Format

Send to

Choose Destination
See comment in PubMed Commons below
Arch Pediatr Adolesc Med. 2011 Mar;165(3):269-74. doi: 10.1001/archpediatrics.2010.296.

Individual and family motivational interventions for alcohol-positive adolescents treated in an emergency department: results of a randomized clinical trial.

Author information

1
Brown University Center for Alcohol and Addiction Studies, Providence, RI 02912, USA. Anthony_Spirito@brown.edu

Abstract

OBJECTIVE:

To determine whether a brief individual motivational interview (IMI) plus a family motivational interview (Family Check-Up [FCU]) would reduce alcohol use in adolescents treated in an emergency department after an alcohol-related event more effectively than would an IMI only.

DESIGN:

Two-group randomized design with 3 follow-up time points.

SETTING:

An urban regional level I trauma center.

PARTICIPANTS:

Adolescents aged 13 to 17 years (N = 125) with a positive blood alcohol concentration as tested using blood, breath, or saliva.

INTERVENTIONS:

Either IMI or IMI plus FCU.

MAIN OUTCOME MEASURES:

Drinking frequency (days per month), quantity (drinks per occasion), and frequency of high-volume drinking (≥5 drinks per occasion).

RESULTS:

Both conditions resulted in a reduction in all drinking outcomes at all follow-up points (P < .001 for all), with the strongest effects at 3 and 6 months. Adding the FCU to the IMI resulted in a somewhat better outcome than did the IMI only on high-volume drinking days at 3-month follow-up (14.6% vs 32.1%, P = .048; odds ratio, 2.76; 95% confidence interval, 0.99-7.75).

CONCLUSIONS:

Motivational interventions have a positive effect on drinking outcomes in the short term after an alcohol-related emergency department visit. Adding the FCU to an IMI resulted in somewhat better effects on high-volume drinking at short-term follow-up than did an IMI only. The cost of extra sessions necessary to complete the FCU should be weighed against the potential benefit of reducing high-volume drinking when considering adding the FCU to an IMI for this population.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT00247221.

PMID:
21383276
PMCID:
PMC3690344
DOI:
10.1001/archpediatrics.2010.296
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Silverchair Information Systems Icon for PubMed Central
    Loading ...
    Support Center