The long-term objectives of this research program are to develop effective interventions in health care settings for reducing problem drinking and associated problems among adolescents and to further enhance intervention approaches by identifying effective elements of treatment. The major purpose of this study is to compare a brief integrated individual and family intervention designed to reduce alcohol use and related problems to an enhanced standard care condition (standard care plus family assessment). The targeted population is underage drinkers (13 - 17 years old) who have been treated in an Emergency Department following an alcohol-related event. It is important to intervene with this population because alcohol-involved adolescents may be at higher risk for having continuing alcohol problems. The intervention is conceptualized as using a """"""""teachable moment"""""""" (i.e., shortly after a salient event) to increase family interest in reducing harmful drinking. The experimental intervention integrates an individual Motivational Interview (MI) for the adolescent, based on our research group?s prior work with this intervention, with a brief family intervention, the Family Check-Up. The experimental condition will be compared to standard care plus family assessment. This design allows us to test the added benefit of the brief intervention compared to the benefits often derived from assessment without added treatment. Follow-up interviews will be conducted at 3, 6, and 12 months after the baseline intervention to assess outcome.
The specific aims of this proposal are to test the effectiveness of the experimental intervention in reducing alcohol- related problems, alcohol consumption, and other behavior problems compared to the enhanced standard care condition. Second, we will examine whether depressed mood and behavior problems at baseline moderate the effects of the treatment conditions. We will also test whether individual factors (motivation to change behavior) and environmental factors (parent/family influence and peer influence) mediate the relation between the treatment condition and outcomes.

National Institute of Health (NIH)
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Research Project (R01)
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Health Services Research Review Subcommittee (AA)
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Scott, Marcia S
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Brown University
Public Health & Prev Medicine
Schools of Public Health
United States
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Sellers, Christina M; McManama O'Brien, Kimberly H; Hernandez, Lynn et al. (2018) Adolescent Alcohol Use: The Effects of Parental Knowledge, Peer Substance Use, and Peer Tolerance of Use. J Soc Social Work Res 9:69-87
Becker, Sara J; Jones, Richard N; Hernandez, Lynn et al. (2016) Moderators of Brief Motivation-Enhancing Treatments for Alcohol-Positive Adolescents Presenting to the Emergency Department. J Subst Abuse Treat 69:28-34
Hernandez, Lynn; Cancilliere, Mary Kathryn; Graves, Hannah et al. (2016) Substance Use and Depressive Symptoms among Adolescents Treated in a Pediatric Emergency Department. J Child Adolesc Subst Abuse 25:124-133
Hernandez, Lynn; Rodriguez, Ana Maria; Spirito, Anthony (2015) Brief Family-Based Intervention for Substance Abusing Adolescents. Child Adolesc Psychiatr Clin N Am 24:585-99
Abar, Caitlin C; Hernandez, Lynn; Rodriguez, Ana Maria et al. (2015) Trajectories of Adolescent Alcohol Use in the Year Following a Brief Alcohol Intervention. J Stud Alcohol Drugs 76:710-20
O'Brien, Kimberly H McManama; Hernandez, Lynn; Spirito, Anthony (2015) Parental monitoring affects the relationship between depressed mood and alcohol-related problems in adolescents. Subst Abus 36:82-4
Hernandez, Lynn; Salas-Wright, Christopher P; Graves, Hannah et al. (2014) A confirmatory approach to understanding the four-factor structure of the Adolescent Drinking Index: evidence for a brief version. J Subst Abuse Treat 47:239-44
Becker, Sara J; Spirito, Anthony; Hernandez, Lynn et al. (2012) Trajectories of adolescent alcohol use after brief treatment in an Emergency Department. Drug Alcohol Depend 125:103-9
Spirito, Anthony; Sindelar-Manning, Holly; Colby, Suzanne M et al. (2011) Individual and family motivational interventions for alcohol-positive adolescents treated in an emergency department: results of a randomized clinical trial. Arch Pediatr Adolesc Med 165:269-74
Fairlie, Anne M; Chun, Thomas H; Hernandez, Lynn et al. (2010) Alcohol use history differentiates adolescents treated in the emergency department after an alcohol-related incident. Pediatr Emerg Care 26:417-23

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