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Article ; Online: Primary prevention of prescription stimulant misuse in first-year college students.

Antshel, Kevin M / Park, Aesoon / Maisto, Stephen / Faraone, Stephen V

Journal of American college health : J of ACH

2024 , Page(s) 1–9

Abstract: Objective: ...

Abstract	Objective:
Language	English
Publishing date	2024-01-16
Publishing country	United States
Document type	Journal Article
ZDB-ID	604907-2
ISSN	1940-3208 ; 0744-8481
ISSN (online)	1940-3208
ISSN	0744-8481
DOI	10.1080/07448481.2023.2299409
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Article: Therapists' first impression of treatment motivation moderates the relationship between the client-rated therapeutic alliance and drinking outcomes during treatment.

Rivera, Alexander P / Maisto, Stephen A / Connors, Gerard J / Schlauch, Robert C

Alcohol (Hanover, York County, Pa.)

2023 Volume 47, Issue 4, Page(s) 806–821

Abstract: Introduction: First impressions can influence interpersonal relationships for extended periods, with negative first impressions leading to more negative judgments and behaviors between individuals months after their initial meeting. Although common ... ...

Abstract	Introduction: First impressions can influence interpersonal relationships for extended periods, with negative first impressions leading to more negative judgments and behaviors between individuals months after their initial meeting. Although common factors such as therapeutic alliance (TA) are well studied, less is known of the potential influence of a therapist's first impression of their client's motivation on TA and drinking outcomes. Based on data from a prospective study of the perceptions of the TA among clients receiving cognitive-behavioral treatment (CBT), this study examined how therapists' first impressions may moderate the relationship between client-rated TA and drinking outcomes during treatment. Methods: One hundred fifty-four adults participated in a 12-week course of CBT and completed measures of TA and drinking behaviors following each treatment session. Additionally, therapists completed a measure of their first impression of their client's motivation for treatment following the first session. Results: Time-lagged multilevel modeling revealed a significant within-person TA by therapists' first impression interaction that predicted percent days abstinent (PDA). Specifically, among participants rated as lower on first impressions of treatment motivation, higher within-person TA predicted greater PDA in the interval prior to the next treatment session. Within-person working alliance was not associated with PDA among individuals rated higher on first impressions of treatment motivation who demonstrated higher PDA throughout treatment. Furthermore, significant between-person TA by first impressions interactions were found for both PDA and drinks per drinking day (DDD), such that among individuals with lower treatment motivation, TA positively predicted PDA and negatively predicted DDD. Conclusion: Although therapists' first impressions of a client's treatment motivation are positively associated with treatment outcomes, clients' perception of the TA may mitigate the impact of poor first impressions. These findings highlight the need for additional nuanced examinations of the relationship between TA and treatment outcomes, emphasizing the contextual factors that influence this relationship.
MeSH term(s)	Adult ; Humans ; Therapeutic Alliance ; Motivation ; Prospective Studies ; Professional-Patient Relations ; Cognitive Behavioral Therapy ; Psychotherapy
Language	English
Publishing date	2023-03-02
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
DOI	10.1111/acer.15040
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Article ; Online: Brief conjoint visits between an embedded behavioral health provider and primary care team member: When are they used and what are the barriers and facilitators?

Gass, Julie C / Maisto, Stephen A / Edelman, David / Funderburk, Jennifer S

Families, systems & health : the journal of collaborative family healthcare

2023 Volume 41, Issue 4, Page(s) 488–501

Abstract: Introduction: Conjoint visits utilize the expertise of primary care providers (PCPs) and behavioral health providers (BHPs) to address complex comorbidities in patients. The objectives were to describe the use and features of conjoint visits and ... ...

Abstract	Introduction: Conjoint visits utilize the expertise of primary care providers (PCPs) and behavioral health providers (BHPs) to address complex comorbidities in patients. The objectives were to describe the use and features of conjoint visits and identify barriers and facilitators as described by BHPs in integrated settings. Method: Three hundred and forty-five BHPs who worked in integrated primary care, a majority identifying as female and white, completed an online survey between October 2018 and July 2019. Results: Results indicated common reasons for conjoint visits were for mental or behavioral health concerns. Though they reported high comfort using conjoint visits ( Discussion: Although conjoint visits are used infrequently, findings suggest it is not because they are unhelpful as providers generally found this type of appointment favorable. Rather, they and their teams lack time, training, and support needed for implementation. This research provides an introduction for researchers or clinicians to better understand the use of conjoint visits for patients with high needs and complexities. Future work focused on addressing barriers cited by providers regarding conjoint visits would increase providers' ability to use this form of care when it is needed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
MeSH term(s)	Humans ; Female ; Attitude of Health Personnel ; Delivery of Health Care, Integrated ; Primary Health Care ; Bridged Bicyclo Compounds
Chemical Substances	bicyclo(2.2.1)hept-5-en-2-yl phenyl sulfoxide (120409-13-4) ; Bridged Bicyclo Compounds
Language	English
Publishing date	2023-07-20
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	1326859-4
ISSN	1939-0602 ; 1091-7527 ; 0736-1718
ISSN (online)	1939-0602
ISSN	1091-7527 ; 0736-1718
DOI	10.1037/fsh0000817
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Article ; Online: FRAMES Elements Associated With Alcohol Treatment Research Assessments and Related Behavior Change.

Clifford, Patrick R / Davis, Christine M / Maisto, Stephen A / Stout, Robert L

Journal of studies on alcohol and drugs

2023 Volume 85, Issue 2, Page(s) 218–226

Abstract: Objective: Assessment reactivity research has contributed substantially to our understanding of alcohol treatment research protocols influencing clinical outcomes. The state of the science is such that relatively little is known about how alcohol ... ...

Abstract	Objective: Assessment reactivity research has contributed substantially to our understanding of alcohol treatment research protocols influencing clinical outcomes. The state of the science is such that relatively little is known about how alcohol treatment research participation influences behavior. The purpose of this study was twofold: (a) to determine the distribution of FRAMES elements (i.e., Feedback, personal Responsibility, Advice, a Menu of options, Empathic style of interaction, and support for Self-efficacy) contained in alcohol treatment research assessment interviews; and (b) to examine their association with subsequent alcohol use among a sample of clients presenting for alcohol use disorder treatment. Method: Audiotaped recordings of participant ( Results: Feedback, personal responsibility, empathic style of interaction, and support for self-efficacy were the more frequently occurring elements across follow-up periods. Alternatively, menu of options and advice occurred infrequently. Feedback and support for self-efficacy predicted subsequent alcohol use, although the association between feedback and alcohol use was unexpectedly positive. Conclusions: As part of the assessment interview process, alcohol treatment research participants receive multiple instances of feedback and support for self-efficacy specific to their alcohol use that are predictive of changes in alcohol use.
MeSH term(s)	Humans ; Alcoholism/epidemiology ; Alcoholism/therapy ; Alcohol Drinking/epidemiology ; Social Behavior ; Self Efficacy ; Feedback
Language	English
Publishing date	2023-10-30
Publishing country	United States
Document type	Journal Article
ZDB-ID	2266450-6
ISSN	1938-4114 ; 1934-2683 ; 1937-1888 ; 0096-882X
ISSN (online)	1938-4114 ; 1934-2683
ISSN	1937-1888 ; 0096-882X
DOI	10.15288/jsad.22-00372
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Article ; Online: Brief, modular, transdiagnostic, cognitive-behavioral intervention for anxiety in veteran primary care: Development, provider feedback, and open trial.

Shepardson, Robyn L / Funderburk, Jennifer S / Weisberg, Risa B / Maisto, Stephen A

Psychological services

2022 Volume 20, Issue 3, Page(s) 622–635

Abstract: Anxiety is undertreated in primary care, and most treatment provided is pharmacological rather than behavioral. Integrating behavioral health providers (BHPs) using the Primary Care Behavioral Health (PCBH) model can help address this treatment gap, but ... ...

Abstract	Anxiety is undertreated in primary care, and most treatment provided is pharmacological rather than behavioral. Integrating behavioral health providers (BHPs) using the Primary Care Behavioral Health (PCBH) model can help address this treatment gap, but brief interventions suitable for use in PCBH practice are needed. We developed a modular, cognitive-behavioral anxiety intervention, Modular Anxiety Skills Training (MAST), that is evidence-based, transdiagnostic, feasible for PCBH, and patient-centered. MAST comprises up to six 30-min sessions emphasizing skills training. This article describes the rationale for and development of MAST as well as pilot work in the Veterans Health Administration (VA) to tailor and refine MAST for delivery to Veterans in VA primary care (MAST-V) to improve feasibility for VA BHPs and acceptability to Veterans. We used a convergent mixed-methods design with concurrent data collection. In phase one, we interviewed five BHPs to obtain feedback on the treatment manual. BHPs assessed MAST-V to be highly compatible with PCBH and provided suggestions to enhance feasibility. In phase two, we conducted an open trial in which six Veterans experiencing clinically significant anxiety received and provided feedback on all nine possible modules; we also assessed changes in mental health symptoms and functioning as well as treatment satisfaction and credibility. Veterans found MAST-V to be highly acceptable, and pre-post clinical outcomes were very promising with large effect sizes. Findings from this initial pilot provide preliminary support for the feasibility, acceptability, and efficacy of MAST-V and suggest further research with a randomized clinical trial is warranted. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
MeSH term(s)	Humans ; Veterans/psychology ; Feedback ; Anxiety/therapy ; Primary Health Care ; Cognition
Chemical Substances	bicyclo(2.2.1)hept-5-en-2-yl phenyl sulfoxide (120409-13-4)
Language	English
Publishing date	2022-01-31
Publishing country	United States
Document type	Randomized Controlled Trial ; Journal Article
ZDB-ID	2156662-8
ISSN	1939-148X ; 1541-1559
ISSN (online)	1939-148X
ISSN	1541-1559
DOI	10.1037/ser0000622
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Article ; Online: Alcohol Treatment Research Contributing to Changes in Substance Use Behavior and Related Negative Consequences.

Clifford, Patrick R / Davis, Christine M / Maisto, Stephen A / Stout, Robert L

Journal of studies on alcohol and drugs

2022 Volume 83, Issue 3, Page(s) 364–373

Abstract: Objective: The purpose of this study was to investigate the extent to which two of the more salient characteristics of a treatment research assessment protocol (i.e., the comprehensiveness of the assessment battery and the frequency of its ... ...

Abstract	Objective: The purpose of this study was to investigate the extent to which two of the more salient characteristics of a treatment research assessment protocol (i.e., the comprehensiveness of the assessment battery and the frequency of its administration) for alcohol use disorder contribute to reductions in substance use and related negative consequences. Method: Study participants were recruited from two hospital-administered substance use disorder outpatient clinics. Two hundred thirty-five individuals presenting for outpatient alcohol treatment screened study eligible and provided informed consent. Study participants were randomized to one of four research assessment conditions (i.e., frequent-comprehensive, frequent-brief, infrequent-comprehensive, and infrequent-brief) based on the crossing of a 2 (i.e., assessment comprehensiveness: comprehensive vs. brief) by 2 (i.e., assessment frequency: frequent vs. infrequent) factorial design. Results: Individuals assigned to the frequent assessment conditions reported greater reductions in substance use and substance use-related negative consequences relative to their counterparts assigned to the infrequent assessment conditions. In addition, a greater proportion of individuals assigned to the frequent assessment conditions reported abstinence from both alcohol and other substances. Conclusions: The improvements in substance use and related negative consequences associated with more frequent research assessments were statistically significant and clinically meaningful.
MeSH term(s)	Alcohol Drinking/epidemiology ; Alcoholism/epidemiology ; Ambulatory Care ; Humans ; Research Design ; Substance-Related Disorders/epidemiology ; Substance-Related Disorders/therapy
Language	English
Publishing date	2022-05-19
Publishing country	United States
Document type	Journal Article ; Randomized Controlled Trial ; Research Support, N.I.H., Extramural
ZDB-ID	2266450-6
ISSN	1938-4114 ; 1934-2683 ; 1937-1888 ; 0096-882X
ISSN (online)	1938-4114 ; 1934-2683
ISSN	1937-1888 ; 0096-882X
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Article ; Online: Mobile health intervention to address chronic pain among those who engage in hazardous drinking: A pilot study.

Palfai, Tibor P / Morone, Natalia E / Kratzer, Maya P L / Murray, Grace E / Otis, John D / Maisto, Stephen A / Rowland, Bonnie H P

Drug and alcohol dependence

2024 Volume 256, Page(s) 111121

Abstract: Background: Hazardous drinking has been associated with chronic pain in community and medical samples. The purpose of this study was to develop a novel, integrated mobile health intervention that improves pain management and reduces hazardous drinking ... ...

Abstract	Background: Hazardous drinking has been associated with chronic pain in community and medical samples. The purpose of this study was to develop a novel, integrated mobile health intervention that improves pain management and reduces hazardous drinking that may be implemented in primary care settings. Methods: Forty-eight participants with moderate or greater chronic pain and hazardous drinking were recruited from primary care clinics and through social media sites. Following baseline assessment, participants were randomized to a counselor-supported smartphone app intervention (INTV) or a counselor delivered treatment-as-usual control condition (CTL). Results: Results supported the feasibility and acceptability of the smartphone app intervention. Participants found it easy to use, reported high levels of satisfaction, and showed high levels of engagement with the app. Between-group effect size estimates at follow-up showed small effects for the intervention on pain ratings. However, using clinically meaningful change thresholds of 30% and 50% improvement in pain scores, 38% and 25% respectively of those in the INTV condition showed reductions compared to 20% and 12.5% respectively in the CTL condition. Effect size estimates did not indicate intervention superiority on alcohol outcomes as participants in both conditions showed considerable reductions in drinking over the course of the study. Conclusions: Results supported the view that a mobile health intervention delivered via smartphone with electronic coaching is a feasible and acceptable method of addressing chronic pain among those who engage in hazardous drinking. Future work should test the efficacy of this approach in a fully powered trial.
MeSH term(s)	Humans ; Chronic Pain/therapy ; Counselors ; Ethanol ; Pilot Projects ; Telemedicine
Chemical Substances	Ethanol (3K9958V90M)
Language	English
Publishing date	2024-02-10
Publishing country	Ireland
Document type	Journal Article ; Multicenter Study ; Randomized Controlled Trial
ZDB-ID	519918-9
ISSN	1879-0046 ; 0376-8716
ISSN (online)	1879-0046
ISSN	0376-8716
DOI	10.1016/j.drugalcdep.2024.111121
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Article ; Online: Alcohol-related Behavioral Research and its Integration into Primary and Secondary HIV Preventive Interventions: Introduction.

Maisto, Stephen A / Freeman, Robert / Bryant, Kendall

AIDS and behavior

2021 Volume 25, Issue Suppl 3, Page(s) 233–236

Abstract: The purpose of this paper is to provide a brief introduction to and description of the contents of this special issue of AIDS and Behavior. The article begins with a description of the rationale for the special issue and the origin of its compilation. ... ...

Abstract	The purpose of this paper is to provide a brief introduction to and description of the contents of this special issue of AIDS and Behavior. The article begins with a description of the rationale for the special issue and the origin of its compilation. This background information is followed by a brief description of the main articles that are included in the special issue, which is structured by Gaist and Stirrat's [4] definitions of types of behavioral and social science research for HIV-AIDS research. The "bookend" article to this introduction is by Robert Freeman and identifies future directions for research and clinical practice that the special issue articles' content suggests.
MeSH term(s)	Acquired Immunodeficiency Syndrome ; Behavioral Research ; HIV Infections/prevention & control ; Humans ; Social Sciences
Language	English
Publishing date	2021-08-14
Publishing country	United States
Document type	Journal Article
ZDB-ID	1339885-4
ISSN	1573-3254 ; 1090-7165
ISSN (online)	1573-3254
ISSN	1090-7165
DOI	10.1007/s10461-021-03420-8
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Article ; Online: Barriers and Pathways to Changing Smoking and Risky Drinking in Primary Care Patients With Chronic Conditions Who Failed to Respond to Brief Advice.

Gass, Julie C / Funderburk, Jennifer S / Maisto, Stephen A

The primary care companion for CNS disorders

2021 Volume 23, Issue 4

Abstract: Objective:: Methods:: Results:: Conclusions: ...

Abstract	Objective: Methods: Results: Conclusions:
MeSH term(s)	Alcohol Drinking/epidemiology ; Crisis Intervention ; Humans ; Motivation ; Primary Health Care ; Smoking
Language	English
Publishing date	2021-08-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	2675414-9
ISSN	2155-7780 ; 2155-7780
ISSN (online)	2155-7780
ISSN	2155-7780
DOI	10.4088/PCC.20m02836
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Article ; Online: External validity of analogue sexual risk laboratory data.

Simons, Jeffrey S / Maisto, Stephen A / Palfai, Tibor P

Experimental and clinical psychopharmacology

2021 Volume 31, Issue 1, Page(s) 174–185

Abstract: This article presents data on the external validity of an alcohol administration study of sexual decision-making in men who have sex with men (MSM) ages 21-50. Men ( ...

Abstract	This article presents data on the external validity of an alcohol administration study of sexual decision-making in men who have sex with men (MSM) ages 21-50. Men (
MeSH term(s)	Male ; Humans ; Young Adult ; Adult ; Middle Aged ; Homosexuality, Male ; Sexual Partners ; Blood Alcohol Content ; Unsafe Sex ; HIV Infections ; Sexual and Gender Minorities ; Sexual Behavior ; Condoms ; Ethanol ; Risk-Taking
Chemical Substances	Blood Alcohol Content ; Ethanol (3K9958V90M)
Language	English
Publishing date	2021-12-30
Publishing country	United States
Document type	Randomized Controlled Trial ; Journal Article
ZDB-ID	1209960-0
ISSN	1936-2293 ; 1064-1297
ISSN (online)	1936-2293
ISSN	1064-1297
DOI	10.1037/pha0000537
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