John R Knight1, Kateryna Kuzubova2, Ladislav Csemy3, Lon Sherritt4, Sarah Copelas5, Sion Kim Harris6. 1. 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. 2. Department of Counseling and Psychology, Gordon-Conwell Theological Seminary, South Hamilton, Massachusetts. 3. Centre for Evaluation, Prevention and Research of Substance Abuse, Prague, Czech Republic; National Institute of Mental Health, Klecany, Czech Republic. 4. Department of Pediatrics, Harvard Medical School, Boston, Massachusetts; Division of Developmental Medicine, Boston Children's Hospital, Boston, Massachusetts; The Center for Adolescent Substance Abuse Research (CeASAR), Boston Children's Hospital, Boston, Massachusetts. 5. University of New England College of Osteopathic Medicine, Biddeford, Maine. 6. 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.
Abstract
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.
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.
Authors: Sion Kim Harris; Ladislav Csémy; Lon Sherritt; Olga Starostova; Shari Van Hook; Julie Johnson; Suzanne Boulter; Traci Brooks; Peggy Carey; Robert Kossack; John W Kulig; Nancy Van Vranken; John R Knight Journal: Pediatrics Date: 2012-05-07 Impact factor: 7.124
Authors: Elizabeth M Ozer; Jonathan Rowe; Kathleen P Tebb; Mark Berna; Carlos Penilla; Alison Giovanelli; Carolyn Jasik; James C Lester Journal: J Adolesc Health Date: 2020-08 Impact factor: 7.830