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

Kód výsledku v 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>

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30312 - Substance abuse

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2018

Kód důvěrnosti údajů

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

Název periodika

Journal of Studies on Alcohol and Drugs

ISSN

1937-1888

e-ISSN

—

Svazek periodika

79

Číslo periodika v rámci svazku

4

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

6

Strana od-do

611-616

Kód UT WoS článku

000441178300014

EID výsledku v databázi Scopus

2-s2.0-85055681029