Disorders - Alcohol Use
Cornelius, J. R., Chung, T., Bukstein, O. G., Douaihy, A., Hayes, J., Wood, D. S.
The authors recently completed a first follow-up study involving subjects who had signed consent to participate in a double-blind, placebo-controlled acute phase trial of fluoxetine (20 mg) in adolescents with comorbid major depressive disorder (MDD) and an alcohol use disorder (AUD). Those subjects included 50 who had been randomized to fluoxetine or placebo, and 27 who did not participate in the treatment study, but who served as a nontreatment comparison group. All subjects who had participated in the treatment study had also received motivational enhancement therapy (MET) and cognitive behavioral psychotherapy (CBT) during the acute phase study, in addition to receiving fluoxetine or placebo. Almost all (96%) of the subjects who participated in the acute phase trial also participated in the 2-year follow-up assessment. On repeated measures ANOVA, there was a significant (at p <.001) time by participation in treatment phase (vs. being in the nontreatment comparison group) for three depression-related and one alcohol-related variable, with the treatment group doing better than the non-treatment group. No significant differences were noted between the fluoxetine and placebo groups. These findings suggest efficacy for CBT/MET therapy for treating the depressive symptoms and the alcohol-related symptoms of MDD-AUD teens.
Alcoholism: Clinical & Experimental Research, 34(6) : 175A
- Year: 2010
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Biological Interventions (any)
, Selective serotonin reuptake inhibitors (SSRIs)
Diaz-Martinez, L. R., Diaz-Martinez, A., Rodriguez-Machain, A. C., Senties, R., Luna-Cruz, C., Hernandez-Avila, C. A.
Few studies aiming at treating university students with a diagnosis of alcohol dependence have been published. In this study, we evaluated the effects of an eight-week treatment program involving motivational enhancement (MET) or cognitive behavioral therapy (CBT) for Mexican college students diagnosed with alcohol dependence (AD). Subjects and Methods: In this preliminary analysis, 158 university students (116 men and 42 women, average age 18.8 years) with a diagnosis of AD (ICD-10) were included. The students were referred to the UNAM mental health clinic by the university medical services after a positive screen for problem drinking with the Alcohol Use Disorders Identification Test (AUDIT score (greater-than or equal to) 8). Those student diagnosed with AD were randomly assigned to receive in a group or individual format, MET or CBT. All the four intervention groups were manual based and implemented weekly during 60 minutes sessions. Before the participants were assigned to a treatment group, all were subjected to an individual baseline assessment. This assessment involved a face-to-face interview with a master's level therapist and the completion of the Spanish version of the alcohol section of the Composite International Diagnostic Interview, the Alcohol Timeline Followback (TLFB) and the Alcohol Dependence Scale. Interviews with the TLFB were conducted at the end of treatment and during the follow up periods after 3 and (delta) months. An intention to treat analysis and an ANOVA for repeated measures were conducted controlling for demographic variables to examine the effects of treatment on number of drinking days, drinks per drinking day and binge drinking episodes. Results: Eighty percent of the students completed the 8-week treatment whereas 68% and 56% respectively completed the 3- and the 6-month follow-up assessments. At the end of treatment, and during the 3 and (delta) month follow-ups, all the students showed significant reduction in drinking behavior (p < 0.05). There were no main or interactive effects of treatment group with the MET and CBT groups showing comparable reductions in drinking. Conclusion: In our study, regardless of therapy assignment, there was a reduction in drinking in all students. Although we can not rule out that the failure to detect differences between treatment groups could be due to a reduced statistical power, our findings are consistent with research showing comparable efficacy of MET and CBT in the treatment of alcohol dependence.
Alcoholism: Clinical & Experimental Research, 34 : 166A
- Year: 2010
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions (any)
, Cognitive & behavioural therapies (CBT)
, Motivational interviewing, includes Motivational Enhancing Therapy
Ewing, S. W. F., Magnan, R. E., Bryan, A. D.
Compared with mainstream adolescents, justice-involved youth demonstrate greater rates of alcohol use and related health risk behavior (e.g., alcohol-related sexual risk behavior). In addition, studies have found differences in gender whereby justice-involved girls tend to have more severe and persistent substance use and related problems than their male peers. Due to many factors, including the paucity of girls in justice-based studies, little is known about what interventions may work for justice-involved girls. Therefore, this study sought to evaluate the efficacy of a 1-session group MET intervention targeting alcohol use and related risky sexual behavior with a sample of diverse, justice-involved youth by investigating alcohol use and sexual risk outcomes. In this study, 90% of youth were retained at 3 months (N=83, M age=16.10; male=55%, female=45%). Youth evidenced a range of risk behaviors that were comparable by gender at baseline (e.g., past month number of drinking days=3.79, number of drinks per drinking day=5.50, lifetime number of sexual partners=5.98, past month number of sexual partners=1.69, past month percent number of sexual events protected by condom use=44.76%). All youth were randomized to receive 1 of 2 types of group sexual risk interventions: a single session gMET condition that targeted risky sexual behavior, alcohol use, and alcohol-related sexual risk behavior, or a single session sexual education control condition. Three-month outcomes indicated differences in outcome by intervention condition for the sexual risk behavior, and differences in outcome by gender for the alcohol use behavior. Specifically, for sexual risk behavior, boys and girls in the gMET (vs. control) had better outcomes (past month number of sexual intercourse days M's=3.23 vs. 5.52, p=.12, and past month number of sexual partners; M's=1.30 vs. 1.60, p=.15; gMET, control, respectively). Differences in alcohol use did not conform to expectations. In terms of drinking behavior, girls in the gMET (vs. control) condition had less positive outcomes (past month number of binge drinking days; M's=2.14, 1.08, p=.04; gMET, control, respectively). However, boys in the gMET (vs. control) had better outcomes for alcohol use (past month number of binge drinking days; M's=0.76 vs. 1.50, p=.04; gMET, control respectively). Together, these findings highlight the importance of investigating gMET outcomes by gender.
Alcoholism: Clinical & Experimental Research, 34(6) : 272A
- Year: 2010
- Problem: Alcohol Use
- Type: Randomised controlled trials
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Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy
Hustad, John T. P., Barnett, Nancy P., Borsari, Brian, Jackson, Kristina M.
College students are an at-risk population based on their heavy alcohol consumption and associated consequences. First-year students are at particular risk due to greater freedom and access to alcohol on campus. Web-based (electronic) interventions (e-interventions) are being rapidly adopted as a universal approach to prevent high-risk drinking, but have not been well evaluated. The objective of this study was to investigate the effectiveness of the two most widely adopted EIs, AlcoholEdu and The Alcohol eCHECKUP TO GO (e-Chug), in reducing both alcohol use and alcohol-related consequences in incoming college students. To do so, we conducted a 3-group randomized trial (N=82) comparing AlcoholEdu and e-Chug to an assessment-only control group. Compared to the assessment-only control group, participants in the AlcoholEdu and e-Chug groups reported lower levels of alcohol use across multiple measures at 1-month follow-up. Participants who received AlcoholEdu showed significantly fewer lower alcohol-related consequences than assessment-only controls, while there was a trend for reduced consequences in participants who received e-Chug versus assessment-only. Findings indicate that e-intervention is a promising prevention approach to address the problem of college student alcohol consumption, especially for campuses that have limited resources.
Copyright 2009 Elsevier Ltd. All rights reserved.
Addictive Behaviors, 35(3) : 183-189
- Year: 2010
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Psychoeducation, Personalised feedback, normative feedback
, Technology, interventions delivered using technology (e.g. online, SMS)
Kulesza, Magdalena, Apperson, Megan, Larimer, Mary E., Copeland, Amy L.
Objective: Method: Results: Conclusions: Brief interventions for college student drinkers have been shown to be effective in reducing the amount of alcohol consumed as well as the number of alcohol-related problems. However, the duration of brief interventions varies substantially across studies.In the present study 114 undergraduate students who drank alcohol heavily were randomly assigned to a 10-minute brief intervention, a 50-minute brief intervention, or assessment-only control. The content of the active interventions was based on the same concept, and both interventions incorporated motivational interviewing components. Participants were assessed at baseline and 4-week post intervention on quantity of alcohol use, alcohol-related problems, and protective behavioral strategies.As hypothesized, there was a significant difference between participants in the 10-minute intervention and control condition regarding their alcohol consumption at 4-week follow up. However, there was no significant difference between the 50-minute intervention and the control condition on alcohol consumption. There were also no significant differences between active intervention conditions, and neither intervention showed advantages for reducing problems or increasing protective behaviors relative to the control condition.Results suggest a very brief intervention can impact short-term alcohol use outcomes, with potentially no advantage of longer interventions for this population.
2010 Elsevier Ltd. All rights reserved.
Addictive Behaviors, 35(7) : 730-733
- Year: 2010
- Problem: Alcohol Use
- Type: Randomised controlled trials
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Stage: At risk (indicated or selected prevention)
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Treatment and intervention: Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy
Tripodi, S. J., Bender, K., Litschge, C., Vaughn, M. G.
Objective: To assess the effectiveness of substance abuse interventions for their ability to reduce adolescent alcohol use. Data Sources: MEDLINE; PsycINFO; ERIC; Wilson Social Science Abstracts; Criminal Justice Abstracts; Social Work Abstracts; Social Science Citation Index; Dissertations Abstracts International; National Criminal Justice Research Service; Social, Psychological, Criminological, Educational Trials Register; and the PsiTri databases from 1960 through 2008. Study Selection: Of 64 titles and abstracts identified, 16 studies and 26 outcomes constituted the sample. The researchers calculated Hedges g effect sizes and used a random-effects model to calculate adjusted pooled effect sizes. Heterogeneity was explored using stratified analyses. Main Exposure: Completion of a substance abuse intervention that aimed to reduce or eliminate alcohol consumption. Main Outcome Measures: Abstinence, frequency of alcohol use, and quantity of alcohol use measured between 1 month and 1 year upon completion of treatment. Results: Pooled effects of standardized mean differences indicate that interventions significantly reduce adolescent alcohol use (Hedges g= -0.61; 95% confidence interval [CI], -0.83 to -0.40). Stratified analyses revealed larger effects for individual treatment (Hedges g= -0.75; 95% CI, -1.05 to -0.40) compared with family-based treatments (Hedges g= -0.46; 95% CI, -0.66 to -0.26). Conclusions: Treatments for adolescent substance abuse appear to be effective in reducing alcohol use. Individualonly interventions had larger effect sizes than familybased interventions and effect sizes decreased as length of follow-up increased. Furthermore, behavior-oriented treatments demonstrated promise in attaining longterm effects. (copyright)2010 American Medical Association. All rights reserved.
Archives of Pediatrics & Adolescent Medicine, 164(1) : 85-91
- Year: 2010
- Problem: Alcohol Use
- Type: Systematic reviews
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Stage: At risk (indicated or selected prevention)
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Treatment and intervention: Psychological Interventions (any)
White, Angela, Kavanagh, David, Stallman, Helen, Klein, Britt, Kay-Lambkin, Frances, Proudfoot, Judy, Drennan, Judy, et-al
Background: Objectives: Results: Conclusions: There has been a significant increase in the availability of online programs for alcohol problems. A systematic review of the research evidence underpinning these programs is timely.Our objective was to review the efficacy of online interventions for alcohol misuse. Systematic searches of Medline, PsycINFO, Web of Science, and Scopus were conducted for English abstracts (excluding dissertations) published from 1998 onward. Search terms were: (1) Internet, Web*; (2) online, computer*; (3) alcohol*; and (4) E\effect*, trial*, random* (where * denotes a wildcard). Forward and backward searches from identified papers were also conducted. Articles were included if (1) the primary intervention was delivered and accessed via the Internet, (2) the intervention focused on moderating or stopping alcohol consumption, and (3) the study was a randomized controlled trial of an alcohol-related screen, assessment, or intervention.The literature search initially yielded 31 randomized controlled trials (RCTs), 17 of which met inclusion criteria. Of these 17 studies, 12 (70.6%) were conducted with university students, and 11 (64.7%) specifically focused on at-risk, heavy, or binge drinkers. Sample sizes ranged from 40 to 3216 (median 261), with 12 (70.6%) studies predominantly involving brief personalized feedback interventions. Using published data, effect sizes could be extracted from 8 of the 17 studies. In relation to alcohol units per week or month and based on 5 RCTs where a measure of alcohol units per week or month could be extracted, differential effect sizes to posttreatment ranged from 0.02 to 0.81 (mean 0.42, median 0.54). Pre-post effect sizes for brief personalized feedback interventions ranged from 0.02 to 0.81, and in 2 multi-session modularized interventions, a pre-post effect size of 0.56 was obtained in both. Pre-post differential effect sizes for peak blood alcohol concentrations (BAC) ranged from 0.22 to 0.88, with a mean effect size of 0.66.The available evidence suggests that users can benefit from online alcohol interventions and that this approach could be particularly useful for groups less likely to access traditional alcohol-related services, such as women, young people, and at-risk users. However, caution should be exercised given the limited number of studies allowing extraction of effect sizes, the heterogeneity of outcome measures and follow-up periods, and the large proportion of student-based studies. More extensive RCTs in community samples are required to better understand the efficacy of specific online alcohol approaches, program dosage, the additive effect of telephone or face-to-face interventions, and effective strategies for their dissemination and marketing.
Journal of Medical Internet Research, 12(5) : e62-e62
- Year: 2010
- Problem: Alcohol Use
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Technology, interventions delivered using technology (e.g. online, SMS)
Tait, Robert J., Christensen, Helen
Objective: Data Sources: Study Selection: Data Synthesis: Conclusions: To conduct a systematic review of randomised trials of web-based interventions for problematic substance use by adolescents and young adults.An extensive search conducted in February 2009 of computer databases (MEDLINE, PsycINFO, Current Contents) and manual searches of key references.Randomised comparisons of fully automated web-based interventions specifically targeting adolescents and young adults (ie, typically school or tertiary students, < or = 25 years old) versus other interventions.16 relevant studies were identified, and data were extracted from 13 of the 14 reporting on alcohol use by young adults. The alcohol interventions had a small effect overall (d = -0.22) and for specific outcomes (level of alcohol consumption, d = -0.12; binge or heavy drinking frequency, d = -0.35; alcohol-related social problems, d = -0.57). The interventions were not effective (d = -0.001) in preventing subsequent development of alcohol-related problems among people who were non-drinkers at baseline. Due to methodological differences, data from the two studies reporting on tobacco interventions among adolescents were not combined.Based on findings largely from tertiary students, web interventions targeting alcohol-related problems have an effect about equivalent to brief in-person interventions, but with the advantage that they can be delivered to a far larger proportion of the target population. Web-based interventions to prevent the development of alcohol-related problems in those who do not currently drink appear to have minimal impact. There are currently insufficient data to assess the effectiveness of web-based interventions for tobacco use by adolescents.
Medical Journal of Australia, 192(11 Suppl) : S15-S21
- Year: 2010
- Problem: Alcohol Use
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Technology, interventions delivered using technology (e.g. online, SMS)
Spijkerman, Renske, Roek, Marion A. E., Vermulst, Ad, Lemmers, Lex, Huiberts, Annemarie, Engels, Rutger C. M. E.
Background: Objective: Method: Results: Conclusion: Trial Registration: Current insights indicate that Web-based delivery may enhance the implementation of brief alcohol interventions. Previous research showed that electronically delivered brief alcohol interventions decreased alcohol use in college students and adult problem drinkers. To date, no study has investigated the effectiveness of Web-based brief alcohol interventions in reducing alcohol use in younger populations.The present study tested 2 main hypotheses, that is, whether an online multicomponent brief alcohol intervention was effective in reducing alcohol use among 15- to 20-year-old binge drinkers and whether inclusion of normative feedback would increase the effectiveness of this intervention. In additional analyses, we examined possible moderation effects of participant's sex, which we had not a priori hypothesized.A total of 575 online panel members (aged 15 to 20 years) who were screened as binge drinkers were randomly assigned to (1) a Web-based brief alcohol intervention without normative feedback, (2) a Web-based brief alcohol intervention with normative feedback, or (3) a control group (no intervention). Alcohol use and moderate drinking were assessed at baseline, 1 month, and 3 months after the intervention. Separate analyses were conducted for participants in the original sample (n = 575) and those who completed both posttests (n = 278). Missing values in the original sample were imputed by using the multiple imputation procedure of PASW Statistics 18.Main effects of the intervention were found only in the multiple imputed dataset for the original sample suggesting that the intervention without normative feedback reduced weekly drinking in the total group both 1 and 3 months after the intervention (n =575, at the 1-month follow-up, beta = -.24, P = .05; at the 3-month follow-up, beta = -.25, P = .04). Furthermore, the intervention with normative feedback reduced weekly drinking only at 1 month after the intervention (n=575, beta = -.24, P = .008). There was also a marginally significant trend of the intervention without normative feedback on responsible drinking at the 3-month follow-up (n =575, beta = .40, P =.07) implying a small increase in moderate drinking at the 3-month follow-up. Additional analyses on both datasets testing our post hoc hypothesis about a possible differential intervention effect for males and females revealed that this was the case for the impact of the intervention without normative feedback on weekly drinking and moderate drinking at the 1-month follow-up (weekly drinking for n = 278, beta = -.80, P = .01, and for n = 575, beta = -.69, P = .009; moderate drinking for n = 278, odds ratio [OR] = 3.76, confidence interval [CI] 1.05 - 13.49, P = .04, and for n = 575, OR = 3.00, CI = 0.89 - 10.12, P = .08) and at the 3-month follow-up (weekly drinking for n = 278, beta = -.58, P = .05, and for n = 575, beta = -.75, P = .004; moderate drinking for n = 278, OR = 4.34, CI = 1.18 - 15.95, P = .04, and for n = 575, OR = 3.65, CI = 1.44 - 9.25, P = .006). Furthermore, both datasets showed an interaction effect between the intervention with normative feedback and participant's sex on weekly alcohol use at the 1-month follow-up (for n = 278, beta = -.74, P =.02, and for n = 575, beta = -.64, P =.01) and for moderate drinking at the 3-month follow-up (for n = 278, OR = 3.10, CI = 0.81 - 11.85, P = .07, and for n = 575, OR = 3.00, CI = 1.23 - 7.27, P = .01). Post hoc probing indicated that males who received the intervention showed less weekly drinking and were more likely to drink moderately at 1 month and at 3 months following the intervention. For females, the interventions yielded no effects: the intervention without normative feedback even showed a small unfavorable effect at the 1-month follow-up.The present study demonstrated that exposure to a Web-based brief alcohol intervention generated a decrease in weekly drinking among 15- to 20-year-old binge drinkers but did not encourage moderate drinking in the total sample. Add tional analyses revealed that intervention effects were most prominent in males resulting in less weekly alcohol use and higher levels of moderate drinking among 15- to 20-year-old males over a period of 1 to 3 months.
Journal of Medical Internet Research, 12(5) : e65-e65
- Year: 2010
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Personalised feedback, normative feedback
, Technology, interventions delivered using technology (e.g. online, SMS)
Wood, Mark D., Fairlie, Anne M., Fernandez, Anne C., Borsari, Brian, Capone, Christy, Laforge, Robert, Carmona-Barros, Rosa
Objective: Using a randomized factorial design, we examined the efficacy of a brief motivational intervention (BMI) and a parent-based intervention (PBI) as universal preventive interventions to reduce alcohol use among incoming college students. Method: Participants (N = 1,014) were assessed prior to matriculation and at 10 months and 22 months postbaseline. Two-part latent growth modeling was used to simultaneously examine initiation and growth in heavy episodic drinking and alcohol-related consequences. Results: This study retained 90.8% (n = 921) of randomized students at the 10-month follow-up and 84.0% (n = 852) of randomized students at the 22-month follow-up. BMI participants were significantly less likely than non-BMI participants to initiate heavy episodic drinking and to begin experiencing alcohol-related consequences. Effect sizes were minimal at 10 months (Cohen's h ranged from 0.02 to 0.07) and were small at 22 months (hs ranged from 0.15 to 0.22). A significant BMI √ó PBI interaction revealed that students receiving both the BMI and the PBI were significantly less likely to report the onset of consequences beyond the sum of the individual intervention effects (h = 0.08 at 10 months, and h = 0.21 at 22 months). Hypothesized direct BMI effects for reductions in heavy episodic drinking and consequences were not observed. Significant mediated effects via changes in descriptive norms were present for both growth and initiation of heavy episodic drinking and consequences. Conclusions: To our knowledge, the current study is the first to provide support for BMI as a universal preventive intervention for incoming college students. Although hypothesized PBI main effects were not found, mediation analyses suggest future refinements could enhance PBI effectiveness. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
Journal of Consulting & Clinical Psychology, 78(3) : 349-361
- Year: 2010
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy, Other Psychological Interventions
Spaeth, Michael, Weichold, Karina, Silbereisen, Rainer K., Wiesner, Margit
Objective: This study investigated whether a universal school-based life skills program—IPSY (Information + Psychosocial Competence = Protection)—against substance misuse exerted the same effectiveness for young adolescents (10.5–13 years) from distinct alcohol use trajectories characterized by late childhood risk factors (temperament, self-worth, social problems with peers). Method: Analyses were based on a German sample of school students (N = 1,484). A longitudinal quasi-experimental design (intervention/control) with schoolwise assignment to the respective groups was used. Data were gathered via self-report questionnaire. Two-part growth mixture modeling was applied. Results: Two prototypical trajectory classes of early alcohol use were found: a problematic group with a sharp increase in prevalence and quantity of consumed alcohol (19.7%) and a normative group with a moderate increase in both outcomes (80.3%). The problematic trajectory class was associated with several risk factors. IPSY decreased the likelihood of membership in the problematic group. Furthermore, IPSY buffered the increase in prevalence and quantity for the normative group, whereas it had no effects on these indicators for the problematic group. Concerning quantity of alcohol use, the effect size in terms of a difference in estimated means between intervention and control group at the last measurement point in the normative group was d = 0.33 (95% CI [0.21, 0.44]). Conclusions: Study findings indicate the usefulness of IPSY for reducing alcohol use especially in normative developing adolescents. However, the minority of adolescents consistently pursuing a problematic developmental pathway of alcohol use seem to be in need of earlier, more tailored treatments. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
Journal of Consulting & Clinical Psychology, 78(3) : 334-348
- Year: 2010
- Problem: Alcohol Use
- Type: Controlled clinical trials
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Stage: Universal prevention
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Treatment and intervention: Psychological Interventions (any)
, Skills training
Schwinn, Traci M., Schinke, Steven P.
Objective: This study was undertaken to evaluate the efficacy of a skills-based CD-ROM intervention, with and without a parent component, to reduce alcohol use among urban youth at 6-year followup. Method: At recruitment, 513 youths with a mean age of 10.8 years were randomly assigned to one of three study arms: youth CD-ROM intervention plus parent component, youth CD-ROM intervention only, or control. All youths completed pretest, posttest, and annual follow-up measures. Youths and parents in their respective arms received the initial intervention program between pretest and posttest measures and received booster interventions between each follow-up measure. Results: With 80% sample retention at 6-year follow-up, youths in both intervention arms reported less past-month alcohol and cigarette use and fewer instances of heavy drinking and negative alcohol-related consequences. Despite having similar numbers of drinking peers as youths in the control arm, youths in both intervention arms reported greater alcohol-refusal skills. Only past-month cigarette use differed between the two intervention arms, with youths in the intervention-plus-parent-component arm smoking less than youths in the CD-ROM intervention-only arm. Conclusions: Six years after initial intervention, youths who received a culturally tailored, skills-based prevention program had reduced alcohol use and lower rates of related risky behaviors than youths in the control arm. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
Journal of Studies on Alcohol & Drugs, 71(4) : 535-538
- Year: 2010
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Skills training, Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)