Piloting a brief intervention plus mobile boosters for drug use among emerging adults receiving emergency department care.
Piloting a brief intervention plus mobile boosters for drug use among emerging adults receiving emergency department care.
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DOI：
10.1016/j.drugalcdep.2021.108625
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发表时间：
2021-04-01
影响因子：
4.2
通讯作者：
Walton MA
中科院分区：
文献类型：
--
作者：
Bonar EE;Cunningham RM;Sweezea EC;Blow FC;Drislane LE;Walton MA
对于新成年（18-25岁）吸毒及其伴随风险（如性危险行为），几乎没有有效的预防干预措施。我们开发并评估了急诊科（ED）发起的简短干预（BI）与辅助信息相结合的可行性和可接受性，作为临床扩展者，主要关注药物使用，其次关注无安全套性行为。我们检查了酒精、药物使用和无安全套性行为的描述性结果。我们从ED招募了N = 63名使用毒品（主要是大麻）的新兴成年人（参与率为72.4%）。平均年龄21.7岁（SD = 2.3）；67%为女性，52.4%为黑人/非裔美国人。随机分配到干预组的参与者（N = 31）每天接受一次BI和28天的量身定制的增强信息（基于吸毒动机），对照组接受社区资源小册子。1个月进行后测，2个月随访。干预效果很好（83.9%的人完成了BI）， 79%的人喜欢BI， 71%的人认为讨论物质是有帮助的。强化信息的平均评分≥4.0（5分制）；77%的人喜欢每日消息，91%的人认为它们很有帮助。描述性地说，干预组证明了随着时间的推移，酒精结果、大麻使用和无安全套性行为的绝对减少。这种带有增强信息的BI在使用毒品（即主要是大麻）的新成年目标人群中是可行和可接受的。这种干预模式是在医疗保健访问期间启动的，并由临床医生辅助人员陪同，应该在未来的全面试验中进行测试。
There are few efficacious prevention interventions for emerging adults (ages 18–25) drug use and concomitant risks (e.g., sexual risk behaviors). We developed and evaluated the feasibility and acceptability of an Emergency Department (ED)-initiated brief intervention (BI) combined with booster messaging as a clinician-extender primarily focusing on drug use, with a secondary focus on condomless sex. We examined descriptive outcomes of alcohol, drug use, and condomless sex. We recruited N = 63 emerging adults who used drugs (primarily cannabis) from an ED (72.4% participation rate). Their mean age was 21.7 years (SD = 2.3); 67% were female and 52.4% were Black/African American. Participants randomized to the intervention (N = 31) received a BI and 28 days of tailored booster messaging (based on drug use motives) daily, and the control condition received a community resource brochure. A post-test occurred at 1-month with a follow-up at 2-months. The intervention was well-received (83.9% allocated completed the BI) with 79% overall liking the BI and 71% finding it helpful to discuss substances. Mean ratings of booster messages were ≥4.0 (5-point scale); 77% liked the daily messages and 91% found them helpful. Descriptively, the intervention group evidenced absolute reductions over time on alcohol outcomes, cannabis use, and condomless sex. This BI with booster messages was feasible and acceptable in the target population of emerging adults who use drugs (i.e., mostly cannabis). This intervention model, initiated during a healthcare visit and accompanied by a clinician-extender, should be tested in a future fully-powered trial.
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影响因子：
6
作者：
Babor, Thomas F.;Del Boca, Frances;Bray, Jeremy W.
通讯作者：
Bray, Jeremy W.
影响因子：
3.9
作者：
Gmel, Gerhard;Gaume, Jacques;Daeppen, Jean-Bernard
通讯作者：
Daeppen, Jean-Bernard
影响因子：
1.7
作者：
Arnett, JJ
通讯作者：
Arnett, JJ
影响因子：
2.3
作者：
Collins, R. Lorraine;Vincent, Paula C.;Epstein, Leonard H.
通讯作者：
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影响因子：
4.2
作者：
Bonar EE;Goldstick JE;Collins RL;Cranford JA;Cunningham RM;Chermack ST;Blow FC;Walton MA
通讯作者：
Walton MA