Randomized controlled trial of motivational interviewing for alcohol and cannabis use within a predominantly Hispanic adolescent sample.
Randomized controlled trial of motivational interviewing for alcohol and cannabis use within a predominantly Hispanic adolescent sample.
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DOI：
10.1037/pha0000445
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发表时间：
2022-06
影响因子：
2.3
通讯作者：
Schmiege, Sarah J.
中科院分区：
文献类型：
--
作者：
Ewing, Sarah Feldstein;Bryan, Angela D.;Dash, Genevieve F.;Lovejoy, Travis, I;Borsari, Brian;Schmiege, Sarah J.
西班牙裔青年是增长最快的少数群体之一。然而，我们对西班牙裔青少年对青少年成瘾的药物支持干预措施的反应知之甚少，包括动机访谈（MI）。这项随机对照试验比较了MI与青少年酒精和大麻使用的积极教育治疗（酒精和大麻教育; ACE）。经常使用药物的青少年（N=448; n=347西班牙裔; n=101非西班牙裔白色;年龄13-18岁）被随机分配至两个1小时的MI或ACE个体治疗。我们研究了西班牙裔和非西班牙裔白色青年六个月的结果和变化机制。各种族之间的治疗应答相当（西班牙裔与非西班牙裔白色青年）。此外，与ACE组相比，MI组青少年的饮酒量减少更多，这支持动机和自我效能是治疗反应的机制。未观察到MI对大麻使用的直接影响;然而，观察到动机对减少大麻使用有显著的间接影响。数据支持MI在减少青少年饮酒方面的疗效，通过增强动机和自我效能的车辆。虽然在不同种族（西班牙裔与非西班牙裔白色）的青少年饮酒中观察到一致的治疗反应，但需要进一步探索西班牙裔青少年治疗反应的潜在未充分探索机制，以加强西班牙裔青少年大麻使用的预防和干预方案。
Hispanic youth represent one of the fastest-growing minority groups. Yet, we know little about Hispanic adolescents’ response to empirically-supported interventions for adolescent addiction, including motivational interviewing (MI). This randomized controlled trial compared MI to an active educational treatment for adolescent alcohol and cannabis use (alcohol and cannabis education; ACE). Adolescents who regularly use substances (N=448; n=347 Hispanic; n=101 non-Hispanic white; ages 13–18) were randomized to two 1-hour individual sessions of MI or ACE. We examined six-month outcomes and mechanisms of change across Hispanic and non-Hispanic white youth. Treatment response was comparable across ethnicities (Hispanic vs. Non-Hispanic white youth). Additionally, adolescents in the MI condition showed greater reductions in alcohol use compared to those in ACE, with support for motivation and self-efficacy as mechanisms of treatment response. Direct effects of MI on cannabis use were not observed; however, a significant indirect effect of motivation was observed for reductions in cannabis use. Data support the efficacy of MI in reducing adolescent alcohol use, through the vehicle of enhanced motivation and self-efficacy. While consistent treatment response was observed for adolescent alcohol use across ethnicities (Hispanic vs. non-Hispanic white), further exploration into potential underexplored mechanisms of Hispanic adolescents’ treatment response is requisite to strengthening prevention and intervention programming for Hispanic adolescents’ cannabis use.
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影响因子：
2.7
作者：
Feldstein Ewing SW;Houck JM;Yezhuvath U;Shokri-Kojori E;Truitt D;Filbey FM
通讯作者：
Filbey FM
影响因子：
4.4
作者：
Blevins CE;Walker DD;Stephens RS;Banes KE;Roffman RA
通讯作者：
Roffman RA
影响因子：
5.9
作者：
Cushing, Christopher C.;Jensen, Chad D.;Leffingwell, Thad R.
通讯作者：
Leffingwell, Thad R.
影响因子：
3.9
作者：
Austin, Ashley;Hospital, Michelle;Morris, Staci Leon
通讯作者：
Morris, Staci Leon
影响因子：
5.9
作者：
D'Amico EJ;Parast L;Shadel WG;Meredith LS;Seelam R;Stein BD
通讯作者：
Stein BD