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Computerizing NIAAA's Best Practices for Youth Screening and Brief Intervention: A Proof-of-Concept Pilot Study of an Automated Alcohol Screening and Intervention Resource Tool. 计算机化NIAAA青年筛查和简短干预的最佳实践:一项自动酒精筛查和干预资源工具的概念验证试点研究。
IF 0.8 Q4 Medicine Pub Date : 2020-03-01 Epub Date: 2019-12-16 DOI: 10.1177/0047237919894960
Steven B Carswell, Shannon G Mitchell, Jan Gryczynski, Elizabeth Lertch

This article reports findings from formative research on translating key elements of the National Institute on Alcohol Abuse and Alcoholism (NIAAA) and American Academy of Pediatrics Practitioner's Guide for pediatric alcohol misuse to a computerized web- and mobile-compatible format with patient risk screening and tailored decision support content. Five practitioners at an urban primary care center used a prototype computerized version of the NIAAA/American Academy of Pediatrics Practitioner's Guide with 80 adolescent patients during routine health-care visits. Practitioners reported a high level of practitioner and adolescent patient engagement and satisfaction with the prototype. Study findings indicate that computerization of the NIAAA Practitioner's Guide is feasible and well accepted by providers and adolescent patients and could be useful for addressing alcohol misuse in primary care settings.

本文报告了一项形成性研究的结果,该研究将国家酒精滥用和酒精中毒研究所(NIAAA)和美国儿科学会儿科酒精滥用从业者指南的关键要素翻译为计算机化的网络和移动兼容格式,其中包含患者风险筛查和定制决策支持内容。一家城市初级保健中心的五名从业人员对80名青少年患者进行了常规保健访问,他们使用了NIAAA/美国儿科学会从业人员指南的原型计算机化版本。从业人员报告了从业人员和青少年患者对原型的高参与度和满意度。研究结果表明,NIAAA从业者指南的计算机化是可行的,并且被提供者和青少年患者广泛接受,并且可能有助于解决初级保健环境中的酒精滥用问题。
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引用次数: 3
Testing Assumptions of the Categorization Approach to Studying Sports Participation and Alcohol Use. 研究运动参与与酒精使用之分类方法之假设检验。
IF 0.8 Q4 Medicine Pub Date : 2018-12-01 Epub Date: 2018-12-19 DOI: 10.1177/0047237918818473
Paige Clarke, Tonya Dodge, Miesha Marzell, Rob Turrisi, Kevin Williams
The present study tested whether playing football or lacrosse in high school is associated with more problematic alcohol use during college compared with playing other sports in high school. A sample of undergraduate males (n = 2,940) in their freshmen year who had played sports in high school completed a web-based questionnaire. Results showed that males who played lacrosse or both football and lacrosse in high school engaged in heavier alcohol use in college than males who played football or other sports in high school. In addition, males who played football in high school engaged in heavier alcohol use in college than males who played other high school sports. Thus, not all high school sports place males at equal risk for heavy alcohol use in college.
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引用次数: 0
Impact of a University Alcohol Policy Change on Bystander Responses to Alcohol-Related Medical Emergencies 大学酒精政策变化对旁观者对酒精相关医疗紧急事件反应的影响
IF 0.8 Q4 Medicine Pub Date : 2018-12-01 DOI: 10.1177/0047237919880949
A. Haas, Nicholas C Welter
Two studies evaluated the implementation of a stricter campus underage drinking policy on service utilization and bystander helping behaviors for alcohol-related medical emergencies. A program evaluation (Study 1) examined campus emergency medical service logs assessing changes in call volume and service utilization, finding a 30% reduction in call volume postpolicy change. Study 2 provided a qualitative data summarizing campus first responder (N = 35) accounts of off-duty alcohol-related emergency calls. Off-duty calls increased postpolicy change and thematic analyses indicated they were (a) motivated by fear of campus sanctions, (b) often yielded delays or failures to contact campus emergency staff, and (c) resulted from student misunderstandings of policy implications for bystander helpers. Findings highlight potential challenges in executing environmental strategies to reduce college drinking.
两项研究评估了更严格的校园未成年人饮酒政策在酒精相关医疗紧急情况下的服务利用和旁观者帮助行为的实施情况。一项项目评估(研究1)检查了校园紧急医疗服务日志,评估了呼叫量和服务利用率的变化,发现政策变化后呼叫量减少了30%。研究2提供了一个定性数据,总结了校园第一反应者(N = 35)下班后与酒精有关的紧急电话。下班电话增加了政策后的变化,主题分析表明,这些电话(a)是出于对校园制裁的恐惧,(b)经常导致延误或未能联系校园应急人员,(c)是由于学生对政策对旁观者助手的影响误解。研究结果突出了在执行减少大学饮酒的环境战略方面的潜在挑战。
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引用次数: 0
Media and Education Effect on Impaired Driving Associated With Alcohol Service. 媒体和教育对酒后驾驶的影响
IF 0.8 Q4 Medicine Pub Date : 2018-12-01 Epub Date: 2019-07-03 DOI: 10.1177/0047237919859658
Michael D George, Ashley Bodiford, Caroline Humphries, Kristy A Stoneburner, Harold D Holder
This study tested a three-component community prevention intervention with alcohol businesses to reduce alcohol overservice and to reduce drinking and driving crashes using a longitudinal design. The intervention involved a responsible beverage serving practices toolkit, a series of on-site visits from law enforcement, and a supporting media campaign. The effort achieved a reduction in the monthly percentage of drivers arrested for driving under the influence who cited the alcohol-licensed establishments as the place of last drink, and the number of establishments mentioned 2+ times as well as a decline in alcohol-involved crashes in the 12-month postintervention period. Results supported a conclusion that the intensive intervention media can achieve a reduction in the frequency with which drinking drivers utilized bars and restaurants and overall impaired driving-related crashes.
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引用次数: 3
Protective Behavioral Strategies and Hazardous Drinking Among College Students: The Moderating Role of Psychological Distress. 大学生保护行为策略与危险饮酒:心理困扰的调节作用。
IF 0.8 Q4 Medicine Pub Date : 2018-03-01 Epub Date: 2018-09-24 DOI: 10.1177/0047237918800505
Hallie R Jordan, Margo C Villarosa-Hurlocker, Asia L Ashley, Michael B Madson
There is increasing evidence that mental health problems may attenuate the relationship between protective behavioral strategies (PBS) and alcohol outcomes. However, psychological distress may also affect these relationships. Further, it appears that different types of PBS have differential relationships with alcohol outcomes. The current study examined the degree to which psychological distress moderated the associations PBS subtypes had with hazardous drinking and alcohol-related negative consequences. Participants were 632 traditional-age undergraduate students (M = 20.04, standard deviation = 1.48) who had consumed alcohol within the past 30 days and completed online self-report measures designed to assess PBS use, level of psychological distress, hazardous drinking patterns, and alcohol-related negative consequences. Serious harm reduction PBS were associated with less hazardous drinking and less alcohol-related negative consequences, and these associations were strengthened for those experiencing greater psychological distress. Controlled consumption PBS were associated with less hazardous drinking, but this association was not moderated by psychological distress. These findings highlight the potential benefit of teaching serious harm reduction PBS to college students experiencing elevated levels of psychological distress.
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引用次数: 9
Vaping in Context: Links Among E-cigarette Use, Social Status, and Peer Influence for College Students 语境中的Vaping:大学生电子烟使用、社会地位和同伴影响之间的联系
IF 0.8 Q4 Medicine Pub Date : 2018-03-01 DOI: 10.1177/0047237918807706
Lacey N. Wallace, Michael J. Roche
In this study, we examined how the number of friends and leadership among peers related to e-cigarette use and beliefs about the social consequences of use among college students. Data were collected via web survey from 175 university students in 2016. Regression techniques were used to analyze responses. Neither number of friends nor role in a peer group was associated with e-cigarette use. Having more friends who used e-cigarettes was positively associated with being offered an e-cigarette, likelihood of accepting a future offer, and e-cigarette use. Perceived social impact was positively related to frequency of use and likelihood of accepting an offered e-cigarette. Those using e-cigarettes more frequently and those with friends using e-cigarettes perceived e-cigarette use as having a positive social effect.
在这项研究中,我们调查了大学生中朋友的数量和同龄人中的领导力与电子烟的使用以及对使用电子烟的社会后果的看法之间的关系。2016年,通过网络调查收集了175名大学生的数据。回归技术用于分析响应。朋友的数量和在同伴群体中的角色都与电子烟的使用无关。拥有更多使用电子烟的朋友与被提供电子烟、接受未来提议的可能性和电子烟使用呈正相关。感知到的社会影响与使用电子烟的频率和接受提供的电子烟的可能性呈正相关。那些经常使用电子烟的人和那些有朋友使用电子烟的人认为电子烟的使用具有积极的社会影响。
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引用次数: 22
Protective Behavioral Strategies and Alcohol Use Outcomes Among College Students: The Moderating Effects of Negative Affect 大学生保护行为策略与饮酒结果:负面情绪的调节作用
IF 0.8 Q4 Medicine Pub Date : 2018-03-01 DOI: 10.1177/0047237918807890
Jessica Samuolis, A. Loser, A. Tyrrell
The current study examined negative affect as a moderator of the relationships between protective behavioral strategies (PBS) used to reduce alcohol-related risk and alcohol use outcomes. Data were obtained from 267 college students using a web-based survey. The use of PBS (i.e., setting a limit on number of drinks, alternating drinks with water, avoiding drinking games) was associated with alcohol use and negative alcohol-related consequences. Negative affect symptoms moderated these relationships such that these relationships were stronger for those students who reported a greater number of negative affect symptoms. The findings indicate that the use of PBS by college students who consume alcohol are more protective for those with poorer mental health.
目前的研究将负面影响作为用于降低酒精相关风险的保护性行为策略(PBS)与酒精使用结果之间关系的调节因素。数据是通过网络调查从267名大学生中获得的。PBS的使用(即设定饮料数量限制、交替饮水、避免饮酒游戏)与饮酒和负面的酒精相关后果有关。负面情绪症状调节了这些关系,因此对于那些报告了大量负面情绪症状的学生来说,这些关系更牢固。研究结果表明,饮酒的大学生使用PBS对心理健康状况较差的人更有保护作用。
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引用次数: 2
Medical Marijuana Laws and Marijuana Use Among U.S. Adolescents: Evidence From Michigan Youth Risk Behavior Surveillance Data. 医用大麻法律与美国青少年大麻使用:来自密歇根州青少年风险行为监测数据的证据。
IF 0.8 Q4 Medicine Pub Date : 2018-03-01 Epub Date: 2018-10-09 DOI: 10.1177/0047237918803361
Xinguang Chen, Bin Yu, Bonita Stanton, Robert L Cook, Ding-Geng Din Chen, Chukwuemeka Okafor
Research findings are inconsistent regarding a positive association between the passage of state medical marijuana laws (MML) and the adolescent access and the use of marijuana. We utilized a novel analytical approach to examine this issue with multiyear data from the 1997–2013 Youth Risk Behavior Surveillance System of the State of Michigan. After controlling for the historically declining trend in marijuana use prior to the passages of MML in Michigan, we found that marijuana use among adolescents had increased subsequent to the passage of state MML. The study findings suggest the need for considering the increased risk of marijuana use in adolescents, as more states have implemented laws permitting marijuana use.
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引用次数: 6
Personality, Self-Esteem, and Perceived Stress in Communal Residences Supporting Recovery. 支持康复的公共住宅的人格、自尊和感知压力。
IF 0.8 Q4 Medicine Pub Date : 2017-09-01 Epub Date: 2018-09-10 DOI: 10.1177/0047237918800018
Angela Reilly, Edward B Stevens, Leonard A Jason

The current study examined the relationships between a personality metatrait (Stability consisting of conscientiousness, agreeableness, and neuroticism), self-esteem, and stress in an adult population of individuals with substance use disorders living in recovery homes. Adults ( N = 229) residing in 42 residential recovery settings were interviewed as part of the first wave of a longitudinal study in three sites. Standard error of the mean analysis found significant effects for several demographic variables on Stability, and Stability was significantly related both directly and indirectly to stress. These findings suggest that individual differences at entry may influence recovery home effects and may be important to developing more effective aftercare systems.

目前的研究调查了生活在康复院的成年物质使用障碍患者的人格元特征(由责任心、宜人性和神经质组成的稳定性)、自尊和压力之间的关系。作为在三个地点进行的纵向研究的第一波的一部分,对居住在42个住宅康复机构的成年人(N = 229)进行了访谈。均值分析的标准误差发现,几个人口统计学变量对稳定性有显著影响,稳定性与压力有直接和间接的显著关系。这些发现表明,入院时的个体差异可能会影响康复家庭效应,并可能对开发更有效的善后系统很重要。
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引用次数: 4
Attitudes and Practices Regarding Responsible Beverage Service: Focus Group Discussions With Bar and Restaurant Management and Staff. 关于负责任的饮料服务的态度和做法:与酒吧和餐厅管理人员和员工的焦点小组讨论。
IF 0.8 Q4 Medicine Pub Date : 2017-09-01 Epub Date: 2018-08-19 DOI: 10.1177/0047237918790550
Alexandra M Ecklund, Dawn M Nederhoff, Shanda L Hunt, Keith J Horvath, Toben F Nelson, Jennifer E Plum, Traci L Toomey

Staff and management of bars and restaurants are the key players in assuring responsible beverage service (RBS) and preventing the overservice of alcohol to intoxicated patrons. We conducted six focus group discussions ( N = 42) with management and staff from bars and restaurants about RBS. We compared findings from these current discussions to results of focus group discussions conducted in the 1990s. In comparison to the earlier focus group discussions, we found that many managers and staff members had experience with RBS training programs, establishments generally had written alcohol service policies, and managers and staff members perceived greater likelihood of facing consequences from law enforcement for serving underage youth. Managers and servers also expressed greater concern about overservice of alcohol but did not report greater concern about potential legal consequences for overservice of alcohol than participants from the 1990s focus groups. Results of this study can inform training and enforcement approaches to addressing overservice of alcohol.

酒吧和餐馆的员工和管理人员是确保负责任的饮料服务(RBS)和防止酒精过度服务给醉酒的顾客的关键角色。我们与酒吧和餐馆的管理层和员工就RBS进行了6次焦点小组讨论(N = 42)。我们将这些当前讨论的结果与20世纪90年代进行的焦点小组讨论的结果进行了比较。与早期的焦点小组讨论相比,我们发现许多管理人员和工作人员都有苏格兰皇家银行培训计划的经验,机构通常有书面的酒精服务政策,管理人员和工作人员认为,为未成年人提供服务更有可能面临执法后果。管理人员和服务员也对酒精服务过度表示了更大的关注,但与20世纪90年代焦点小组的参与者相比,他们对酒精服务过度的潜在法律后果没有更大的关注。这项研究的结果可以为解决酒精过度服务的培训和执法方法提供信息。
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引用次数: 5
期刊
JOURNAL OF DRUG EDUCATION
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