One-year Outcomes and Mediators of a Brief Intervention for Drug Abusing Adolescents

Overview

Journal Psychol Addict Behav

Publisher American Psychological Association

Specialties Psychiatry
Psychology

Date 2014 Jun 24

PMID 24955669

Citations 35

Authors

Ken C Winters

Susanne Lee

Andria Botzet

Tamara Fahnhorst

Ali Nicholson

Affiliations

Soon will be listed here.

Abstract

Two manually guided brief interventions were evaluated with a randomized, controlled trial. Adolescents (aged 13-17 years) suspected of abusing alcohol and other drugs and their parent were randomly assigned to receive either a 2-session adolescent only (BI-A), 2-session adolescent and additional parent session (BI-AP), or assessment only control condition (CON). Adolescents were identified in a school setting, and the intervention was delivered by trained counselors. Outcome analyses (N = 284; 90% of those enrolled) of relative change (from intake to 12 months) and absolute status (at 12 months) revealed a general pattern of reductions in drug use behaviors, particularly with the cannabis outcome measures, in both active conditions (BI-A and BI-AP). Students in the control condition showed worse outcome compared with the BI-A and BI-AP groups. Among the 4 mediating variables measured at 6 months, use of additional services, motivation to change, and parenting practices had significant influences on 12-month outcome; problem-solving skills approached significance as a mediator. The potential value of a brief intervention for drug abusing adolescents is discussed.

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References

DAmico E, Fromme K . Brief prevention for adolescent risk-taking behavior. Addiction. 2002; 97(5):563-74. DOI: 10.1046/j.1360-0443.2002.00115.x. View

Ogel K, Coskun S . Cognitive behavioral therapy-based brief intervention for volatile substance misusers during adolescence: a follow-up study. Subst Use Misuse. 2011; 46 Suppl 1:128-33. DOI: 10.3109/10826084.2011.580233. View

Spirito A, Sindelar-Manning H, Colby S, Barnett N, Lewander W, Rohsenow D . Individual and family motivational interventions for alcohol-positive adolescents treated in an emergency department: results of a randomized clinical trial. Arch Pediatr Adolesc Med. 2011; 165(3):269-74. PMC: 3690344. DOI: 10.1001/archpediatrics.2010.296. View

Wutzke S, Conigrave K, Saunders J, Hall W . The long-term effectiveness of brief interventions for unsafe alcohol consumption: a 10-year follow-up. Addiction. 2002; 97(6):665-75. DOI: 10.1046/j.1360-0443.2002.00080.x. View

Breslin C, Li S, Sdao-Jarvie K, Tupker E . Brief treatment for young substance abusers: a pilot study in an addiction treatment setting. Psychol Addict Behav. 2002; 16(1):10-6. View

Walker D, Stephens R, Roffman R, DeMarce J, Lozano B, Towe S . Randomized controlled trial of motivational enhancement therapy with nontreatment-seeking adolescent cannabis users: a further test of the teen marijuana check-up. Psychol Addict Behav. 2011; 25(3):474-84. PMC: 3177997. DOI: 10.1037/a0024076. View

Walker D, Roffman R, Stephens R, Wakana K, Berghuis J, Kim W . Motivational enhancement therapy for adolescent marijuana users: a preliminary randomized controlled trial. J Consult Clin Psychol. 2006; 74(3):628-32. PMC: 2587139. DOI: 10.1037/0022-006X.74.3.628. View

Prochaska J, DiClemente C, Norcross J . In search of how people change. Applications to addictive behaviors. Am Psychol. 1992; 47(9):1102-14. DOI: 10.1037//0003-066x.47.9.1102. View

Grenard J, Ames S, Wiers R, Thush C, Stacy A, Sussman S . Brief intervention for substance use among at-risk adolescents: a pilot study. J Adolesc Health. 2007; 40(2):188-91. PMC: 3134418. DOI: 10.1016/j.jadohealth.2006.08.008. View

10.

Shrout P, Bolger N . Mediation in experimental and nonexperimental studies: new procedures and recommendations. Psychol Methods. 2003; 7(4):422-45. View

11.

Jensen C, Cushing C, Aylward B, Craig J, Sorell D, Steele R . Effectiveness of motivational interviewing interventions for adolescent substance use behavior change: a meta-analytic review. J Consult Clin Psychol. 2011; 79(4):433-40. DOI: 10.1037/a0023992. View

12.

Preacher K, Hayes A . Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods. 2008; 40(3):879-91. DOI: 10.3758/brm.40.3.879. View

13.

Winters K, Leitten W, Wagner E, Tevyaw T . Use of brief interventions for drug abusing teenagers within a middle and high school setting. J Sch Health. 2007; 77(4):196-206. DOI: 10.1111/j.1746-1561.2007.00191.x. View

14.

Monti P, Colby S, Barnett N, Spirito A, Rohsenow D, Myers M . Brief intervention for harm reduction with alcohol-positive older adolescents in a hospital emergency department. J Consult Clin Psychol. 1999; 67(6):989-94. DOI: 10.1037//0022-006x.67.6.989. View

15.

Babor T, McRee B, Kassebaum P, Grimaldi P, Ahmed K, Bray J . Screening, Brief Intervention, and Referral to Treatment (SBIRT): toward a public health approach to the management of substance abuse. Subst Abus. 2007; 28(3):7-30. DOI: 10.1300/J465v28n03_03. View

16.

Winters K, Fahnhorst T, Botzet A, Lee S, Lalone B . Brief intervention for drug-abusing adolescents in a school setting: outcomes and mediating factors. J Subst Abuse Treat. 2011; 42(3):279-88. PMC: 3261339. DOI: 10.1016/j.jsat.2011.08.005. View

17.

Henderson C, Rowe C, Dakof G, Hawes S, Liddle H . Parenting practices as mediators of treatment effects in an early-intervention trial of multidimensional family therapy. Am J Drug Alcohol Abuse. 2010; 35(4):220-6. PMC: 2829728. DOI: 10.1080/00952990903005890. View

18.

Tanner-Smith E, Wilson S, Lipsey M . The comparative effectiveness of outpatient treatment for adolescent substance abuse: a meta-analysis. J Subst Abuse Treat. 2012; 44(2):145-58. PMC: 3477300. DOI: 10.1016/j.jsat.2012.05.006. View

19.

Pollock N, Martin C . Diagnostic orphans: adolescents with alcohol symptom who do not qualify for DSM-IV abuse or dependence diagnoses. Am J Psychiatry. 1999; 156(6):897-901. DOI: 10.1176/ajp.156.6.897. View

20.

Schulenberg J, Maggs J . A developmental perspective on alcohol use and heavy drinking during adolescence and the transition to young adulthood. J Stud Alcohol Suppl. 2002; (14):54-70. DOI: 10.15288/jsas.2002.s14.54. View