TY  - JOUR
T1  - RAndomized trial of brief office-based interventions to reduce adolescent alcohol use
AU  - Boekeloo BO, Jerry J, Lee-Ougo WI, et al
Y1  - 2004/07/01
N1  - 10.1001/archpedi.158.7.635
JO  - Archives of Pediatrics & Adolescent Medicine
SP  - 635
EP  - 642
VL  - 158
IS  - 7
N2  - Objective 
    To determine whether office-based interventions change adolescents' alcohol beliefs and alcohol use.Design 
    Randomized, controlled trial.Setting 
    Five managed care group practices in Washington, DC.Participants 
    Consecutive 12- to 17-year-olds (N = 409) seeing primary care providers (N = 26) for general check-ups. Most of the adolescents (79%) were African American, 44% were male, and 16% currently drank.Interventions 
    Usual care (Group I), adolescent priming with alcohol self-assessment just prior to check-up (Group II), adolescent priming and provider prompting with adolescent self-assessment and brochure (Group III).Main Outcome Measures 
    Adolescent alcohol beliefs at exit interview and self-reported behaviors at 6- and 12-month follow-up.Results 
    At exit interview, Groups II and III reported that less alcohol was needed for impaired thinking and a greater intent to drink alcohol in the next 3 months than Group I. At 6 months, Group III reported more resistance to peer pressure to drink, and Groups II and III reported more bingeing than Group I. At 1-year follow-up, controlling for baseline levels, Groups II (odds ratio [OR], 3.44; 95% confidence interval [CI], 1.44-6.24) and III (OR, 2.86; CI, 1.13-7.26) reported more bingeing in the last 3 months than Group I. Group II reported more drinking in the last 30 days (OR, 2.31; CI, 1.31-4.07) and in the last 3 months (OR, 1.76; CI, 1.12-2.77) than Group I.Conclusion 
    Brief office-based interventions were ineffective in reducing adolescent alcohol use but may increase adolescent reporting of alcohol use.
SN  - 1072-4710
M3  - doi: 10.1001/archpedi.158.7.635
UR  - http://dx.doi.org/10.1001/archpedi.158.7.635
ER  -