Effectiveness of a brief integrative multiple substance use intervention among young men with and without booster sessions

被引:26
作者
Gmel, Gerhard [1 ,2 ,3 ,4 ]
Gaume, Jacques [1 ]
Bertholet, Nicolas [1 ]
Flueckiger, Julien [1 ]
Daeppen, Jean-Bernard [1 ]
机构
[1] CHU Vaudois, Univ Lausanne Hosp, Alcohol Treatment Ctr, CH-1011 Lausanne, Switzerland
[2] Swiss Inst Prevent Alcohol & Drug Problems, CH-1001 Lausanne, Switzerland
[3] Ctr Addict & Mental Hlth, Toronto, ON M5T 1R8, Canada
[4] Univ W England, Bristol BS16 1QY, Avon, England
关键词
Multiple substance use; Brief intervention; Young adults; Tobacco; Alcohol; Cannabis; BRIEF MOTIVATIONAL INTERVENTION; BRIEF ALCOHOL INTERVENTION; REDUCING DRUG CONSUMPTION; PRIMARY-CARE; BEHAVIOR INTERVENTION; EMERGENCY-DEPARTMENT; RANDOMIZED-TRIAL; GENERAL-PRACTICE; TREATMENT SBIRT; MARIJUANA USE;
D O I
10.1016/j.jsat.2012.07.005
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Brief interventions (BI) commonly employ screening and target a single substance. Multi-substance interventions are a more adequate reflection of risk behaviors in adolescents and young adults. Systematic screening complicates BI in many settings. The effectiveness of a voluntary multi-substance intervention among 19-year-old men and the incremental impact of booster sessions were analyzed. Participants were enrolled during mandatory army conscription in Switzerland. Compared with 461 controls, 392 BI subjects showed reduced substance use on 10 of 12 measures (4 tobacco, 4 cannabis, and 2 alcohol measures). Between-group effects were small and non-significant (except for cannabis use prevalence). Three-month booster sessions were not effective and even contraindicated. The usefulness of targeting multi-substances during BIs without prior screening depends on the value of small effects. The addition of booster sessions was not effective and therefore is not recommended. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:231 / 240
页数:10
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