Brief intervention for harm reduction with alcohol-positive older adolescents in a hospital emergency department.
Journal of Consulting and Clinical PsychologyPublished 1 January 1999
Peter M. Monti, Suzanne M. Colby, Nancy P. Barnett, Anthony Spirito, Damaris J. Rohsenow, Mark G. Myers
Citations669
SJR quartileQ1
SJR score2.23
SNIP2.00
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
Abstract
This study evaluated the use of a brief motivational interview (MI) to reduce alcohol-related consequences and use among adolescents treated in an emergency room (ER) following an alcohol-related event. Patients aged 18 to 19 years (N = 94) were randomly assigned to receive either MI or standard care (SC). Assessment and intervention were conducted in the ER during or after the patient's treatment. Follow-up assessments showed that patients who received the MI had a significantly lower incidence of drinking and driving, traffic violations, alcohol-related injuries, and alcohol-related problems than patients who received SC. Both conditions showed reduced alcohol consumption. The harm-reduction focus of the MI was evident in that MI reduced negative outcomes related to drinking, beyond what was produced by the precipitating event plus SC alone.
Keywords
MedicineHealth Professions
Medical Entomology and ZoologyMotivational Interviewing: Preparing People to Change Addictive Behavior
4,484 Citations1991William R. Miller, Stephen Rollnick
Behavior TherapyPsychotherapy outcome research: Methods for reporting variability and evaluating clinical significance
1,297 Citations1984Neil S. Jacobson, William C. Follette +1 more
Journal of Consulting and Clinical PsychologyScreening and brief intervention for high-risk college student drinkers: Results from a 2-year follow-up assessment.
803 Citations1998G. Alan Marlatt, John S. Baer +6 more
Choice Reviews OnlineHandbook of research methods in clinical psychology
697 Citations2003
This chapter discusses research design issues in Clinical Psychology, methodological issues in Developmental Psychopathology Research, and research methods in Pediatric Psychology.
Journal of General Internal MedicineMeta-analysis of Randomized Control Trials Addressing Brief Interventions in Heavy Alcohol Drinkers
519 Citations1997Alev Inez Wilk, Norman M. Jensen +1 more
BMJCounselling problem drinkers in medical wards: a controlled study.
362 Citations1985Jonathan Chick, Geoffrey Lloyd +1 more
It is concluded that systematic screening for alcohol consumption and related problems should become a routine part of medical assessment and that advice on drinking habits is effective if given before irreversible physical or psychosocial problems have developed.
Elsevier eBooksInnovations in Adolescent Substance Abuse Interventions
214 Citations2001Eric F. Wagner, Sandra A. Brown +3 more
Five ongoing research programs devoted to meeting the goal of developing and testing theoretically based and empirically supported intervention approaches for adolescent substance abuse are described.
Journal of Consulting and Clinical PsychologyInternal validity of project MATCH treatments: Discriminability and integrity.
201 Citations1998Kathleen M. Carroll, Gerard J. Connors +8 more
Treatments were discriminable in that therapists implemented each of the treatments according to manual guidelines and rarely used techniques associated with comparison approaches, and nononspecific aspects of treatment such as therapist skillfulness and level of the therapeutic alliance were comparable across treatment conditions.
Journal of Health EconomicsDrinking and schooling
200 Citations1993Philip J. Cook, Michael J. Moore
The results indicate that heavy drinking in high school reduces the average number of years of schooling completed following high school, and students who spend their high school years in states with relatively high taxes and minimum age are more likely to graduate from college.
Journal of Studies on AlcoholYoung adult drinking-driving: behavioral and psychosocial correlates.
196 Citations1993John E. Donovan
The conclusion can be drawn that drinking-driving is part of a more general lifestyle involving behavior and psychosocial unconventionality.
Journal of Studies on AlcoholAdolescent problem drinking: stability of psychosocial and behavioral correlates across a generation.
107 Citations1999John E. Donovan, Richard Jessor +1 more
The consistency of results over a 20-year period confirms that the social-psychological meaning of adolescent involvement in problem drinking has remained stable despite changes in the larger sociohistorical context.
Journal of Drug IssuesProblem-Behavior Theory and the Explanation of Adolescent Marijuana Use
104 Citations1996John E. Donovan
Addictive BehaviorsDecisional balance and stage of change for adolescent drinking
95 Citations1997Jeffrey P. Migneault, Unto E. Pallonen +1 more
External validity was established by the significant and meaningful differences between the stages of change on the pros and cons of alcohol use.
Journal of Pediatric PsychologyRisk Taking, Reported Injiry, and Perception of Future Injury Among Adolesecents
79 Citations1997Elissa Jelalian, Anthony Spirito +4 more
Investigated the relationships among self-reported injury, risk taking, and perception of injury risk in a sample of 1,426 adolescents and found having a friend injured the same way was the strongest predictor of injury.
Psychological AssessmentScreening for adolescent problem drinking: Validation of a multidimensional instrument for case identification.
67 Citations1989Adele V. Harrell, Philip W. Wirtz
This research tested the thesis that adolescent problem drinking may be manifest in any of four independent domains (measured by the 24-item screening instrument, the Adolescent Drinking Inventory: Drinking and You): drinking-related loss of control, social indicators, psychological indicators, and physical indicators.
Alcoholism Clinical and Experimental ResearchInjury Type, Injury Severity, and Repeat Occurrence of Alcohol‐Related Trauma in Adolescents
50 Citations1994Ronald F. Maio, Joel E. Portnoy +2 more
The results indicate that a SAC should be obtained on all adolescents admitted for trauma, that adolescents presenting with injuries and a positive SACShould be referred for alcohol and psychiatric assessment, and that injured adolescents may be at increased risk for repeat injuries in the future.
Academic Emergency MedicineDetection of Alcohol Use in Adolescent Patients in the Emergency Department
28 Citations1998Nancy P. Barnett, Anthony Spirito +5 more
In this study population, approximately one-third of adolescent patients tested for alcohol as part of routine clinical care were alcohol-positive but were not necessarily given an alcohol-related diagnosis, suggesting studies determining rates of alcohol- positive adolescents treated in EDs should use multiple methods of detection.