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Substance Use Outcomes from Two Formats of a Cognitive-Behavioral Intervention for Aggressive Children: Moderating
John E Lochman1,2,3, Caroline L Boxmeyer4, Chuong Bui3
1Department of Psychology, University of Alabama, Tuscaloosa, AL 35487, USA.
Brain Sciences
|August 6, 2021
Summary
Tailoring cognitive-behavioral interventions for aggressive youth improves substance use outcomes. Inhibitory control and engagement influence whether group or individual formats are more effective for preventing substance use.
Area of Science:
- Child Psychology
- Substance Use Prevention
- Behavioral Intervention
Background:
- Cognitive-behavioral interventions (CBIs) reduce substance use risk.
- Moderating factors for CBIs in disruptive youth are understudied.
- Aggressive preadolescents require tailored interventions for substance use prevention.
Purpose of the Study:
- Examine if inhibitory control and intervention engagement moderate CBI delivery format (group vs. individual) effects on substance use.
- Investigate tailoring strategies for aggressive preadolescents.
- Identify protective factors in intervention engagement.
Main Methods:
- 360 aggressive 4th graders randomly assigned to group or individual Coping Power intervention.
- Assessed substance use (pre-intervention to 6-year follow-up), parent-reported inhibitory control, and observed group engagement.
- Utilized multilevel growth modeling to analyze longitudinal data.
Main Results:
- Lower increases in substance use for low inhibitory control children in individual intervention.
- Lower increases in substance use for high inhibitory control children in group intervention.
- Positive behavioral engagement in group sessions slowed substance use increases in low inhibitory control children.
Conclusions:
- Inhibitory control levels can guide tailoring of group versus individual intervention delivery.
- Positive behavioral engagement in group sessions acts as a protective factor for at-risk youth.
- Personalized intervention strategies enhance substance use prevention in aggressive preadolescents.
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