[2190.8] Feasibility and Acceptability of a Pediatric Emergency Department (PED) Alcohol Prevention Intervention for Young Adolescents
James G. Linakis, Julie Bromberg, Janette Baird, Ted D. Nirenberg, Thomas H. Chun, Michael J. Mello, Kristina M. Jackson, Anthony Spirito. Department of Emergency Medicine, Rhode Island Hospital/Alpert Medical School of Brown University, Providence, RI; Center for Alcohol and Addiction Studies, Brown University, Providence, RI; Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI.
BACKGROUND: Delaying/preventing alcohol initiation among younger adolescents may reduce subsequent substance use and related problems. Few adolescent alcohol prevention interventions have been conducted in medical settings. The PED visit may represent a novel and opportune time for such intervention.
OBJECTIVE: To determine feasibility & acceptability of a brief PED prevention intervention to delay/prevent initiation of alcohol use in 12-14 yrs olds.
DESIGN/METHODS: Medically stable 12-14 yr olds presenting to the PED who were accompanied by a parent and who had not initiated alcohol use were eligible. Adolescents and their parent completed a computerized assessment. Dyads were randomized to a Brief Prevention Intervention (BPI) in the PED with a telephone booster that took place 1 & 3 months after the PED visit, or Enhanced Standard Care (ESC). Trained counselors administered a 25-40 min motivational interviewing- and skill building-based BPI, focusing on parental monitoring and parent-adolescent communication. The session was integrated into the youth's PED care. Families in the ESC condition received standard care and adolescent substance use information pamphlets. Feasibility was calculated based on rates of enrollment and completion. Also, BPI participants rated the quality (acceptability) of their experience in the program.
RESULTS: 228 families were approached about enrollment, 122 were eligible, and 104 were enrolled (85%). Mean youth age was 13 yrs (SD =.83), 51% were female, and 90% of parents were females. Of the 104 enrolled, 6 withdrew; 98 (94%) completed the assessment battery in the PED in less than 30 min. The prevention intervention was completed in a mean of 26 min (range 9-46 min, available from 80% of BPI dyads). All of the BPI dyads completed the entire BPI in the PED. However, only 53% of families in the BPI condition completed the booster telephone session. Acceptability items, available from 68% of BPI parents and 93% of teens, were rated favorably (82%-100%) by both parents and adolescents.
CONCLUSIONS: A BPI in the PED is both feasible and acceptable. It may offer an alternative to school-based programs where access to parents is restricted. Further study is needed to identify overall effectiveness of the BPI and to ascertain whether certain youths will benefit more than others.
Session: Platform Session: Pediatric Emergency Medicine II (8:00 AM - 10:00 AM)
Date/Time: Sunday, May 5, 2013 - 9:45 AM
Room: 202B - Walter E. Washington Convention Center
Course Code: 2190