the intervention, participants acquire competences to deal with their high-risk personality traits.

Methods: A randomized controlled trial will be conducted among 14-21-year old adolescents with mild to borderline ID and behavioral problems admitted to treatment facilities in the Netherlands. Inclusion criteria are previous substance use and personality risk for substance use. Participants will be individually randomized to the intervention (n = 70) or control (n = 70) groups. The intervention group will be exposed to six individual sessions and five group sessions carried out by two qualified trainers over six-week period. Primary outcomes will be the percentage reduction in substance use (for alcohol: percentage decrease of binge drinking, weekly use and problematic use, for cannabis: the percentage decrease of lifetime cannabis use and weekly use and for hard drug: the percentage decrease of lifetime use). Secondary outcomes will be motives for substance use, intention to use, and internalizing and externalizing behavioral problems. All outcome measures will be assessed after two, six, and twelve months after the intervention.

Discussion: This study protocol describes the design of an effectiveness study of a selective prevention program for substance use in adolescents with mild to borderline ID and behavioral problems. We expect a significant reduction in alcohol, cannabis and hard drug use among adolescents in the intervention group compared with the control group.

Trial Registration: This trial is registered in the Dutch Trial Register (Cochrane Collaboration) as NTR5037 registered at 15 April 2015.

Citing Articles

Take it personal! Development and modelling study of an indicated prevention programme for substance use in adolescents and young adults with mild intellectual disabilities and borderline intellectual functioning.

Schijven E, VanDerNagel J, Otten R, Lammers J, Poelen E J Appl Res Intellect Disabil. 2020; 34(1):307-315.

PMID: 32990417 PMC: 7820965. DOI: 10.1111/jar.12808.

The effectiveness of an indicated prevention programme for substance use in individuals with mild intellectual disabilities and borderline intellectual functioning: results of a quasi-experimental study.

Schijven E, Hulsmans D, VanDerNagel J, Lammers J, Otten R, Poelen E Addiction. 2020; 116(2):373-381.

PMID: 32678489 PMC: 7891383. DOI: 10.1111/add.15156.

A Systematic Review of Substance Use (Disorder) in Individuals with Mild to Borderline Intellectual Disability.

van Duijvenbode N, VanDerNagel J Eur Addict Res. 2019; 25(6):263-282.

PMID: 31330514 PMC: 6888885. DOI: 10.1159/000501679.

Substance use among individuals with mild intellectual disability or borderline intellectual functioning in residential care: Examining the relationship between drinking motives and substance use.

Schijven E, Didden R, Otten R, Poelen E J Appl Res Intellect Disabil. 2019; 32(4):871-878.

PMID: 30844128 PMC: 6850364. DOI: 10.1111/jar.12578.

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