A randomized controlled trial of a brief motivational interviewing-based group intervention for emerging adults experiencing homelessness: 24-month effects on alcohol use.

IF 3.2 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Psychology of Addictive Behaviors Pub Date : 2024-05-01 Epub Date: 2023-09-28 DOI:10.1037/adb0000963

Joan S Tucker, Anthony Rodriguez, Elizabeth J D'Amico, Eric R Pedersen, Rick Garvey, David J Klein

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Abstract

Objective: Despite rates of alcohol misuse being higher among emerging adults experiencing homelessness compared to those who are stably housed, there are few brief evidence-based risk reduction programs for this population that focus on alcohol use and assess outcomes for more than 1 year. This study examines alcohol outcomes from a 24-month evaluation of AWARE, a brief motivational interviewing-based group risk reduction intervention for emerging adults experiencing homelessness.

Method: In a cluster randomized crossover trial, 18- to 25- year-olds received AWARE (n = 132) or standard care (n = 144) at one of three drop-in centers serving young people experiencing homelessness in Los Angeles County. We evaluated intervention effects on past month alcohol use, consequences, and related cognitions such as motivation to change behavior.

Results: AWARE participants showed significant reductions over 24 months in alcohol use and negative consequences from drinking and reported significant increases in their use of drinking protective strategies. Except for drinking frequency, control group participants did not show a significant change in these outcomes.

Conclusions: Findings build on earlier work by demonstrating that AWARE is effective in reducing alcohol use and related problems among emerging adults experiencing homelessness over a 2-year period. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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一项针对无家可归的新兴成年人的基于简短动机访谈的群体干预的随机对照试验：24个月对饮酒的影响。

目标：尽管与那些稳定居住的人相比，新出现的无家可归的成年人滥用酒精的比率更高，但很少有针对这一人群的简短的循证风险降低计划专注于酒精使用并评估1年以上的结果。这项研究考察了AWARE 24个月评估的酒精结果，AWARE是一种针对无家可归的新兴成年人的基于简短动机访谈的群体风险降低干预措施。方法：在一项集群随机交叉试验中，18至25岁的青少年在洛杉矶县三个为无家可归的年轻人服务的临时收容中心之一接受AWARE（n=132）或标准护理（n=144）。我们评估了干预对过去一个月饮酒、后果和相关认知（如改变行为的动机）的影响。结果：AWARE参与者在24个月内酒精使用和饮酒的负面后果显著减少，并报告他们饮酒保护策略的使用显著增加。除了饮酒频率外，对照组参与者在这些结果上没有表现出显著变化。结论：研究结果建立在早期工作的基础上，证明AWARE在2年内有效减少无家可归的新成年人的饮酒和相关问题。（PsycInfo数据库记录（c）2023 APA，保留所有权利）。

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来源期刊

Psychology of Addictive Behaviors Multiple-

CiteScore

4.90

自引率

11.80%

发文量

165

期刊介绍： Psychology of Addictive Behaviors publishes peer-reviewed original articles related to the psychological aspects of addictive behaviors. The journal includes articles on the following topics: - alcohol and alcoholism - drug use and abuse - eating disorders - smoking and nicotine addiction, and other excessive behaviors (e.g., gambling) Full-length research reports, literature reviews, brief reports, and comments are published.