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青少年的酒精筛查和简短干预:减少青少年饮酒及相关危害的方法、内容和地点。

Alcohol screening and brief intervention for adolescents: the how, what and where of reducing alcohol consumption and related harm among young people.

机构信息

Corresponding author: Addictions Department, National Addiction Centre, Institute of Psychiatry, King's College London, 4 Windsor Walk, London SE5 8BB, UK.

出版信息

Alcohol Alcohol. 2014 Mar-Apr;49(2):207-12. doi: 10.1093/alcalc/agt165. Epub 2013 Nov 13.

Abstract

AIM

The aim of the study was to explore the evidence base on alcohol screening and brief intervention for adolescents to determine age appropriate screening tools, effective brief interventions and appropriate locations to undertake these activities.

METHODS

A review of existing reviews (2003-2013) and a systematic review of recent research not included in earlier reviews.

RESULTS

The CRAFFT and AUDIT tools are recommended for identification of 'at risk' adolescents. Motivational interventions delivered over one or more sessions and based in health care or educational settings are effective at reducing levels of consumption and alcohol-related harm.

CONCLUSION

Further research to develop age appropriate screening tools needs to be undertaken. Screening and brief intervention activity should be undertaken in settings where young people are likely to present; further assessment at such venues as paediatric emergency departments, sexual health clinics and youth offending teams should be evaluated. The use of electronic (web/smart-phone based) screening and intervention shows promise and should also be the focus of future research.

摘要

目的

本研究旨在探讨针对青少年的酒精筛查和简短干预的证据基础,以确定适合年龄的筛查工具、有效的简短干预措施以及开展这些活动的适当场所。

方法

对现有综述(2003-2013 年)进行回顾,并对先前综述未包含的近期研究进行系统回顾。

结果

CRAFFT 和 AUDIT 工具被推荐用于识别“有风险”的青少年。在医疗保健或教育环境中进行的、基于一个或多个疗程的动机干预措施,可有效降低饮酒量和与酒精相关的伤害。

结论

需要进一步开展适合年龄的筛查工具的研究。应在青少年可能出现的场所开展筛查和简短干预活动;还应评估在儿科急诊、性健康诊所和青少年犯罪小组等场所进行进一步评估的效果。电子(基于网络/智能手机)筛查和干预的应用具有广阔前景,也应成为未来研究的重点。

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