TY  - JOUR
PY  - 2011//
TI  - Individual and family motivational interventions for alcohol-positive adolescents treated in an emergency department: Results of a randomized clinical trial
JO  - Archives of pediatrics and adolescent medicine
A1  - Spirito, Anthony
A1  - Sindelar-Manning, Holly
A1  - Colby, Suzanne M.
A1  - Barnett, Nancy P.
A1  - Lewander, William
A1  - Rohsenow, Damaris J.
A1  - Monti, Peter M.
SP  - 269
EP  - 274
VL  - 165
IS  - 3
N2  - 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 Identifier: NCT 00247221.<p />  <p>Language: en</p>
LA  - en
SN  - 1072-4710
UR  - http://dx.doi.org/10.1001/archpediatrics.2010.296
ID  - ref1
ER  -