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12-month follow-up of an exploratory 'brief intervention' for high-frequency cannabis users among Canadian university students / B. FISCHER ; W. JONES ; P. A. SHUPER ; J. REHM in Substance Abuse Treatment, Prevention, and Policy, Vol.7, n°15 (2012)
in Substance Abuse Treatment, Prevention, and Policy > Vol.7, n°15 (2012) . - 5 p.
Titre : 12-month follow-up of an exploratory 'brief intervention' for high-frequency cannabis users among Canadian university students Type de document : Périodique Auteurs : B. FISCHER ; W. JONES ; P. A. SHUPER ; J. REHM Année de publication : 2012 Article en page(s) : 5 p. Langues : Anglais Mots-clés : Thésaurus Géographique
INTERVENTION BREVE ; CANNABIS ; USAGE PROBLEMATIQUE ; ADULTE JEUNE ; PREVENTION ; SUIVI DU PATIENT ; EVALUATION ; MILIEU ETUDIANT ; REDUCTION DES RISQUES
Discipline : PRE Prévention / Prevention Domaine : Drogues illicites / Illicit drugs Résumé : Background: One in three young people use cannabis in Canada. Cannabis use can be associated with a variety of health problems which occur primarily among intensive/frequent users. Availability and effectiveness of conventional treatment for cannabis use is limited. While Brief Interventions (BIs) have been shown to result in short-term reductions of cannabis use risks or problems, few studies have assessed their longer-term effects. The present study examined 12-month follow-up outcomes for BIs in a cohort of young Canadian high-frequency cannabis users where select short-term effects (3 months) had previously been assessed and demonstrated.
Findings: N = 134 frequent cannabis users were recruited from among university students in Toronto, randomized to either an oral or a written cannabis BI, or corresponding health controls, and assessed in-person at baseline, 3-months, and 12-months. N = 72 (54 %) of the original sample were retained for follow-up analyses at 12-months where reductions in 'deep inhalation/breathholding' (Q = 13.1; p < .05) and 'driving after cannabis use' (Q = 9.3; p < .05) were observed in the experimental groups. Reductions for these indicators had been shown at 3-months in the experimental groups; these reductions were maintained over the year. Other indicators assessed remained overall stable in both experimental and control groups.
Conclusions: The results confirm findings from select other studies indicating the potential for longer-term and sustained risk reduction effects of BIs for cannabis use. While further research is needed on the long-term effects of BIs, these may be a valuable - and efficient - intervention tool in a public health approach to high-risk cannabis use.
Refs biblio. : 25 Affiliation : Centre for Applied Research in Mental Health and Addictions, Faculty of Health Sciences, Simon Fraser University, Vancouver, BC, Canada Lien : http://www.substanceabusepolicy.com/content/7/1/15 Permalink : http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=72111[article]2013 Update in addiction medicine for the generalist / A. J. GORDON ; N. BERTHOLET ; J. McNEELY ; J. L. STARRELS ; J. M. TETRAULT ; A. Y. WALLEY in Addiction Science and Clinical Practice, Vol.8, n°18 (November 2013)
in Addiction Science and Clinical Practice > Vol.8, n°18 (November 2013) . - 13 p.
Titre : 2013 Update in addiction medicine for the generalist Type de document : Périodique Auteurs : A. J. GORDON ; N. BERTHOLET ; J. McNEELY ; J. L. STARRELS ; J. M. TETRAULT ; A. Y. WALLEY Année de publication : 2013 Article en page(s) : 13 p. Langues : Anglais Mots-clés : Thésaurus TOXIBASE
MEDECIN GENERALISTE ; ADDICTOLOGIE ; SOINS DE PREMIER RECOURS ; ALCOOL ; PRODUIT ILLICITE ; DEPISTAGE ; INTERVENTION BREVE ; PHARMACOTHERAPIE ; EFFICACITE ; PRATIQUE PROFESSIONNELLE
Discipline : TRA Traitement et prise en charge / Treatment and care Domaine : Alcool / Alcohol ; Drogues illicites / Illicit drugs Résumé : Increasingly, patients with unhealthy alcohol and other drug use are being seen in primary care and other non-specialty addiction settings. Primary care providers are well positioned to screen, assess, and treat patients with alcohol and other drug use because this use, and substance use disorders, may contribute to a host of medical and mental health harms. We sought to identify and examine important recent advances in addiction medicine in the medical literature that have implications for the care of patients in primary care or other generalist settings. To accomplish this aim, we selected articles in the field of addiction medicine, critically appraised and summarized the manuscripts, and highlighted their implications for generalist practice. During an initial review, we identified articles through an electronic Medline search (limited to human studies and in English) using search terms for alcohol and other drugs of abuse published from January 2010 to January 2012. After this initial review, we searched for other literature in web-based or journal resources for potential articles of interest. From the list of articles identified in these initial reviews, each of the six authors independently selected articles for more intensive review and identified the ones they found to have a potential impact on generalist practice. The identified articles were then ranked by the number of authors who selected each article. Through a consensus process over 4 meetings, the authors reached agreement on the articles with implications for practice for generalist clinicians that warranted inclusion for discussion. The authors then grouped the articles into five categories: 1) screening and brief interventions in outpatient settings, 2) identification and management of substance use among inpatients, 3) medical complications of substance use, 4) use of pharmacotherapy for addiction treatment in primary care and its complications, and 5) integration of addiction treatment and medical care. The authors discuss each selected articles' merits, limitations, conclusions, and implication to advancing addiction screening, assessment, and treatment of addiction in generalist physician practice environments. Sous-type de document : Revue de la littérature / Literature review Refs biblio. : 73 Affiliation : VA Pittsburgh Healthcare System and University of Pittsburgh, Pittsburgh, PA, USA Lien : http://dx.doi.org/10.1186/1940-0640-8-18 Permalink : http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=73513[article]Adolescent substance use and hospital presentations: A record linkage assessment of 12-month outcomes / R. J. TAIT
Titre : Adolescent substance use and hospital presentations: A record linkage assessment of 12-month outcomes Titre traduit : (Usage de drogues chez les adolescents et admissions à l'hôpital : évaluation à 12 mois) Type de document : Périodique Auteurs : R. J. TAIT ; G. K. HULSE Année de publication : 2005 Importance : 365-371 Présentation : fig. ; tabl. Note générale : Drug and Alcohol Dependence, 2005, 79, (3), 365-371 Langues : Anglais Mots-clés : Thésaurus TOXIBASE
ALCOOL ; INTERVENTION BREVE ; PSYCHOTROPES ; ABUS ; ADOLESCENT ; ADMISSION ; URGENCE ; PRISE EN CHARGE ; EFFICACITE
Discipline : TRA Traitement et prise en charge / Treatment and care Domaine : Alcool / Alcohol ; Drogues illicites / Illicit drugs Résumé : Aims: To examine the prevalence of different substances used by adolescents admitted to hospital emergency departments (ED); to evaluate the impact of an ED based brief intervention (BI) on hospital events; to compare outcomes for those using 'alcohol alone', 'alcohol plus illicit ± licit drugs' ('alcohol plus'), or 'other drugs' excluding alcohol, and investigate the relationship between hazardous alcohol consumption patterns and hospital events.
Design: We used hospital record linkage to follow-up a randomised control trial cohort.
Participants: Adolescents (12-19 years) recruited in ED with presentations involving alcohol or other drugs (AOD): 67 received usual care and 60 a BI that facilitated attendance at community drug agencies.
Measurements: Drug-use categories were assigned from the substances used at the baseline presentation. Outcomes were assessed as hospital admissions plus ED presentations in the 12-month post-intervention. 'Hazardous' alcohol use was categorised via the AUDIT-3.
Results: The drug-use categories were 'alcohol alone' (n = 67, 53%), 'alcohol plus' (n = 31, 24%) and 'other drugs' (n = 28, 22%). In the 12-month post-intervention, the randomisation groups had similar numbers of AOD hospital events. A Cox regression showed that in the usual care but not the BI group, for 'other drugs' there was a 8-fold increased hazard ('risk') of an AOD hospital event compared with 'alcohol alone' and a 10-fold increase compared to 'alcohol plus'. Each pre-recruitment AOD event doubled the hazard of an AOD event. For the BI group, these were not significant predictors. The 'other drugs' group had more AOD events than either of the other groups. 'Hazardous' (77%) alcohol use was common but was not a predictor of AOD hospital events.
Conclusions: BI can be delivered in ED and reduce hospital AOD morbidity associated with the use of drugs other than alcohol. Interventions should focus on those with prior AOD events and 'other drugs' presentations.
Refs biblio. : 30 Affiliation : School of Psychiatry and Clinical Neurosciences, University of Western Australia, Nedlands, WA, Australia Numéro Toxibase : 806008 Centre Emetteur : 08 CAS Strasbourg Cote : Abonnement Permalink : http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=15764Adolescent substance use: brief interventions by emergency care providers / P. J. BURKE ; J. O'SULLIVAN ; B. L. VAUGHAN in Pediatric Emergency Care, Vol.21, n°11 (Novermber 2005)
in Pediatric Emergency Care > Vol.21, n°11 (Novermber 2005) . - 770-776
Titre : Adolescent substance use: brief interventions by emergency care providers Type de document : Périodique Auteurs : P. J. BURKE ; J. O'SULLIVAN ; B. L. VAUGHAN Année de publication : 2005 Article en page(s) : 770-776 Langues : Anglais Mots-clés : Thésaurus Géographique
URGENCE ; ADOLESCENT ; INTERVENTION BREVE ; DEPISTAGE ; CRAFFT ; MOTIVATION
Discipline : TRA Traitement et prise en charge / Treatment and care Domaine : Alcool / Alcohol ; Drogues illicites / Illicit drugs Résumé : Use of tobacco, alcohol and other drugs plays a major role in adolescent morbidity and mortality. When under the influence of alcohol or other drugs, adolescents are at increased risk for injuries, unprotected sex, or interpersonal violence. Alcohol and other drugs are major factors in adolescent deaths, contributing to motor vehicle crashes, homicides, and suicides. Adolescents tend to have shorter substance use histories therefore they often experience emergency/acute care health treatment resulting from substance use related trauma and/or overdose. Substance use screening of adolescents who present to an Emergency Department (ED) is vitally important. The CRAFFT is a valid and reliable screening tool that was developed for use with adolescents. If an adolescent screens positive, then the next step is to determine their stage of use and readiness for change in preparation for doing a brief intervention. Helping patients to recognize the potential relation between their substance use and health related consequences, may motivate them to decrease their use for harm reduction. Motivational interviewing is an effective, evidence-based approach to helping people change their high risk behavior. Refs biblio. : 31 Affiliation : Division of Adolescent and Young Adult Medicine, MCH Leadership Education in Adolescent Health, Children's Hospital, Boston, MA 02115, USA Cote : A01019 Permalink : http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=70271[article]Alcohol abuse prevention programs in college students / M. J. ICKES ; T. HAIDER ; M. SHARMA in Journal of Substance Use, Vol.20, n°3 (June 2015)
in Journal of Substance Use > Vol.20, n°3 (June 2015) . - 208-227
Titre : Alcohol abuse prevention programs in college students Type de document : Périodique Auteurs : M. J. ICKES ; T. HAIDER ; M. SHARMA Année de publication : 2015 Article en page(s) : 208-227 Langues : Anglais Mots-clés : Thésaurus TOXIBASE
ALCOOL ; JEUNE ; MILIEU ETUDIANT ; PROGRAMME ; PREVENTION ; EFFICACITE ; INTERVENTION BREVE ; ETUDE RANDOMISEE ; MOTIVATION
Discipline : PRE Prévention / Prevention Domaine : Alcool / Alcohol Résumé : Trends in alcohol consumption of college students remain a concern. Presented is a systematic review to determine the efficacy of alcohol-abuse interventions for college students. To be included in this review, the study must have been published in English between 2007 and 2012, include an alcohol-abuse intervention for college students in the US, use any quantitative study design, and measure psychosocial variables related to alcohol behavior. A total of 49 studies met these criteria, including 40 RCTs. Motivational interviewing (n = 12) and brief motivational interventions (n = 10) were the most widely used intervention strategies, with the majority of the interventions targeting college students under 21 years of age (n = 35). Results indicate interventions found success with decreased drinking (n = 34), reduction in alcohol problems or consequences (n = 8), and decreased peer perception of alcohol use (n = 4). Considering the success of these programs, alcohol prevention programming is warranted on college campuses. Programs including a brief, personalized consultation with a trained facilitator may yield the greatest improvements in targeted behaviors. Reported limitations within intervention design included low sample sizes, high attrition rates, and significant differences in baseline characteristics. Future studies should aim to address these limitations in study design as well as conduct long-term follow-up to determine sustainability of intervention effect. Sous-type de document : Revue de la littérature / Literature review Affiliation : Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY, USA Cote : Abonnement Permalink : http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=75864[article]Alcohol advice in primary health care : is it a wise use of resources ? / LINDHOLM L.PermalinkAlcohol and injuries: emergency department studies in an international perspective / C. J. CHERPITEL ; G. BORGES ; N. GIESBRECHT ; D. HUNGERFORD ; M. PEDEN ; V. POZNYAK ; R. ROOM ; T. STOCKWELLPermalinkAlcohol and primary health care: clinical guidelines on identification and brief interventions / P. ANDERSON ; A. GUAL ; J. COLOMPermalinkAlcohol and primary health care : training programme on identification and brief interventions / A. GUALPermalinkAlcohol problems in the criminal justice system: an opportunity for intervention / L. GRAHAM ; T. PARKES ; A. McAULEY ; L. DOIPermalinkAlcohol screening and brief intervention for adolescents: The how, what and where of reducing alcohol consumption and related harm among young people / R. PATTON ; P. DELUCA ; E. KANER ; D. NEWBURY-BIRCH ; T. PHILLIPS ; C. DRUMMOND in Alcohol and Alcoholism, Vol.49, n°2 (March-April 2014)PermalinkAlcohol screening and brief intervention for youth: A practitioner's guide / NIAAAPermalinkAlcohol screening and brief intervention: A guide for public health practitioners / APHA ; Education Development Center Inc.PermalinkAlcohol Screening and Brief Intervention in Primary Care Settings: Implementation Models and Predictors / T. F. BABORPermalinkAlcohol screening, brief intervention, and referral in the emergency department: an implementation study / DESY P. M.Permalink