TY - JOUR PY - 2014// TI - Do risky friends change the efficacy of a primary care brief intervention for adolescent alcohol use? JO - Journal of Adolescent Health A1 - Van Hook, Shari A1 - Sherritt, Lon A1 - Knight, John R. A1 - Louis-Jacques, Jennifer A1 - Harris, Sion K. SP - 449 EP - 453 VL - 54 IS - 4 N2 - PURPOSE: To determine if peer risk (having friends who drink or approve of drinking) modifies the effects of a computer-facilitated screening and provider brief advice (cSBA) intervention on adolescent alcohol use. METHODS: We assessed the intervention effect using logistic regression modeling with generalized estimating equations on a sample of 2,092 adolescents. Effect modification by peer risk was analyzed separately for alcohol initiation (drinking at follow-up in baseline nondrinkers) and cessation (no drinking at follow-up in baseline drinkers) by testing an interaction term (treatment condition by peer risk). Interpretation of the interaction effect was further clarified by subsequent stratification by peer risk. RESULTS: The intervention effect on alcohol cessation was significantly greater among those with peer risk (adjusted relative risk ratios; risk 1.44, 1.18-1.76 vs. no risk .98, .41-2.36) at 3 months' follow-up. There was no such finding for alcohol initiation. CONCLUSIONS: Alcohol screening and brief provider counseling may differentially benefit adolescent drinkers with drinking friends.
Language: en
LA - en SN - 1054-139X UR - http://dx.doi.org/10.1016/j.jadohealth.2013.09.012 ID - ref1 ER -