Brief Motivational Interviewing Intervention for Peer Violence and Alcohol Use in Teens: One-Year Follow-up
Brief Motivational Interviewing Intervention for Peer Violence and Alcohol Use in Teens: One-Year Follow-up
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DOI：
10.1542/peds.2011-3419
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发表时间：
2012-06-01
期刊：
影响因子：
8
通讯作者：
Walton, Maureen A.
中科院分区：
文献类型：
--
作者：
Cunningham, Rebecca M.;Chermack, Stephen T.;Walton, Maureen A.
背景和目的：急诊科（ED）访问提供了一个提供简短干预（BIs）的机会，以减少有未来受伤风险的城市青少年中的暴力和酒精滥用。先前的分析表明，脑损伤可减少长达6个月的暴力和酒精后果。这篇文章描述了在12个月时检查BIs对同伴暴力和酒精滥用的功效的结果。方法：在ED报告过去一年的酒精使用和攻击行为的患者（14-18岁）被纳入随机对照试验，其中包括计算机评估，随机分配到对照组或由计算机或治疗师辅助计算机提供BI。主要结果测量（基线和12个月）包括暴力（同伴攻击、同伴受害、与暴力有关的后果）和酒精（酒精滥用、酗酒、与酒精有关的后果）。结果：共筛查青少年3338人（88%）。其中，726名暴力和酒精使用筛查呈阳性，是随机选择的；84%完成了12个月的随访。与对照组相比，在电脑辅助下的治疗师在同伴攻击方面表现出显著的减少(P
BACKGROUND AND OBJECTIVES: Emergency department (ED) visits present an opportunity to deliver brief interventions (BIs) to reduce violence and alcohol misuse among urban adolescents at risk for future injury. Previous analyses demonstrated that a BI resulted in reductions in violence and alcohol consequences up to 6 months. This article describes findings examining the efficacy of BIs on peer violence and alcohol misuse at 12 months.METHODS: Patients (14-18 years of age) at an ED reporting past year alcohol use and aggression were enrolled in the randomized control trial, which included computerized assessment, random assignment to control group or BI delivered by a computer or therapist assisted by a computer. The main outcome measures (at baseline and 12 months) included violence (peer aggression, peer victimization, violence-related consequences) and alcohol (alcohol misuse, binge drinking, alcohol-related consequences).RESULTS: A total of 3338 adolescents were screened (88% participation). Of those, 726 screened positive for violence and alcohol use and were randomly selected; 84% completed 12-month follow-up. In comparison with the control group, the therapist assisted by a computer group showed significant reductions in peer aggression (P