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首页> 外文期刊>Journal of substance abuse treatment >A pilot randomized trial of Motivational Interviewing compared to Psycho-Education for reducing and preventing underage drinking in American Indian adolescents
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A pilot randomized trial of Motivational Interviewing compared to Psycho-Education for reducing and preventing underage drinking in American Indian adolescents

机译：激动人心面试的试点与激烈教育减少和预防美国印度青少年饮酒相比

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Abstract Underage drinking is an important public health issue for American Indian and Alaska Native (AI/AN) adolescents, as it is for U. S. teens of all ethnicities. One of the demonstrated risk factors for the development of alcohol use disorders in AI/AN is early age of initiation of drinking. To address this issue a randomized trial to assess the efficacy of Motivational Interviewing (MI) compared to Psycho-Education (PE) to reduce and prevent underage drinking in AI/AN youth was developed and implemented. Sixty-nine youth received MI or PE and 87% were assessed at follow-up. For teens who were already drinking, participating in the intervention (MI or PE) was associated, at follow-up, with lower quantity×frequency (q×f) of drinking (p=0.011), fewer maximum drinks per drinking occasion (p=0.004), and fewer problem behaviors (p=0.009). The MI intervention resulted in male drinkers reporting a lower q×f of drinking (p=0.048) and female drinkers reporting less depression (p=0.011). In teens who had not started drinking prior to the intervention, 17% had initiated drinking at follow-up. As a group they reported increased quantity×frequency of drinking (p=0.008) and maximum drinks (p=0.047), but no change in problem behaviors. These results suggest that intervening against underage drinking using either MI or PE in AI/AN youth can result in reduced drinking, prevention of initiation of drinking, and other positive behavioral outcomes. Brief interventions that enhance motivation to change as well as Psycho-Education may provide a successful approach to reducing the potential morbidity of underage drinking in this high-risk group. Highlights ? Motivational Interviewing and Psycho-Education are compared in American Indian youth. ? Both interventions to reduce drinking and behavior problems are effective. ? Motivational Interviewing is more effective than Psycho-Education on some measures. ? Gender and drinking status at baseline are covariates of intervention response.
机译：摘要未成年饮酒是美国印度和阿拉斯加本土（AI / AN）青少年的重要公共卫生问题，因为它适用于所有种族的青少年。 AI / AN中酒精使用障碍发展的危险因素之一是饮酒开始的早期。为了解决这一问题，将随机审判评估与心理教育（PE）相比减少和防止在AI / A的青年中饮酒的效果（MI）的效果，并制定和实施。在随访时评估六十九年的青年或PE和87％。对于已经喝酒的青少年，参与干预（MI或PE），随访相关，饮用的较低量×频率（Q×F）（P = 0.011），每次饮用场合的最大饮料较少（P = 0.004），并且少于问题行为（P = 0.009）。 MI干预导致男性饮酒者报告饮酒的Q×F较低（P = 0.048）和女性饮酒者报告较少的抑郁（P = 0.011）。在干预前没有开始饮酒的青少年，17％的人在随访时发起饮酒。作为一组，他们报告的数量×饮酒频率增加（P = 0.008）和最大饮料（P = 0.047），但问题行为没有变化。这些结果表明，在AI / oI / of中，使用MI或PE使用MI或PE的未成年饮酒可能导致饮酒，预防饮酒启动以及其他积极行为结果。简短的干预措施，提高变革的动力以及心理学教育可能提供了一种成功的方法，可以降低该高风险群体中未成年人饮酒的潜在发病率。强调 ？在美国印度青年比较励志面试和心理教育。还减少饮酒和行为问题的干预措施都是有效的。还励志面试比某些措施的心理教育更有效。还基线的性别和饮酒状况是干预响应的协变量。

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