Feasibility and acceptability of a pediatric emergency department alcohol prevention intervention for young adolescents.
Feasibility and acceptability of a pediatric emergency department alcohol prevention intervention for young adolescents.
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DOI：
10.1097/pec.0b013e3182a9f7da
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发表时间：
2013-11
影响因子：
1.4
通讯作者：
Spirito A
中科院分区：
文献类型：
--
作者：
Linakis JG;Bromberg J;Baird J;Nirenberg TD;Chun TH;Mello MJ;Jackson KM;Spirito A
确定一项简短的儿科急诊科（PED）预防干预措施在延迟/预防12 - 14岁青少年开始饮酒方面的可行性和可接受性。
在儿科急诊科就诊的、医学状况稳定的12 - 14岁青少年，由家长陪同且未开始饮酒的，符合入选条件。青少年 - 家长组合完成一项计算机化评估，并随机分配到简短预防干预（BPI）组或强化标准护理（ESC）组。BPI组家庭在儿科急诊科由一名训练有素的咨询师进行基于动机访谈和技能培养的课程。BPI组家长在1个月和3个月时接受电话强化指导。ESC组家庭接受标准护理和青少年物质使用宣传册。所有组合都完成了6个月的随访评估，以评估与饮酒相关的结果。
接触了228个家庭，122个符合条件，104个（85%）登记入组。青少年平均年龄为13岁（标准差 = 0.83），51%为女性，90%的家长为女性。在登记的104个组合中，5个退出；99个（94%）在30分钟内完成了儿科急诊科的评估组套。所有BPI组合都在儿科急诊科完成了咨询课程。然而，只有53%的BPI组家长完成了电话强化课程。BPI的可接受性项目得到家长和青少年的好评（82% - 100%）。BPI组和ESC组在与物质相关的结果上没有差异，尽管由于该研究是作为一项可行性研究设计的，为此目的并没有足够的效力。
在儿科急诊科进行BPI是可行且可接受的，但电话强化指导的可行性较低。需要更大的样本和进一步的研究来确定BPI在延迟青少年饮酒开始方面的功效。
To determine feasibility and acceptability of a brief pediatric emergency department (PED) prevention intervention to delay/prevent initiation of alcohol use in 12–14 yrs olds. Medically stable 1 2–14 yr olds presenting to the PED who were accompanied by a parent and who had not initiated alcohol use were eligible. Adolescents-parent dyads completed a computerized assessment and were randomized to either Brief Prevention Intervention (BPI) or Enhanced Standard Care (ESC). BPI families participated in a PED-based motivational interviewing and skill building-based session with a trained counselor. BPI parents had telephone boosters at 1 & 3 months. ESC families received standard care and adolescent substance use pamphlets. All dyads completed 6 month follow up assessments to assess alcohol use-related outcomes. 228 families were approached, 122 were eligible and 104 were enrolled (85%). Mean youth age was 13 years (SD =.83), 51% were female, and 90% of parents were females. Of the 104 enrolled, 5 withdrew; 99 (94%) completed the assessment battery in the PED in less than 30 minutes. All BPI dyads completed the counseling session in the PED. However, only 53% of BPI parents completed the booster telephone sessions. BPI acceptability items were rated favorably (82%–100%) by both parents and adolescents. There were no differences between the BPI and ESC on substance-related outcomes, although the study was not adequately powered for this purpose since it was designed as a feasibility study. A BPI in the PED is both feasible and acceptable but phone boosters proved less feasible. Larger samples and further study are needed to identify efficacy of the BPI in delaying onset of alcohol use in teens.