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Computer-Facilitated Screening and Brief Advice to Reduce Adolescents' Heavy Episodic Drinking: A Study in Two Countries
JR. Knight, K. Kuzubova, L. Csemy, L. Sherritt, S. Copelas, SK. Harris,
Language English Country United States
Document type Comparative Study, Journal Article, Research Support, N.I.H., Extramural, Research Support, U.S. Gov't, P.H.S.
Grant support
K07 AA013280
NIAAA NIH HHS - United States
R01 DA014553
NIDA NIH HHS - United States
R01 DA018848
NIDA NIH HHS - United States
- MeSH
- Diagnosis, Computer-Assisted methods MeSH
- Humans MeSH
- Adolescent MeSH
- Binge Drinking diagnosis therapy MeSH
- Underage Drinking statistics & numerical data MeSH
- Mass Screening * MeSH
- Substance-Related Disorders diagnosis MeSH
- Cross-Cultural Comparison * MeSH
- Check Tag
- Humans MeSH
- Adolescent MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, N.I.H., Extramural MeSH
- Research Support, U.S. Gov't, P.H.S. MeSH
- Comparative Study MeSH
- Geographicals
- Czech Republic MeSH
- United States MeSH
PURPOSE: A computer-facilitated screening and brief advice (cSBA) intervention was previously shown to reduce drinking among U.S. adolescents but not among Czech youth. The purpose of this study was to assess cSBA effect on heavy episodic drinking (HED). METHODS: Participants were 12- to 18-year-olds at nine U.S. primary care offices (N = 2,096) and 10 Czech pediatrician-generalist offices (N = 589) who completed measurements only during an 18-month treatment-as-usual (TAU) phase. We then initiated the cSBA protocol for all participants and recruited the 18-month cSBA phase. Generalized Estimating Equations logistic regression compared past-90-day HED for cSBA versus TAU at 3- and 12-months, controlling for baseline HED and other covariates. RESULTS: Baseline past-90-day HED rates were 11% for U.S. and 28% for Czech youth. At 3 months, among Czech baseline non-HED, the adjusted relative risk ratio for cSBA versus TAU was .52 (95% confidence interval .29, .92). The effect dissipated by 12 months. CONCLUSIONS: cSBA shows promise for short-term prevention of adolescent HED.
Centre for Evaluation Prevention and Research of Substance Abuse Prague Czech Republic
Department of Pediatrics Harvard Medical School Boston Massachusetts
Division of Adolescent Young Adult Medicine Boston Children's Hospital Boston Massachusetts
Division of Developmental Medicine Boston Children's Hospital Boston Massachusetts
National Institute of Mental Health Klecany Czech Republic
The Center for Adolescent Substance Abuse Research Boston Children's Hospital Boston Massachusetts
University of New England College of Osteopathic Medicine Biddeford Maine
References provided by Crossref.org
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- $a Knight, John R $u Department of Pediatrics, Harvard Medical School, Boston, Massachusetts; Division of Developmental Medicine, Boston Children's Hospital, Boston, Massachusetts; Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts; The Center for Adolescent Substance Abuse Research (CeASAR), Boston Children's Hospital, Boston, Massachusetts. Electronic address: john.knight@childrens.harvard.edu.
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- $a PURPOSE: A computer-facilitated screening and brief advice (cSBA) intervention was previously shown to reduce drinking among U.S. adolescents but not among Czech youth. The purpose of this study was to assess cSBA effect on heavy episodic drinking (HED). METHODS: Participants were 12- to 18-year-olds at nine U.S. primary care offices (N = 2,096) and 10 Czech pediatrician-generalist offices (N = 589) who completed measurements only during an 18-month treatment-as-usual (TAU) phase. We then initiated the cSBA protocol for all participants and recruited the 18-month cSBA phase. Generalized Estimating Equations logistic regression compared past-90-day HED for cSBA versus TAU at 3- and 12-months, controlling for baseline HED and other covariates. RESULTS: Baseline past-90-day HED rates were 11% for U.S. and 28% for Czech youth. At 3 months, among Czech baseline non-HED, the adjusted relative risk ratio for cSBA versus TAU was .52 (95% confidence interval .29, .92). The effect dissipated by 12 months. CONCLUSIONS: cSBA shows promise for short-term prevention of adolescent HED.
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