Brief Motivational Intervention for Underage Young Adult Drinkers: Results from a Randomized Clinical Trial.
Brief Motivational Intervention for Underage Young Adult Drinkers: Results from a Randomized Clinical Trial.
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DOI：
10.1111/acer.13770
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发表时间：
2018-07
期刊：
影响因子：
--
通讯作者：
Barnett NP
中科院分区：
文献类型：
--
作者：
Colby SM;Orchowski L;Magill M;Murphy JG;Brazil LA;Apodaca TR;Kahler CW;Barnett NP
虽然有大量的文献对大学生饮酒者进行简短的动机干预（BMI）的有效性，但研究较少关注没有参加四年制大学的年轻人，尽管他们过度饮酒的风险增加，并产生相关的有害后果。这项随机对照试验（NCT 01546025）比较了BMI与时间匹配的注意力控制干预（放松训练; REL）在未成年年轻人样本中减少饮酒和相关负面后果的有效性。BMI是为那些不打算立即进入四年制大学的年轻人量身定制的。报告上个月大量饮酒的非寻求治疗的未成年饮酒者（N=167;年龄17-20; 42%女性; 59%非西班牙裔白色）被随机分配接受单次BMI或REL。干预后6周和3个月通过面对面评估评估结果。广义估计方程模型为BMI减少这些年轻人有害饮酒的功效提供了强有力的支持。与REL相比，在控制了包括性别在内的基线协变量后，接受BMI的人随后报告的每周平均饮酒量、饮酒天数百分比、重度饮酒天数百分比、饮酒天数的峰值和典型估计血液酒精含量较低，以及饮酒的不良后果较少（所有ps < .05）。这些组间效应在3个月随访期间没有减弱。这些研究结果证明了一种有效的方法来定制非大学就读的年轻人的BMI。未来的研究应该在更长的随访期内复制和扩展这些发现。
While there is a substantial literature on the efficacy of brief motivational intervention (BMI) for college student drinkers, research has focused less on young adults who do not attend a four-year college, despite their elevated risk for excessive alcohol use and associated harmful consequences. This randomized controlled trial (NCT01546025) compared the efficacy of BMI to a time-matched attention control intervention (Relaxation Training; REL) for reducing alcohol consumption and related negative consequences in an underage young adult sample. BMI was tailored to the developmental transition out of high school for young adults who were not immediately planning to enroll in a four-year college. Non-treatment-seeking underage drinkers who reported past-month heavy drinking (N=167; ages 17-20; 42% female; 59% non-Hispanic White) were randomly assigned to receive a single session of BMI or REL. Outcomes were evaluated 6 weeks and 3 months post-intervention via in-person assessments. Generalized Estimating Equation models provided strong support for the efficacy of BMI for reducing harmful drinking in these young adults. Compared to REL, and after controlling for baseline covariates including gender, those who received BMI subsequently reported significantly fewer average drinks per week, percent drinking days, percent heavy drinking days, lower peak and typical estimated blood alcohol content on drinking days, and fewer adverse consequences of drinking (all ps < .05). These between-group effects did not weaken over the course of the 3-month follow up period. These findings demonstrate an efficacious approach to tailoring BMI for non-college-attending young adults. Future research should replicate and extend these findings over a longer follow up period.
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DOI：
10.15288/jsa.2003.64.342
发表时间：
2003-05-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
Barnett, NP;Monti, PM;Woolard, R
通讯作者：
Woolard, R
影响因子：
4.2
作者：
Dawson, Deborah A.;Li, Ting-Kai;Grant, Bridget F.
通讯作者：
Grant, Bridget F.
影响因子：
5.5
作者：
Bouchery, Ellen E.;Harwood, Henrick J.;Brewer, Robert D.
通讯作者：
Brewer, Robert D.
影响因子：
8
作者：
Heckman, James J.;LaFontaine, Paul A.
通讯作者：
LaFontaine, Paul A.
DOI：
10.1111/acer.12714
发表时间：
2015-05
期刊：
Alcoholism, clinical and experimental research
影响因子：
--
作者：
Huh D;Mun EY;Larimer ME;White HR;Ray AE;Rhew IC;Kim SY;Jiao Y;Atkins DC
通讯作者：
Atkins DC