Alcohol and Marijuana Use Outcomes in the Healthy Choices Motivational Interviewing Intervention for HIV-Positive Youth
Alcohol and Marijuana Use Outcomes in the Healthy Choices Motivational Interviewing Intervention for HIV-Positive Youth
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DOI：
10.1089/apc.2011.0157
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发表时间：
2012-02-01
影响因子：
4.9
通讯作者：
Parsons, Jeffrey T.
中科院分区：
文献类型：
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作者：
Murphy, Debra A.;Chen, Xinguang;Parsons, Jeffrey T.
健康的选择是一个动机访谈干预措施，针对艾滋病毒阳性青年的多种风险行为。这项研究调查了这种干预计划对酒精和大麻使用的影响。青年艾滋病毒感染者（n = 143，平均年龄= 20.7，51.5%男性）从美国的四个地点招募，并随机分配到干预或控制条件。四次会议的干预集中在两个三个可能的问题行为的基础上进入筛选，这项研究的重点是143艾滋病毒阳性的青年谁收到的物质使用的干预。在15个月的随访中，干预青年的上周饮酒量显著低于对照青年（39.7%对53.6%，chi（2）= 2.81，0.05 < p < 0.01）;发展轨迹分析表明酒精使用量显著减少，但更重要的是，随着时间的推移，干预措施在显着降低青少年被归类为高风险轨迹组的概率方面是有效的。这种干预在减少大麻使用方面效果不太好。
Healthy Choices is a motivational interviewing intervention targeting multiple risk behaviors among HIV-positive youth. This study investigated the effects of this intervention program specifically on alcohol and marijuana use. Youth living with HIV (n = 143, mean age = 20.7, 51.5% male) were recruited from four sites in the United States, and randomly assigned to intervention or control conditions. The four-session intervention focused on two of three possible problem behaviors based on entry screening; this study focused on 143 HIV-positive youth who received the intervention for substance use. At 15-month follow-up past-week alcohol use was significantly lower for intervention youth than control youth (39.7% versus 53.6%, chi(2) = 2.81, 0.05 < p < 0.01); developmental trajectory analysis demonstrated significant reductions in alcohol use, but more importantly the intervention was effective over time in significantly reducing the adolescent's probability of being classified into the high-risk trajectory group. The intervention was less effective in reducing marijuana use.