Brief intervention for drug-abusing adolescents in a school setting: Outcomes and mediating factors

Winters, Ken C.; Fahnhorst, Tamara; Botzet, Andria; Lee, Susanne S.; Lalone, Britani

doi:10.1016/j.jsat.2011.08.005

Cited by 100 publications

(153 citation statements)

References 43 publications

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“…Winters, Fahnhorst, Botzet, Lee, and Lalone (2012) reported that both MI Only (two sessions with adolescent alone) and MI þ Parent (adding one session with a primary guardian) were superior to assessment-only control in reducing ASU in school settings, with MI þ Parent exhibiting greater and more consistent effects than MI Only. The other studies examined standalone MET.…”

Section: Motivational Interviewingmentioning

confidence: 99%

Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use: Updates and Recommendations 2007–2013

Hogue

Henderson

Ozechowski

et al. 2014

Journal of Clinical Child & Adolescent Psychology

141

120

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This article updates the evidence base on outpatient behavioral treatments for adolescent substance use (ASU) since publication of the previous review completed for this journal by Waldron and Turner (2008). It first summarizes the Waldron and Turner findings as well as those from more recent literature reviews and meta-analytic studies of ASU treatment. It then presents study design and methods criteria used to select 19 comparative studies subjected to Journal of Clinical Child & Adolescent Psychology level of support evaluation. These 19 studies are grouped by study category (efficacy or effectiveness) and described for sample characteristics, methodological quality, and substance use outcomes. Cumulative level of support designations are then made for each identified treatment approach: ecological family-based treatment, group cognitive-behavioral therapy, and individual cognitive-behavioral therapy are deemed Well Established; behavioral family-based treatment and motivational interviewing are deemed Probably Efficacious; drug counseling is deemed Possibly Efficacious; and four integrated treatment models combining more than one approach are deemed Well Established or Probably Efficacious. The remainder of the article (a) articulates fidelity, mediator, and moderator effects reported for evidence-based approaches since 2008 and (b) recommends four enhancements to the prevailing business model of ASU outpatient services to accelerate penetration of evidence-based approaches into the underserved consumer base: pursue partnerships with influential governmental systems, utilize web-based technology to extend reach and control costs, adapt effective methods for linking services across sectors of care, and promote uptake and sustainability by emphasizing return on investment. INTRODUCTIONThis article reviews the evidence base on outpatient behavioral treatments for adolescent substance use (Turner, Muck, Muck, Stephens, & Sukumar, 2004). Because practice guidelines in behavioral healthcare now favor on-site treatment over referral for comorbid disorders (see Sacks et al., 2013), behavioral therapists should be fully prepared to manage common ASU problems that present as a secondary reason for referral or an emergent treatment issue. Thus for behavioral health providers who serve teenage populations in a variety of settings, identifying effective treatments for ASU remains a top priority.The following two sections specify the area of intervention science surveyed in this update and recap the Waldron and Turner (2008) findings that are the launching point for review. The remainder of the article summarizes findings from other literature reviews and meta-analytic studies of ASU treatment published since 2008 and introduces the main contributions of the current review; defines the search parameters and inclusion criteria for identifying the final pool of 19 comparative studies subjected to the JCCAP evidence-based treatment evaluation criteria (Southam-Gerow & Prinstein, 2014); describes the main findings of these ...

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Section: Motivational Interviewingmentioning

confidence: 99%

Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use: Updates and Recommendations 2007–2013

Hogue

Henderson

Ozechowski

et al. 2014

Journal of Clinical Child & Adolescent Psychology

141

120

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“…La literatura científica nacional e internacional seña-la que la consejería breve, es decir una sola sesión de 30 minutos, puede motivar el cambio en etapas iniciales del consumo (Martínez et al, 2010;Tavera & Martínez, 2008;Timko, Kong, Vittorio, & Cucciare, 2016;Winters, Fahnhorst, Botzet, Lee, & Lalone, 2012). Sin embargo, valdría la pena profundizar en esta hipótesis y determinar qué tanto una sola sesión bien estructurada puede lograr una transformación en los jóvenes que se inician en el uso de sustancias.…”

Section: Conclusionesunclassified

Intervención breve para adolescentes que inician el consumo abusivo de alcohol y otras drogas: su eficacia en un escenario clínico

Durán¹,

Echeverría²,

Martínez³

et al. 2017

RIIAD

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RESUMENIntroducción: en las últimas décadas, se ha observado en los adolescentes mexicanos un incremento en la cantidad y frecuencia del consumo de alcohol y drogas ilícitas; los programas de intervención breve han demostrado ser eficaces para reducir el consumo y abuso de sustancias en diversas poblaciones. Objetivo: determinar la eficacia del Programa de Intervención Breve para Adolescentes que Inician el Consumo Abusivo de Alcohol y otras Drogas (PIBA), así como el mantenimiento del cambio en los jóvenes que asistieron. Método: se utilizó un diseño de medidas repetidas, no probabilístico y sin grupo control. En el seguimiento participaron 60 usuarios consumidores de sustancias de entre 16 y 20 años de edad, de ambos sexos, habitantes de la Ciudad de México. Resultados: al comparar la preintervención vs. el seguimiento, se encontró que los adolescentes que participaron en el PIBA mantuvieron una reducción en su patrón de consumo (cantidad, frecuencia y tiempo de abstinencia) de alcohol, mariguana e inhalables; disminuyeron los problemas asociados con el consumo; e incrementaron su nivel de autoeficacia percibida. La mejoría fue mayor en quienes concluyeron la intervención breve que en quienes no terminaron todas las sesiones. Conclusiones: el PIBA fue coadyuvante en la consecución de las metas propuestas por la mayoría de los adolescentes que asistieron a este tratamiento psicológico.Palabras clave: adolescentes, consumo de sustancias, intervenciones breves. SUMMARYIntroduction: in recent decades, it has been observed an increase in the amount and frequency of alcohol intake and consume of illicit drugs in Mexican adolescents. Brief intervention programs have been effective reducing consumption and substance abuse, in diverse teens populations. Objective: to determine the effectiveness of the Brief Intervention Program for Adolescents Initiating Abusive Consumption of Alcohol and Other Drugs (PIBA), as well as, the maintenance of the change in the youngsters who were attended. Method: a repeated measures design, pre and post test, no probabilistic and without control group, was used. In the follow-up, 60 substance users participated, between 16 and 20 years of age, of both sexes, inhabitants of the Mexico City. Results: by comparing the pre-intervention versus follow-up, teens who participated in the PIBA maintained a reduction in their consumption pattern (amount, frequency and time of abstinence substances alcohol, marijuana and inhalants), decreased the problems associated with consumption, and they increased their level of perceived self-efficacy. The improvement was greater in the group that concluded the brief intervention than in the group that left it unfinished.

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“…Embora estudos nacionais e internacionais apontem a eficácia e eficiência da utilização de instrumentos de rastreamento para o consumo de álcool associados à IB [8][9][10][11][12][13][14] , outros demonstram a existência de dificuldades para implementá-los na atenção primária à saúde, em decorrência da falta de conhecimento e preparo dos profissionais da equipe de saúde 8,15 . Tal fato, demonstra a necessidade de capacitações e treinamentos constantes, com o objetivo de rever conceitos e atitudes dos trabalhadores de saúde frente aos usuários de álcool 16 .…”

Section: Introductionunclassified

Importância De Capacitação Sobre a Problemática Do Álcool: Percepção Crítica Dos Profissionais De Saúde

Zerbetto

Maciel

2017

Saúde (Sta. Maria)

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Os programas de capacitação para profissionais de saúde devem ser constantes e enfocar a necessidade de reformulações. O objetivo deste estudo é apreender a percepção destes trabalhadores sobre a importância da capacitação e a implementação do instrumento de rastreamento para álcool e intervenção breve na rede de saúde, após terem realizado tal atividade. Um estudo qualitativo foi realizado no período de setembro a novembro de 2012, com nove trabalhadores de saúde, participantes do processo de treinamento utilizando-se da entrevista semiestruturada e análise de conteúdo Bardin. Os resultados apontaram dificuldades relacionadas às condições objetivas de trabalho, tais como, falta de recursos materiais e humanos, sobrecarga de trabalho e falta de tempo. Além de haver problemas na implementação do instrumento de rastreamento para consumo de álcool e Intervenção Breve no cotidiano laboral, constatou-se, também, a necessidade de investimento dos gestores de saúde na Educação Permanente.Descritores: Atenção Primária à Saúde; Alcoolismo; Prevenção Primária; Capacitação.

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Brief intervention for drug-abusing adolescents in a school setting: Outcomes and mediating factors

Cited by 100 publications

References 43 publications

Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use: Updates and Recommendations 2007–2013

Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use: Updates and Recommendations 2007–2013

Intervención breve para adolescentes que inician el consumo abusivo de alcohol y otras drogas: su eficacia en un escenario clínico

Importância De Capacitação Sobre a Problemática Do Álcool: Percepção Crítica Dos Profissionais De Saúde

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