2022
Perspectives on adapting a mobile application for pain self-management in neurofibromatosis type 1: results of online focus group discussions with individuals living with neurofibromatosis type 1 and pain management experts
Grau LE, Larkin K, Lalloo C, Stinson JN, Zempsky WT, Ball SA, Buono FD. Perspectives on adapting a mobile application for pain self-management in neurofibromatosis type 1: results of online focus group discussions with individuals living with neurofibromatosis type 1 and pain management experts. BMJ Open 2022, 12: e056692. PMID: 35840301, PMCID: PMC9295671, DOI: 10.1136/bmjopen-2021-056692.Peer-Reviewed Original ResearchConceptsPain management expertsNeurofibromatosis type 1Type 1Self-management mobile appAudio-recorded focus groupsChronic painAPP levelsFocus groupsPainPotential associationMobile health applicationsNF1 groupTypes of participantsGenetic disordersNeeds of individualsOnline focus group discussionsOnline focus groupsFocus group discussionsAppropriate visualsGroupParticipant groupsFree accessSpecific needsIndividualsHealth applications
2020
Mobilizing an institutional supportive response for healthcare workers and other staff in the context of COVID-19: The Yale experience
Krystal JH, Alvarado J, Ball SA, Fortunati FG, Hu M, Ivy ME, Kapo J, Olson KD, Rohrbaugh RM, Sinha R, Tebes JK, Vender RJ, Yonkers KA, Mayes LC. Mobilizing an institutional supportive response for healthcare workers and other staff in the context of COVID-19: The Yale experience. General Hospital Psychiatry 2020, 68: 12-18. PMID: 33254081, PMCID: PMC7680059, DOI: 10.1016/j.genhosppsych.2020.11.005.Peer-Reviewed Original ResearchMentorship for Addiction Problems (MAP): A New Behavioral Intervention to Assist in the Treatment of Substance Use Disorders.
Tracy K, Wachtel L, Goldmann E, Nissenfeld J, Burton M, Galanter M, Ball SA. Mentorship for Addiction Problems (MAP): A New Behavioral Intervention to Assist in the Treatment of Substance Use Disorders. Journal Of Studies On Alcohol And Drugs 2020, 81: 664-672. PMID: 33028480, PMCID: PMC8076492, DOI: 10.15288/jsad.2020.81.664.Peer-Reviewed Original ResearchConceptsSubstance use disordersWeek 13Use disordersOutpatient substance use disorder treatmentHigh patient interestNew behavioral interventionNew behavioral treatmentSubstance useSubstance use disorder treatmentTreatment weeks 1Drug use scoresSuccessful treatment outcomeUse disorder treatmentAddiction Severity Index AlcoholDelivery of treatmentAddiction problemsPreliminary efficacyWeeks 0Treatment outcomesTreatment efficacyWeek 1Disorder treatmentDrug useBehavioral treatmentBehavioral interventions
2018
Culturally Adapted, Web-Based Cognitive Behavioral Therapy for Spanish-Speaking Individuals With Substance Use Disorders: A Randomized Clinical Trial.
Paris M, Silva M, Añez-Nava L, Jaramillo Y, Kiluk BD, Gordon MA, Nich C, Frankforter T, Devore K, Ball SA, Carroll KM. Culturally Adapted, Web-Based Cognitive Behavioral Therapy for Spanish-Speaking Individuals With Substance Use Disorders: A Randomized Clinical Trial. American Journal Of Public Health 2018, 108: 1535-1542. PMID: 30252519, PMCID: PMC6187780, DOI: 10.2105/ajph.2018.304571.Peer-Reviewed Original ResearchConceptsSubstance use disordersCognitive-behavioral treatmentUse disordersSubstance use outcomesClinical trialsWeb-based cognitive behavioral therapyCurrent substance use disorderUse outcomesRandomized clinical trialsStandard outpatient treatmentEvidence-based treatmentsCognitive behavioral therapyPrimary outcomeStandard treatmentOutpatient treatmentStandard outpatientTreatment completionHealth disparitiesBehavioral therapyBehavioral treatmentAddiction treatmentTreatment-seeking individualsGreater reductionTreatmentDisordersAn investigation of an open‐access model for scaling up methadone maintenance treatment
Madden LM, Farnum SO, Eggert KF, Quanbeck AR, Freeman RM, Ball SA, Schottenfeld RS, Shi JM, Savage ME, Barry DT. An investigation of an open‐access model for scaling up methadone maintenance treatment. Addiction 2018, 113: 1450-1458. PMID: 29453891, DOI: 10.1111/add.14198.Peer-Reviewed Original ResearchConceptsNon-medical opioid useOpioid use disorderMethadone maintenance treatmentOpioid useMaintenance treatmentTreatment accessUse disordersTreatment modelMethadone maintenance treatment centersMaintenance treatment centersDeleterious effectsMethadone treatmentPatient mortalityTreatment optionsTreatment outcomesTreatment centersProspective patientsRate of retentionPatient censusRapid enrollmentAddiction treatmentApparent deleterious effectsTreatmentMortalityProgrammatic outcomes
2016
The co-occurrence of nicotine and other substance use and addiction among youth and adults in the United States: implications for research, practice, and policy
Richter L, Pugh BS, Smith PH, Ball SA. The co-occurrence of nicotine and other substance use and addiction among youth and adults in the United States: implications for research, practice, and policy. The American Journal Of Drug And Alcohol Abuse 2016, 43: 132-145. PMID: 27494436, DOI: 10.1080/00952990.2016.1193511.Peer-Reviewed Original ResearchConceptsNicotine product useNicotine productsDrug useSubstance useClinical practiceProduct useSubstance use disordersRepresentative US surveyPoly-substance useDiagnostic criteriaNicotine addictionNicotine useNational surveyAddictionPreventionFuture studiesUS surveyAdultsPotential riskRiskAddiction researchDemographic groupsNicotineNonusersAssessing the risk of marijuana use disorder among adolescents and adults who use marijuana
Richter L, Pugh BS, Ball SA. Assessing the risk of marijuana use disorder among adolescents and adults who use marijuana. The American Journal Of Drug And Alcohol Abuse 2016, 43: 247-260. PMID: 27292878, DOI: 10.3109/00952990.2016.1164711.Peer-Reviewed Original ResearchConceptsMarijuana use disorderUse disordersBlack race/ethnicityTobacco/nicotine useSubstance useDrug use disordersMental health characteristicsDSM-IV criteriaRegression analysisRecent national estimatesComprehensive prevalence estimateMental health variablesRace/ethnicityMarijuana usersMultinomial regression analysisHealth characteristicsDisorder prevalenceNicotine usePrevalence estimatesDrug useYounger ageNational estimatesHealth variablesDisordersAgeA randomized factorial trial of disulfiram and contingency management to enhance cognitive behavioral therapy for cocaine dependence
Carroll KM, Nich C, Petry NM, Eagan DA, Shi JM, Ball SA. A randomized factorial trial of disulfiram and contingency management to enhance cognitive behavioral therapy for cocaine dependence. Drug And Alcohol Dependence 2016, 160: 135-142. PMID: 26817621, PMCID: PMC4767616, DOI: 10.1016/j.drugalcdep.2015.12.036.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapyCocaine outcomesCocaine dependenceCombination of CMDouble-blind clinical trialBehavioral therapyCommunity-based outpatient clinicsUrine sample testingBlind clinical trialSustained treatment effectContingency managementDSM-IV criteriaRandomized factorial trialCurrent cocaine dependenceWeekly individual sessionsCocaine use disorderSecondary outcomesPrimary outcomeYear followOutpatient clinicAddition of disulfiramClinical trialsUse disordersCBT treatmentFactorial trial
2014
Gender differences in clinical outcomes for cocaine dependence: Randomized clinical trials of behavioral therapy and disulfiram
DeVito EE, Babuscio TA, Nich C, Ball SA, Carroll KM. Gender differences in clinical outcomes for cocaine dependence: Randomized clinical trials of behavioral therapy and disulfiram. Drug And Alcohol Dependence 2014, 145: 156-167. PMID: 25457739, PMCID: PMC4268325, DOI: 10.1016/j.drugalcdep.2014.10.007.Peer-Reviewed Original ResearchConceptsRandomized clinical trialsClinical trialsClinical outcomesTreatment outcomesCocaine dependenceBehavioral therapyBehavioral treatment conditionsPoor treatment outcomesEvidence-based treatmentsGender differencesWidespread clinical implementationPoor outcomePharmacological treatmentMedication conditionAddiction pharmacotherapyCocaine useSecondary analysisBehavioral treatmentClinical implementationWomenCareful assessmentDisulfiramOutcomesTrialsMenA pilot trial of a videogame-based exercise program for methadone maintained patients
Cutter CJ, Schottenfeld RS, Moore BA, Ball SA, Beitel M, Savant JD, Stults-Kolehmainen MA, Doucette C, Barry DT. A pilot trial of a videogame-based exercise program for methadone maintained patients. Journal Of Substance Use And Addiction Treatment 2014, 47: 299-305. PMID: 25012555, PMCID: PMC4487635, DOI: 10.1016/j.jsat.2014.05.007.Peer-Reviewed Original ResearchConceptsExercise interventionSubstance useSubstance use disorder treatmentMethadone-maintained patientsStudy completion ratesPhysical activity levelsGreater physical activityWii Fit PlusUse disorder treatmentExercise programSedentary controlsPilot trialPhysical activityDisorder treatmentActive game playPilot studyActivity levelsInterventionPatientsCompletion ratesHigh satisfactionFurther investigationTrialsPsychological wellnessParticipantsComputer-Assisted Delivery of Cognitive-Behavioral Therapy: Efficacy and Durability of CBT4CBT Among Cocaine-Dependent Individuals Maintained on Methadone
Carroll KM, Kiluk BD, Nich C, Gordon MA, Portnoy GA, Marino DR, Ball SA. Computer-Assisted Delivery of Cognitive-Behavioral Therapy: Efficacy and Durability of CBT4CBT Among Cocaine-Dependent Individuals Maintained on Methadone. American Journal Of Psychiatry 2014, 171: 436-444. PMID: 24577287, PMCID: PMC4042674, DOI: 10.1176/appi.ajp.2013.13070987.Peer-Reviewed Original ResearchConceptsCocaine-dependent individualsCognitive behavioral therapyMethadone maintenanceCommunity-based outpatient clinicsPrevious pilot trialMethadone maintenance programStandard methadone maintenanceDisseminable strategyDefinitive trialOutpatient clinicClinical trialsEffective adjunctPilot trialTreatment terminationTreatment retentionBetter outcomesConsecutive weeksCBT4CBTWeekly accessAddiction treatmentDurable effectsTrialsSubstance usersStatistical significanceMethadoneDevelopment of the Clinician Assessment of Financial Incapability (CAFI)
Black AC, McMahon TJ, Rosenheck RA, Ball SA, Ries RK, Ames D, Rosen MI. Development of the Clinician Assessment of Financial Incapability (CAFI). Psychiatry Research 2014, 215: 784-789. PMID: 24495575, PMCID: PMC3959734, DOI: 10.1016/j.psychres.2014.01.021.Peer-Reviewed Original ResearchPredictors and treatment outcomes of perceived ward atmosphere among therapeutic community residents
Carr WA, Ball SA. Predictors and treatment outcomes of perceived ward atmosphere among therapeutic community residents. Journal Of Substance Use And Addiction Treatment 2014, 46: 567-573. PMID: 24560437, DOI: 10.1016/j.jsat.2014.01.003.Peer-Reviewed Original Research
2013
Personality disorders as maladaptive, extreme variants of normal personality: borderline personality disorder and neuroticism in a substance using sample.
Samuel DB, Carroll KM, Rounsaville BJ, Ball SA. Personality disorders as maladaptive, extreme variants of normal personality: borderline personality disorder and neuroticism in a substance using sample. Journal Of Personality Disorders 2013, 27: 625-35. PMID: 24044664, PMCID: PMC4125199, DOI: 10.1521/pedi.2013.27.5.625.Peer-Reviewed Original ResearchThe Recovery Line: A pilot trial of automated, telephone-based treatment for continued drug use in methadone maintenance
Moore BA, Fazzino T, Barry DT, Fiellin DA, Cutter CJ, Schottenfeld RS, Ball SA. The Recovery Line: A pilot trial of automated, telephone-based treatment for continued drug use in methadone maintenance. Journal Of Substance Use And Addiction Treatment 2013, 45: 63-69. PMID: 23375114, PMCID: PMC3642223, DOI: 10.1016/j.jsat.2012.12.011.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAdultAutomationCocaine-Related DisordersFeasibility StudiesFemaleHumansMaleMethadoneMiddle AgedOpiate Substitution TreatmentOpioid-Related DisordersPatient Acceptance of Health CarePatient SatisfactionPilot ProjectsSubstance Abuse DetectionTelephoneTherapy, Computer-AssistedConceptsMethadone maintenanceLarge clinical trialsTelephone-based treatmentCurrent pilot studyPatient satisfactionClinical trialsPatient utilizationComputer-based treatmentPilot trialInitial efficacyInteractive voice response systemDrug usePatientsScreen outcomesVoice response systemPilot studyIllicit drugsTreatmentDaily useTrialsEfficacyOpioidsAbstinenceRecovery lineCocaine
2012
Efficacy of disulfiram and Twelve Step Facilitation in cocaine-dependent individuals maintained on methadone: A randomized placebo-controlled trial
Carroll KM, Nich C, Shi JM, Eagan D, Ball SA. Efficacy of disulfiram and Twelve Step Facilitation in cocaine-dependent individuals maintained on methadone: A randomized placebo-controlled trial. Drug And Alcohol Dependence 2012, 126: 224-231. PMID: 22695473, PMCID: PMC3461119, DOI: 10.1016/j.drugalcdep.2012.05.019.Peer-Reviewed Original ResearchMeSH KeywordsAdultAlcohol DeterrentsAlcohol DrinkingCocaine-Related DisordersCounselingDemographyDiagnostic and Statistical Manual of Mental DisordersDisulfiramDouble-Blind MethodFemaleFollow-Up StudiesHumansMaleMethadoneNarcoticsOpiate Substitution TreatmentPatient ComplianceRegression AnalysisSelf-Help GroupsSocioeconomic FactorsSubstance Abuse DetectionTreatment OutcomeConceptsMethadone maintenance programEfficacy of disulfiramAlcohol use disorderCocaine useStandard counselingUse disordersCommunity-based methadone maintenance programRandomized placebo-controlled trialPlacebo-controlled trialCurrent alcohol use disorderTwelve-step facilitationCocaine-negative urinesLess cocaine useMethadone maintenanceStep FacilitationCocaine-dependent individualsPlaceboBetter outcomesDisulfiram efficacyTreatment approachesFactorial trialDisulfiramMaintenance programRelative efficacyCocaine usersThe Convergent and Concurrent Validity of Trait-Based Prototype Assessment of Personality Disorder Categories in Homeless Persons
Samuel DB, Connolly AJ, Ball SA. The Convergent and Concurrent Validity of Trait-Based Prototype Assessment of Personality Disorder Categories in Homeless Persons. Assessment 2012, 19: 287-298. PMID: 22523133, DOI: 10.1177/1073191112444461.Peer-Reviewed Original ResearchInternalizing and Externalizing Dimensions and Alcohol Use in First Time DWI Offenders: Indirect Effects Through Coping Self-Efficacy
Schlauch RC, O'Malley SS, Rounsaville BJ, Ball SA. Internalizing and Externalizing Dimensions and Alcohol Use in First Time DWI Offenders: Indirect Effects Through Coping Self-Efficacy. Psychology Of Addictive Behaviors 2012, 26: 133-139. PMID: 21988478, PMCID: PMC3288506, DOI: 10.1037/a0025808.Peer-Reviewed Original ResearchConceptsProblematic alcohol useFirst-time DWI offendersExternalizing dimensionDWI offendersAlcohol useHigh-risk drinking situationsProblematic drinking behaviorStructural equation modelingPositive situationsNegative situationsDrinking situationsInternalizing dimensionOne's inabilityEquation modelingInternalizingDrinking behaviorIndirect effectsCross-sectional dataOffendersSpecific situationsCopingSituationPotential pathwaysDimensionsFindings
2011
Personality Disorders and Retention in a Therapeutic Community for Substance Dependence
Samuel DB, LaPaglia DM, Maccarelli LM, Moore BA, Ball SA. Personality Disorders and Retention in a Therapeutic Community for Substance Dependence. American Journal On Addictions 2011, 20: 555-562. PMID: 21999502, PMCID: PMC3856923, DOI: 10.1111/j.1521-0391.2011.00174.x.Peer-Reviewed Original ResearchConceptsAntisocial personality disorderProgram retentionEarly attritionPersonality disorderSubstance use disordersTherapeutic community treatmentPersonality disorder diagnosisSuccessful treatmentTreatment completionRisk individualsTreatment retentionUse disordersCommunity treatmentSurvival analysisPromising interventionSubstance dependenceTC outcomesPremature attritionDisorder diagnosisEarly assessmentTC treatmentDisordersTreatmentTherapeutic communityOutcomesRandomized Trial of Dual-Focused Vs. Single-Focused Individual Therapy for Personality Disorders and Substance Dependence
Ball SA, Maccarelli LM, LaPaglia DM, Ostrowski MJ. Randomized Trial of Dual-Focused Vs. Single-Focused Individual Therapy for Personality Disorders and Substance Dependence. The Journal Of Nervous And Mental Disease 2011, 199: 319-328. PMID: 21543951, PMCID: PMC3100211, DOI: 10.1097/nmd.0b013e3182174e6f.Peer-Reviewed Original ResearchConceptsIndividual drug counselingDual-focus schema therapyPersonality disorderDrug counselingCox proportional hazards modelSubstance dependenceCo-occurring personality disordersProportional hazards modelSubstance-dependent patientsSchema therapySpecific personality disordersRandomized comparisonSustained reductionHazards modelTherapyDysphoria symptomsSymptomsIndividual therapyDisordersResidential treatmentMonthsCounselingAddiction symptomsFidelity assessmentPatients