Randomized Trial of Brief Office-Based Interventions to Reduce Adolescent Alcohol Use | Adolescent Medicine | JAMA Pediatrics | JAMA Network
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July 2004

Randomized Trial of Brief Office-Based Interventions to Reduce Adolescent Alcohol Use

Author Affiliations

From the Department of Public and Community Health, College of Health and Human Performance (Drs Boekeloo and Lee-Ougo and Ms Jerry), and the Biometrics Program, Department of Animal and Avian Sciences (Dr Russek-Cohen), University of Maryland, College Park; the Mid-Atlantic Permanente Medical Group, Rockville, Md (Drs Worrell and Snyder); and the Departments of Medicine and Pediatrics, School of Medicine and Health Sciences, George Washington University, Washington, DC (Dr Hamburger).

Arch Pediatr Adolesc Med. 2004;158(7):635-642. doi:10.1001/archpedi.158.7.635

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.