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针对青少年和青年的简短酒精干预措施:系统评价与荟萃分析。

Brief alcohol interventions for adolescents and young adults: a systematic review and meta-analysis.

作者信息

Tanner-Smith Emily E, Lipsey Mark W

机构信息

Peabody Research Institute, Vanderbilt University, Nashville, TN, USA.

Peabody Research Institute, Vanderbilt University, Nashville, TN, USA.

出版信息

J Subst Abuse Treat. 2015 Apr;51:1-18. doi: 10.1016/j.jsat.2014.09.001. Epub 2014 Sep 16.

Abstract

This study reports findings from a meta-analysis summarizing the effectiveness of brief alcohol interventions for adolescents (age 11-18) and young adults (age 19-30). We identified 185 eligible study samples using a comprehensive literature search and synthesized findings using random-effects meta-analyses with robust standard errors. Overall, brief alcohol interventions led to significant reductions in alcohol consumption and alcohol-related problems among adolescents (g = 0.27 and g = 0.19) and young adults (g = 0.17 and g = 0.11). These effects persisted for up to 1 year after intervention and did not vary across participant demographics, intervention length, or intervention format. However, certain intervention modalities (e.g., motivational interviewing) and components (e.g., decisional balance, goal-setting exercises) were associated with larger effects. We conclude that brief alcohol interventions yield beneficial effects on alcohol-related outcomes for adolescents and young adults that are modest but potentially worthwhile given their brevity and low cost.

摘要

本研究报告了一项荟萃分析的结果,该分析总结了针对青少年(11至18岁)和青年(19至30岁)的简短酒精干预措施的有效性。我们通过全面的文献检索确定了185个符合条件的研究样本,并使用具有稳健标准误差的随机效应荟萃分析对结果进行了综合。总体而言,简短酒精干预措施使青少年(g = 0.27和g = 0.19)和青年(g = 0.17和g = 0.11)的酒精消费量及与酒精相关的问题显著减少。这些效果在干预后持续长达1年,且在参与者人口统计学特征、干预时长或干预形式方面并无差异。然而,某些干预方式(如动机性访谈)和组成部分(如决策平衡、目标设定练习)与更大的效果相关。我们得出结论,简短酒精干预措施对青少年和青年与酒精相关的结果产生了有益影响,这些影响虽不显著,但鉴于其简短性和低成本,可能是值得的。

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