Screening and brief advice to reduce adolescents' risk of riding with substance-using drivers

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023752%3A_____%2F18%3A43919500" target="_blank" >RIV/00023752:_____/18:43919500 - isvavai.cz</a>

Result on the web

<a href="https://www.jsad.com/doi/10.15288/jsad.2018.79.611" target="_blank" >https://www.jsad.com/doi/10.15288/jsad.2018.79.611</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.15288/jsad.2018.79.611" target="_blank" >10.15288/jsad.2018.79.611</a>

Result language

angličtina

Original language name

Screening and brief advice to reduce adolescents' risk of riding with substance-using drivers

Original language description

Objective: Alcohol- and drug-related car crashes are a leading cause of death for adolescents in the United States. This analysis tested the effects of a computer-facilitated Screening and Brief Advice (cSBA) system for primary care on adolescents&apos; reports of driving after drinking or drug use (driving) and riding with substance-using drivers (riding). Method: Twelve- to 18-year-old patients (N = 2,096) at nine New England pediatric offices completed assessments only during the initial 18-month treatment-as-usual (TAU) phase. Subsequently, the 18-month cSBA intervention phase began with a 1-hour provider training and implementation of the cSBA system at all sites. cSBA included a notebook-computer with self-administered screener, immediate scoring and feedback, and 10 pages of scientific information and true-life stories illustrating substance-related harms. Providers received screening results, &quot;talking points&quot; for 2 to 3 minutes of counseling, and a Contract for Life handout. Logistic regression with generalized estimating equations generated adjusted relative risk ratios (aRRR) for past-90-day driving and riding risk at 3- and 12-month follow-ups, controlling for significant covariates. Results: We found no significant effects on driving outcomes. At 3 months, cSBA youth were less likely than TAU to report riding with a drinking driver (aRRR = 0.70. 95% CI [0.49, 1.00]). and less likely to report riding with a driver who had used cannabis or other (aRRR = 0.34. 95% CI [0.16, 0.711) for riding with drinking drivers who were adult family members. All effects dissipated by 12-month follow-up. Conclusions: Screening and pediatrician brief advice shows promise lir reducing adolescents&apos; risk of riding with substance-using drivers.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30312 - Substance abuse

Project

—

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of Studies on Alcohol and Drugs

ISSN

1937-1888

e-ISSN

—

Volume of the periodical

79

Issue of the periodical within the volume

4

Country of publishing house

US - UNITED STATES

Number of pages

6

Pages from-to

611-616

UT code for WoS article

000441178300014

EID of the result in the Scopus database

2-s2.0-85055681029