Peterson Peggy L, Baer John S, Wells Elizabeth A, Ginzler Joshua A, Garrett Sharon B
Alcohol and Drug Abuse Institute, University of Washington, 1107 Northeast 45th Street, Seattle, WA 98105, USA.
Psychol Addict Behav. 2006 Sep;20(3):254-64. doi: 10.1037/0893-164X.20.3.254.
The short-term results of a randomized trial testing a brief feedback and motivational intervention for substance use among homeless adolescents are presented. Homeless adolescents ages 14-19 (N = 285) recruited from drop-in centers at agencies and from street intercept were randomly assigned to either a brief motivational enhancement (ME) group or 1 of 2 control groups. The 1-session motivational intervention presented personal feedback about patterns of risks related to alcohol or substance use in a style consistent with motivational interviewing. Follow-up interviews were conducted at 1 and 3 months postintervention. Youths who received the motivational intervention reported reduced illicit drug use other than marijuana at 1-month follow-up compared with youths in the control groups. Treatment effects were not found with respect to alcohol or marijuana. Post hoc analyses within the ME group suggested that those who were rated as more engaged and more likely to benefit showed greater drug use reduction than did those rated as less engaged. Limitations of the study are discussed as are implications for development of future substance use interventions for this high-risk group.
本文介绍了一项随机试验的短期结果，该试验测试了针对无家可归青少年物质使用的简短反馈和动机干预措施。从机构的救助中心和街头拦截中招募的14至19岁无家可归青少年（N = 285）被随机分配到简短动机增强（ME）组或两个对照组之一。为期1节的动机干预以与动机访谈一致的方式提供了与酒精或物质使用相关的风险模式的个人反馈。在干预后1个月和3个月进行随访访谈。与对照组的青少年相比，接受动机干预的青少年在1个月随访时报告除大麻外的非法药物使用减少。在酒精或大麻方面未发现治疗效果。ME组内的事后分析表明，被评为参与度更高且更有可能受益的青少年比被评为参与度较低的青少年药物使用减少得更多。讨论了该研究的局限性以及对为这一高危群体开发未来物质使用干预措施的启示。
