Randomized trial of brief office-based interventions to reduce adolescent alcohol use

Archives of Pediatrics & Adolescent Medicine
B O BoekelooMark H Snyder

Abstract

To determine whether office-based interventions change adolescents' alcohol beliefs and alcohol use. Randomized, controlled trial. Five managed care group practices in Washington, DC. Consecutive 12- to 17-year-olds (N = 409) seeing primary care providers (N = 26) for general check-ups. Most of the adolescents (79%) were African American, 44% were male, and 16% currently drank. Usual care (Group I), adolescent priming with alcohol self-assessment just prior to check-up (Group II), adolescent priming and provider prompting with adolescent self-assessment and brochure (Group III). Adolescent alcohol beliefs at exit interview and self-reported behaviors at 6- and 12-month follow-up. At exit interview, Groups II and III reported that less alcohol was needed for impaired thinking and a greater intent to drink alcohol in the next 3 months than Group I. At 6 months, Group III reported more resistance to peer pressure to drink, and Groups II and III reported more bingeing than Group I. At 1-year follow-up, controlling for baseline levels, Groups II (odds ratio [OR], 3.44; 95% confidence interval [CI], 1.44-6.24) and III (OR, 2.86; CI, 1.13-7.26) reported more bingeing in the last 3 months than Group I. Group II reported more drinking i...Continue Reading

Citations

Nov 16, 2013·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·Robert PattonColin Drummond
Mar 13, 2014·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Dagmar M HallerBarbara Broers
Oct 25, 2011·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Elizabeth M OzerCharles E Irwin
Oct 21, 2009·American Journal of Preventive Medicine·Leif I SolbergSusan K Maloney
Jun 29, 2013·The American Journal on Addictions·Shannon Gwin MitchellRobert P Schwartz
Jun 23, 2016·Clinical Pediatrics·Jessica L FriedmanKathryn I Pollak
Feb 25, 2018·The Cochrane Database of Systematic Reviews·Eileen Fs KanerBernard Burnand
Sep 9, 2011·The Cochrane Database of Systematic Reviews·David R Foxcroft, Alexander Tsertsvadze
Sep 9, 2011·The Cochrane Database of Systematic Reviews·David R Foxcroft, Alexander Tsertsvadze
May 13, 2011·The Cochrane Database of Systematic Reviews·David R Foxcroft, Alexander Tsertsvadze
May 14, 2020·Clinical Psychology Review·Laura Castillo-EitoRichard Rowe
Feb 6, 2018·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Stacy SterlingDerek D Satre

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