Screening, Brief Intervention, and Referral for Alcohol Use in Adolescents: A Systematic Review
Screening, Brief Intervention, and Referral for Alcohol Use in Adolescents: A Systematic Review
复制标题
青少年饮酒的筛查、简短干预和转介:系统评价
作者:
Paula J. Yuma;Karla A. Lawson;M. Velasquez;K. von Sternberg;T. Maxson;Nilda M. Garcia
BACKGROUND AND OBJECTIVE: Alcohol use by adolescents is widespread and is connected to a number of negative health and social outcomes. Adolescents receiving emergent care for injuries are often linked with risky use of alcohol. The trauma system has widely adopted the use of screening, brief intervention, and referral to treatment (SBIRT) for preventing alcohol-related injury recidivism and other negative outcomes. The purpose of this article is to review the evidence around SBIRT with adolescent patients in acute care settings. METHODS: This article reviews 7 randomized controlled trials evaluating risky drinking interventions among adolescent patients in acute care settings. All studies took place in the emergency departments of level I trauma centers. RESULTS: Four of the 7 studies reviewed demonstrated a significant intervention effect; however, no one intervention reduced both alcohol consumption and alcohol-related consequences. Two of these 4 studies only included patients ages 18 and older. Subgroup analyses with adolescents engaged in risky alcohol-related behaviors, conducted in 2 of the studies, showed significant intervention effects. Five studies showed positive consumption and/or consequences for all study participants regardless of condition, suggesting that an emergent injury and/or the screening process may have a protective effect. CONCLUSIONS: Based on existing evidence, it is not clear whether SBIRT is an effective approach to risky alcohol use among adolescent patients in acute care. Additional research is needed around interventions and implementation.
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影响因子:
5.9
作者:
Monti,PM;Colby,SM;Barnett,NP;Spirito,A;Rohsenow,DJ;Myers,M;Woolard,R;Lewander,W
通讯作者:
Lewander,W
DOI:
10.1067/mpd.2001.118400
发表时间:
2001
期刊:
The Journal of pediatrics
影响因子:
--
作者:
Spirito,A;Barnett,NP;Lewander,W;Colby,SM;Rohsenow,DJ;Eaton,CA;Monti,PM
通讯作者:
Monti,PM
影响因子:
--
作者:
Schaus,JamesF;Sole,MaryLou;McCoy,ThomasP;Mullett,Natalie;O'Brien,MaryClaire
通讯作者:
O'Brien,MaryClaire
DOI:
10.1111/j.1530-0277.1996.tb05253.x
发表时间:
1996
期刊:
Alcoholism, clinical and experimental research
影响因子:
--
作者:
Shope,JT;Copeland,LA;Maharg,R;Dielman,TE
通讯作者:
Dielman,TE