Computer- vs. nurse practitioner-delivered brief intervention for adolescent marijuana, alcohol, and sex risk behaviors in school-based health centers.
Computer- vs. nurse practitioner-delivered brief intervention for adolescent marijuana, alcohol, and sex risk behaviors in school-based health centers.
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DOI：
10.1016/j.drugalcdep.2020.108423
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发表时间：
2021-01-01
影响因子：
4.2
通讯作者：
DiClemente, Carlo C.
中科院分区：
文献类型：
--
作者：
Gryczynski, Jan;Mitchell, Shannon Gwin;Schwartz, Robert P.;Dusek, Kristi;O'Grady, Kevin E.;Cowell, Alexander J.;Barbosa, Carolina;Barnosky, Alan;DiClemente, Carlo C.
This study examined approaches to delivering brief interventions (BI) for risky substance use and sexual behaviors in school-based health centers (SBHCs). 300 Adolescents (ages 14–18; 54% female) with risky marijuana and/or alcohol use identified via CRAFFT screening (scores >1) were recruited from two SBHCs and randomized to computer-delivered BI (CBI) or nurse practitioner-delivered BI (NBI). Both BIs included motivational and didactic content targeting marijuana, alcohol, and risky sexual behaviors. Assessments at baseline, 3-month, and 6-month follow-up included past 30-day frequency of marijuana use, alcohol use, binge drinking, unprotected sex, and sex while intoxicated; marijuana and alcohol problems; and health-related quality-of-life (HRQoL). A focused cost-effectiveness analysis was conducted. An historical ‘assessment-only’ cohort (N=50) formed a supplementary quasi-experimental comparison group. There were no significant differences between NBI and CBI on any outcomes considered (e.g., days of marijuana use; p=.26). From a cost-effectiveness perspective, CBI was ‘dominant’ for HRQoL and marijuana use. Participants’ satisfaction with BI was significantly higher for NBI than CBI. Compared to the assessment-only cohort, participants who received a BI had lower frequency of marijuana (3-months: Incidence Rate Ratio [IRR]=.74 [.57, .97], p=.03), alcohol (3-months: IRR=.43 [.29, .64], p<.001; 6-months: IRR=.58 [.34, .98], p=.04), alcohol-specific problems (3-months: IRR=.63 [.45, .89], p=.008; 6-months: IRR=.63 [.41, .97], p=.04), and sex while intoxicated (6-months: IRR=.42 [.21, .83], p=.013). CBI and NBI did not yield different risk behavior outcomes in this randomized trial. Supplementary quasi-experimental comparisons suggested potential superiority over assessment-only. Both NBI and CBI could be useful in SBHCs.
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影响因子：
3.4
作者：
DiClemente, Carlo C.;Corno, Catherine M.;Knoblach, Daniel J.
通讯作者：
Knoblach, Daniel J.
影响因子：
3.9
作者：
Gryczynski, Jan;Mitchell, Shannon Gwin;Schwartz, Robert P.
通讯作者：
Schwartz, Robert P.
影响因子：
5.5
作者：
Knopf, John A.;Finnie, Ramona K. C.;Fullilove, Mindy T.
通讯作者：
Fullilove, Mindy T.
影响因子：
8
作者：
Cunningham, Rebecca M.;Chermack, Stephen T.;Walton, Maureen A.
通讯作者：
Walton, Maureen A.
影响因子：
2.3
作者：
Doumas, Diana M.;Esp, Susan
通讯作者：
Esp, Susan