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Long-Term RCT outcomes for adolescent alcohol and cannabis use within a predominantly Hispanic sample
Authors:Genevieve F Dash  Angela D Bryan  Erika Montanaro  Sarah W Feldstein Ewing
Institution:1. Department of Psychological Sciences, University of Missouri, Columbia, Missouri, USA;2. Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, Colorado, USA;3. Department of Psychological Sciences, University of North Carolina Charlotte, Charlotte, North Carolina, USA;4. Department of Psychology, University of Rhode Island, Kingston, Rhode Island, USA
Abstract:Because adolescents are unlikely to seek, receive, or complete treatment for alcohol and/or cannabis misuse, it is important to enhance the lasting impact of clinical contacts when they do occur. Adolescents (N = 506; 72.5% Hispanic) were randomized to motivational interviewing (MI) versus alcohol and cannabis education (ACE). Latent growth models estimated change over time. Significant reductions in alcohol use were observed, with slightly greater reductions by 12-month follow-up for MI. Both interventions significantly reduced cannabis use, with no treatment group differences. When outcomes were examined comparing Hispanic to non-Hispanic participants, there were no significant differences in intervention efficacy by group. MI's inherently client-centered and culturally adaptive approach may contribute to its equitable degree of behavior change for youth across race/ethnic backgrounds.
Keywords:adolescents  alcohol  cannabis  Hispanic  motivational interviewing  randomized controlled trial
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