Article

Brief Motivational Interviewing Intervention for Peer Violence and Alcohol Use in Teens: One-Year Follow-up

Departments of Emergency Medicine, University of Michigan, Ann Arbor, Michigan 48106-5570, USA.
PEDIATRICS (Impact Factor: 5.3). 05/2012; 129(6):1083-90. DOI: 10.1542/peds.2011-3419
Source: PubMed

ABSTRACT Emergency department (ED) visits present an opportunity to deliver brief interventions (BIs) to reduce violence and alcohol misuse among urban adolescents at risk for future injury. Previous analyses demonstrated that a BI resulted in reductions in violence and alcohol consequences up to 6 months. This article describes findings examining the efficacy of BIs on peer violence and alcohol misuse at 12 months.
Patients (14-18 years of age) at an ED reporting past year alcohol use and aggression were enrolled in the randomized control trial, which included computerized assessment, random assignment to control group or BI delivered by a computer or therapist assisted by a computer. The main outcome measures (at baseline and 12 months) included violence (peer aggression, peer victimization, violence-related consequences) and alcohol (alcohol misuse, binge drinking, alcohol-related consequences).
A total of 3338 adolescents were screened (88% participation). Of those, 726 screened positive for violence and alcohol use and were randomly selected; 84% completed 12-month follow-up. In comparison with the control group, the therapist assisted by a computer group showed significant reductions in peer aggression (P < .01) and peer victimization (P < .05) at 12 months. BI and control groups did not differ on alcohol-related variables at 12 months.
Evaluation of the SafERteens intervention 1 year after an ED visit provides support for the efficacy of computer-assisted therapist brief intervention for reducing peer violence.

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    • "Although death is the most severe consequence of violence , and homicide is the leading cause of death among African American adolescents (CDC, 2009), nonfatal injuries are far more common. In 2011, more than 707,000 10-24 year olds in the United States were treated in emergency departments for injuries caused by violence (CDC, 2012) and the ED is increasingly recognized as an important contact location for youth at risk for future violent injury (Cunningham et al., 2012) In addition, a recent study among youth (Cunningham et al., 2006, Epstein-Ngo et al., 2012; White, Fite, PArdini, Mun, & Loeber, 2012,Walton et al., 2009). The National Survey on Drug Use and Health, for example, indicated that youth who used any illicit drug in the past year were almost twice as likely to have engaged in violence compared to youth who did not report use of illicit drugs (SAHMSA, 2006) In most instances, however, these studies indicated that the frequency of alcohol or drug use was correlated with the reported frequency of involvement in aggression during the same time period (e.g., past year). "
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