Archives of pediatrics & adolescent medicine · 2004
Randomized trial of brief office-based interventions to reduce adolescent alcohol use.
Клиническое исследованиеСтатьяМногоцентровое исследованиеРандомизированное исследованиеПоддержка службы здравоохранения СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Boekeloo Bradley O, Jerry Judith, Lee-Ougo Wilhelmena I, Worrell Kevin D, Hamburger Ellen K, Russek-Cohen Estelle, Snyder Mark H
Аннотация
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.
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.
Предметные рубрики MeSH
AdolescentAdolescent BehaviorAdolescent Health ServicesAlcohol DrinkingAlcoholic BeveragesAlcoholismAttitude to HealthConfidence IntervalsCounselingDistrict of ColumbiaFemaleHealth PromotionHumansMaleOdds RatioOffice VisitsOutcome Assessment, Health CarePhysician-Patient RelationsPsychology, AdolescentRegression AnalysisRisk-TakingSingle-Blind MethodSurveys and Questionnaires