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A pilot randomized trial of Motivational Interviewing compared to Psycho-Education for reducing and preventing underage drinking in American Indian adolescents.

Underage drinking is an important public health issue for American Indian and Alaska Native (AI/AN) adolescents, as it is for U. S. teens of all ethnicities. One of the demonstrated risk factors for the development of alcohol use disorders in AI/AN is early age of initiation of drinking. To address this issue a randomized trial to assess the efficacy of Motivational Interviewing (MI) compared to Psycho-Education (PE) to reduce and prevent underage drinking in AI/AN youth was developed and implemented. Sixty-nine youth received MI or PE and 87% were assessed at follow-up. For teens who were already drinking, participating in the intervention (MI or PE) was associated, at follow-up, with lower quantity × frequency (q × f) of drinking (p = 0.011), fewer maximum drinks per drinking occasion (p = 0.004), and fewer problem behaviors (p = 0.009). The MI intervention resulted in male drinkers reporting a lower q × f of drinking (p = 0.048) and female drinkers reporting less depression (p = 0.011). In teens who had not started drinking prior to the intervention, 17% had initiated drinking at follow-up. As a group they reported increased quantity × frequency of drinking (p = 0.008) and maximum drinks (p = 0.047), but no change in problem behaviors. These results suggest that intervening against underage drinking using either MI or PE in AI/AN youth can result in reduced drinking, prevention of initiation of drinking, and other positive behavioral outcomes. Brief interventions that enhance motivation to change as well as Psycho-Education may provide a successful approach to reducing the potential morbidity of underage drinking in this high-risk group. (PsycINFO Database Record (c) 2017 APA, all rights reserved)

Gilder, David A.; Geisler, Jennifer R.; Luna, Juan A.; Calac, Daniel; Monti, Peter M.; Spillane, Nichea S.; Lee, Juliet P.; Moore, Roland S.; Ehlers, Cindy L.
Journal of Substance Abuse Treatment
Elsevier Science
Journal Article
Alcohol Drinking Patterns; American Indians; Motivational Interviewing; Psychoeducation; Adolescence (13-17 yrs); Adulthood (18 yrs & older); Young Adulthood (18-29 yrs); Male; Female
Tribal Adaptation