Brief motivational interviewing intervention to reduce alcohol and marijuana use for at-risk adolescents in primary care.
Brief motivational interviewing intervention to reduce alcohol and marijuana use for at-risk adolescents in primary care.
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DOI：
10.1037/ccp0000332
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发表时间：
2018-09
影响因子：
5.9
通讯作者：
Stein BD
中科院分区：
文献类型：
--
作者：
D'Amico EJ;Parast L;Shadel WG;Meredith LS;Seelam R;Stein BD
初级保健（PC）的设置提供了一个独特的机会，以解决青少年酒精和其他药物（AOD）的使用。2013年4月至2015年11月，我们在四家PC诊所进行了一项随机对照试验，以确定在PC进行15分钟简短动机访谈（MI） AOD干预是否减少了酒精和大麻的使用及其后果。在为期2.5年的研究期间，年龄在12岁至18岁之间的青少年被要求参加研究，并使用NIAAA筛查指南进行筛查。确定有风险的患者随机分为干预组、CHAT组或常规护理组（UC）。青少年在基线、基线后3个月、6个月和12个月完成了四项基于网络的调查。样本（n=294） 58%为女性，66%为西班牙裔，17%为黑人，12%为白人，5%为多种族或其他种族，平均年龄为16岁。与UC青少年相比，CHAT青少年报告在3个月时（p<0.0001：酒精；p= 0.01：大麻）和6个月时（p=0.04：酒精；p=0.04：大麻）明显减少同伴使用酒精和大麻的感觉。CHAT青少年在6个月时也报告了较少的负面酒精后果（p=0.08）。在12个月时，与UC相比，CHAT青少年报告的同龄人酒精（p=0.04）和大麻（p < 0.01）使用较少，酒精（p= 0.03）和大麻使用的负面后果较少（p=0.04）。一个简短的心梗干预在一年后减少了酒精和大麻使用的负面影响。研究结果强调，青少年可以从PC干预中获益，这种干预可以简单有效地解决酒精和大麻的使用问题。
The primary care (PC) setting provides a unique opportunity to address adolescent alcohol and other drug (AOD) use. We conducted a randomized controlled trial in four PC clinics from April 2013 to November 2015 to determine whether a 15-minute brief motivational interviewing (MI) AOD intervention, delivered in PC, reduced alcohol and marijuana use and consequences. Adolescents age 12 through 18 that came for an appointment during the 2.5-year study period were asked to be in the study and screened using the NIAAA Screening Guide. Those identified as at-risk were randomized to the intervention, CHAT, or usual care (UC). Adolescents completed four web-based surveys at baseline, 3-, 6- and 12-months post-baseline. The sample (n=294) was 58% female, 66% Hispanic, 17% Black, 12% white, 5% multiethnic or other, with an average age of 16 years. Compared to UC adolescents, CHAT adolescents reported significantly less perceived peer use of alcohol and marijuana at 3 months (p<0.0001: alcohol; p=.01: marijuana) and 6 months (p=0.04: alcohol; p=0.04: marijuana). CHAT adolescents also reported marginally fewer negative alcohol consequences experienced at 6 months (p=0.08). At 12 months, compared to UC, CHAT adolescents reported less perceived peer alcohol (p =0.04) and marijuana (p <.01) use and fewer negative consequences from alcohol (p =0.03) and marijuana use (p=0.04). A brief MI intervention delivered in PC reduced negative consequences from alcohol and marijuana use one year later. Findings emphasize that adolescents can benefit from PC interventions that briefly and effectively address both alcohol and marijuana use.
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DOI：
10.1111/j.1553-2712.2010.00818.x
发表时间：
2010-08
期刊：
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
影响因子：
--
作者：
Bernstein J;Heeren T;Edward E;Dorfman D;Bliss C;Winter M;Bernstein E
通讯作者：
Bernstein E
影响因子：
3.4
作者：
Corbin, William R.;Vaughan, Ellen L.;Fromme, Kim
通讯作者：
Fromme, Kim
影响因子：
12.7
作者：
Ellickson, PL;McCaffrey, DF;Longshore, DL
通讯作者：
Longshore, DL
影响因子：
7.6
作者：
Buckelew, Sara M.;Adams, Sally H.;Ozer, Elizabeth M.
通讯作者：
Ozer, Elizabeth M.
影响因子：
2.8
作者：
Berg, Noora;Kiviruusu, Olli;Huurre, Taina
通讯作者：
Huurre, Taina