Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Arch Pediatr Adolesc Med. 2004 Jul;158(7):635-42.

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

Author information

  • 1Department of Public and Community Health, College of Health and Human Performance, University of Maryland, College Park, MD 20742, USA. bb153@umail.umd.edu

Abstract

OBJECTIVE:

To determine whether office-based interventions change adolescents' alcohol beliefs and alcohol use.

DESIGN:

Randomized, controlled trial.

SETTING:

Five managed care group practices in Washington, DC.

PARTICIPANTS:

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.

INTERVENTIONS:

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).

MAIN OUTCOME MEASURES:

Adolescent alcohol beliefs at exit interview and self-reported behaviors at 6- and 12-month follow-up.

RESULTS:

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 in the last 30 days (OR, 2.31; CI, 1.31-4.07) and in the last 3 months (OR, 1.76; CI, 1.12-2.77) than Group I.

CONCLUSION:

Brief office-based interventions were ineffective in reducing adolescent alcohol use but may increase adolescent reporting of alcohol use.

PMID:
15237062
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Silverchair Information Systems
    Loading ...
    Write to the Help Desk