Rebecca M. Cunningham|Maureen A. Walton|Abby L. Goldstein|Stephen T. Chermack|Jean T. Shope|C. Raymond Bingham|Marc A. Zimmerman|Frederic C. Blow
Three?month Follow?up of Brief Computerized and Therapist Interventions for Alcohol and Violence Among Teens
University Transportation Research Center|University of Michigan–Ann Arbor|Hurley Medical Center|Health Services Research & Development|University of Toronto|University Transportation Research Center|University of Michigan–Ann Arbor|Hurley Medical Center|Health Services Research & Development|University of Toronto|University Transportation Research Center|University of Michigan–Ann Arbor|Hurley Medical Center|Health Services Research & Development|University of Toronto|University Transportation Research Center|University of Michigan–Ann Arbor|Hurley Medical Center|Health Services Research & Development|University of Toronto|University Transportation Research Center|University of Michigan–Ann Arbor|Hurley Medical Center|Health Services Research & Development|University of Toronto|University Transportation Research Center|University of Michigan–Ann Arbor|Hurley Medical Center|Health Services Research & Development|University of Toronto|University Transportation Research Center|University of Michigan–Ann Arbor|Hurley Medical Center|Health Services Research & Development|University of Toronto|University Transportation Research Center|University of Michigan–Ann Arbor|Hurley Medical Center|Health Services Research & Development|University of Toronto
alcohol use violent behaviors well documented among adolescents enormous effects morbidity mortality authors hypothesized universal computer screening teens innercity emergency department ed followed brief intervention bi would 1 feasible measured participation completion bi ed visit well received teens measured posttest process measures intervention acceptability 2 effective changing known precursors behavior change attitudes selfefficacy readiness change alcohol use violenceadolescent patients ages 1418 years urban ed approached complete computerized survey survey conducted daily 12 noon 11 pm september 2006 november 2008 adolescents reporting alcohol use violence past year randomized control group 35minute bi delivered computer therapist part saferteens study validated measures administered including demographics alcohol use attitudes toward alcohol violence selfefficacy alcohol violence readiness change alcohol violence process questions including likeability interventiona total 2423 adolescents screened thirteen percent approached refused population 45 male 58 african american 62 hispanic screened 637 adolescents 26 screened positive 533 randomized participate 515 completed bi prior discharge bis well received adolescents overall 97 randomized bi selfreported found one intervention section helpful posttest significant reductions positive attitudes alcohol use violence significant increases selfefficacy related alcoholviolence found therapist computer interventions 3month followup 81 retention generalized estimating equations gee analysis showed participants interventions significant reductions positive attitudes alcohol use therapist p 0002 computer p 00001 violence therapist p 0012 computer p 0007 significant increases selfefficacy related violence therapist p 0004 computer p 0002 alcohol selfefficacy improved therapist bi condition therapist p 0050 computer p 0083 readiness change significantly improvedthis initial evaluation saferteens study shows universal computerized screening bi multiple risk behaviors among adolescents feasible well received effective altering attitudes selfefficacy future evaluations saferteens study evaluate interventions effects behavioral change alcohol use violence year following ed visit