|Titre :||A developmental-based motivational intervention to reduce alcohol and marijuana use among non-treatment-seeking young adults: a randomized controlled trial (2018)|
|Auteurs :||M. D. STEIN ; C. M. CAVINESS ; E. F. MORSE ; K. R. GRIMONE ; D. AUDET ; D. S. HERMAN ; E. MOITRA ; B. J. ANDERSON|
|Type de document :||Article : Périodique|
|Dans :||Addiction (Vol.113, n°3, March 2018)|
|Article en page(s) :||440-453|
|Discipline :||TRA (Traitement et prise en charge / Treatment and care)|
Thésaurus TOXIBASEETUDE RANDOMISEE ; INTERVENTION ; MOTIVATION ; ALCOOL ; CANNABIS ; ADULTE JEUNE ; REDUCTION DE CONSOMMATION ; ABUS ; POLYCONSOMMATION
Aims: To test the hypothesis that among non-treatment-seeking emerging adults (EA) who both use marijuana and have alcohol binges, a brief, longitudinally delivered, developmentally based motivational intervention would show greater reductions in the use of these two substances compared with a health education control condition.
Design: Parallel, two-group, randomized controlled trial with follow-up interventions conducted at 1, 3, 6 and 9 months and final assessments at 12 and 15 months.
Setting: Hospital-based research unit in the United States.
Participants: Community-based 18-25-year-olds who reported at least monthly binge drinking and at least weekly marijuana use.
Intervention: Motivational intervention (EA-MI) focused primarily on themes of emerging adulthood (identity exploration, instability, self-focus, feeling in-between, a sense of possibilities) and the subjects' relationship to substance use (n = 110) compared with an attention-matched health education control condition (n = 116).
Measurements: The primary outcomes were days of binge alcohol, marijuana and dual use day as measured using the timeline follow-back method analysing the treatment by time interaction to determine relative differences in the rate of change between intervention arms.
Findings: At baseline, the mean rate (days/30) of binge drinking was 5.23 (+/- 4.31) of marijuana use was 19.4 (+/- 10.0) and of dual (same day) use was 4.11 (+/- 4.13). Relative to baseline, there were reductions in the rate of binge alcohol use, marijuana use and days of combined binge alcohol and marijuana use (P Conclusions: A brief, longitudinally delivered, developmentally based motivational intervention for young adults did not produce reductions in binge alcohol, marijuana use or dual use days relative to a control condition.
|Domaine :||Alcool / Alcohol ; Drogues illicites / Illicit drugs|
|Refs biblio. :||98|
|Affiliation :||Behavioral Medicine and Addictions Research Department, Butler Hospital, Providence, RI, USA|