Effectiveness of a brief integrative multiple substance use intervention among young men with and without booster sessions

Effectiveness of a brief integrative multiple substance use intervention among young men with and without booster sessions
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DOI:
10.1016/j.jsat.2012.07.005
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发表时间:
2013-02-01
影响因子:
3.9
通讯作者:
Daeppen, Jean-Bernard
Daeppen, Jean-Bernard
中科院分区:
医学2区
文献类型:
--
作者:
Gmel, Gerhard;Gaume, Jacques;Daeppen, Jean-Bernard

文献摘要

被引文献

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简单干预(BI)通常采用筛查并针对单一物质。多物质干预措施更充分地反映了青少年和年轻人的危险行为。在许多情况下,系统性筛查使BI复杂化。分析了19岁男性自愿多物质干预的有效性和助推器会议的增量影响。参与者是在瑞士强制征兵期间登记的。与461名对照组相比,392名BI受试者在12项措施中的10项措施(4项烟草,4项大麻和2项酒精措施)中显示出减少的物质使用。组间效应较小且不显著(大麻使用流行率除外)。三个月的强化治疗无效,甚至是禁忌。在BI期间靶向多物质而无需事先筛选的有用性取决于小效应的值。增加助推器会议是无效的,因此不建议。(C)2013 Elsevier Inc. All rights reserved.
Brief interventions (BI) commonly employ screening and target a single substance. Multi-substance interventions are a more adequate reflection of risk behaviors in adolescents and young adults. Systematic screening complicates BI in many settings. The effectiveness of a voluntary multi-substance intervention among 19-year-old men and the incremental impact of booster sessions were analyzed. Participants were enrolled during mandatory army conscription in Switzerland. Compared with 461 controls, 392 BI subjects showed reduced substance use on 10 of 12 measures (4 tobacco, 4 cannabis, and 2 alcohol measures). Between-group effects were small and non-significant (except for cannabis use prevalence). Three-month booster sessions were not effective and even contraindicated. The usefulness of targeting multi-substances during BIs without prior screening depends on the value of small effects. The addition of booster sessions was not effective and therefore is not recommended. (C) 2013 Elsevier Inc. All rights reserved.