Brief motivational intervention with homeless adolescents: Evaluating effects on substance use and service utilization
Brief motivational intervention with homeless adolescents: Evaluating effects on substance use and service utilization
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DOI：
10.1037/0893-164x.21.4.582
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发表时间：
2007-12-01
影响因子：
3.4
通讯作者：
Peterson, Peggy L.
中科院分区：
文献类型：
--
作者：
Baer, John S.;Garrett, Sharon B.;Peterson, Peggy L.
采用随机设计和3个月的跟踪调查，对117名流浪青少年进行了简短的动机干预。这项干预旨在提高年轻人对其药物使用的担忧，支持减少伤害，并鼓励合作机构更多地利用服务。这项研究旨在加强早期研究(P·L·彼得森、J·S·贝尔、E·A·威尔斯、J·A·金兹勒和S·B·加勒特，2006)的初步有希望的结果。临床方案中包括了几项修改，以加强对干预的参与。分析表明，当无家可归的青少年的物质使用率与对照组参与者进行比较时，干预参与者没有明显的好处。接受干预的人在干预期间的服务利用率有所增加，但在后续行动中恢复到基线水平。参与者报告说，随着时间的推移，物质使用总体上减少了。讨论了当前研究和以前研究的抽样方法之间的差异，以及对这一人群进行短暂干预的局限性。未来的研究需要阐明高度脆弱青年的变化和服务参与机制。
A brief motivational intervention with 117 homeless adolescents was evaluated using a randomized design and 3-month follow-up. The intervention was designed to raise youths' concerns about their substance use, support harm reduction, and encourage greater service utilization at a collaborating agency. The study was designed to strengthen initial promising results of an earlier study (P. L. Peterson, J. S. Baer, E. A. Wells, J. A. Ginzler, & S. B. Garrett, 2006). Several modifications in the clinical protocol were included to enhance engagement with the intervention. Analyses revealed no significant benefits for intervention participants when homeless youths' substance use rates were compared with those of control participants. Service utilization during the intervention period increased for those receiving the intervention but returned to baseline levels at follow-up. Participants reported overall reductions in substance use over time. Differences between sampling methods for the current and previous study are discussed, as are the limitations of brief interventions with this population. Future research needs to elucidate mechanisms of change and service engagement for highly vulnerable youth.