Alcohol Interventions Among Underage Drinkers in the ED: A Randomized Controlled Trial.

Abstract:

OBJECTIVES:This study examined the efficacy of emergency department (ED)-based brief interventions (BIs), delivered by a computer or therapist, with and without a post-ED session, on alcohol consumption and consequences over 12 months. METHODS:Patients (ages 14-20 years) screening positive for risky drinking were randomized to: BI (n = 277), therapist BI (n = 278), or control (n = 281). After the 3-month follow-up, participants were randomized to receive a post-ED BI session or control. Incorporating motivational interviewing, the BIs addressed alcohol consumption and consequences, including driving under the influence (DUI), and alcohol-related injury, as well as other concomitant drug use. The computer BI was an offline, Facebook-styled program. RESULTS:Among 4389 patients screened, 1054 patients reported risky drinking and 836 were enrolled in the randomized controlled trial. Regression models examined the main effects of the intervention conditions (versus control) and the interaction effects (ED condition × post-ED condition) on primary outcomes. The therapist and computer BIs significantly reduced consumption at 3 months, consequences at 3 and 12 months, and prescription drug use at 12 months; the computer BI reduced the frequency of DUI at 12 months; and the therapist BI reduced the frequency of alcohol-related injury at 12 months. The post-ED session reduced alcohol consequences at 6 months, benefiting those who had not received a BI in the ED. CONCLUSIONS:A single-session BI, delivered by a computer or therapist in the ED, shows promise for underage drinkers. Findings for the fully automated stand-alone computer BI are particularly appealing given the ease of future implementation.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Cunningham RM,Chermack ST,Ehrlich PF,Carter PM,Booth BM,Blow FC,Barry KL,Walton MA

doi

10.1542/peds.2015-1260

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

e783-93

issue

4

eissn

0031-4005

issn

1098-4275

pii

peds.2015-1260

journal_volume

136

pub_type

杂志文章,随机对照试验
  • Exploring emergency contraception knowledge, prescription practices, and barriers to prescription for adolescents in the emergency department.

    abstract:OBJECTIVE:The objective of this study was to assess the proportion of emergency medicine physicians who had prescribed emergency contraception pills to adolescents, to identify potential barriers to emergency contraception pill prescription for adolescents, and to assess physician knowledge of emergency contraception p...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-0193

    authors: Goyal M,Zhao H,Mollen C

    更新日期:2009-03-01 00:00:00

  • Restless legs syndrome: prevalence and impact in children and adolescents--the Peds REST study.

    abstract:OBJECTIVES:Restless legs syndrome, a common neurologic sleep disorder, occurs in 5% to 10% of adults in the United States and Western Europe. Although approximately 25% of adults with restless legs syndrome report onset of symptoms between the ages of 10 and 20 years, there is very little literature looking directly at...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-2767

    authors: Picchietti D,Allen RP,Walters AS,Davidson JE,Myers A,Ferini-Strambi L

    更新日期:2007-08-01 00:00:00

  • The preparedness of schools to respond to emergencies in children: a national survey of school nurses.

    abstract:OBJECTIVES:Because children spend a significant proportion of their day in school, pediatric emergencies such as the exacerbation of medical conditions, behavioral crises, and accidental/intentional injuries are likely to occur. Recently, both the American Academy of Pediatrics and the American Heart Association have p...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2005-1474

    authors: Olympia RP,Wan E,Avner JR

    更新日期:2005-12-01 00:00:00

  • Timing of Puberty Suppression and Surgical Options for Transgender Youth.

    abstract:OBJECTIVES:Puberty suppression (PS) is a cornerstone of treatment in youth experiencing gender dysphoria. In this study, we aim to inform prescribing professionals on the long-term effects of PS treatment on the development of sex characteristics and surgical implications. METHODS:Participants received PS according to...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2019-3653

    authors: van de Grift TC,van Gelder ZJ,Mullender MG,Steensma TD,de Vries ALC,Bouman MB

    更新日期:2020-11-01 00:00:00

  • The role of schools in strengthening delivery of new adolescent vaccinations.

    abstract::Schools offer an opportunity to deliver new vaccines to adolescents who may not receive them in their medical home. However, school budgets and health priorities are set at the local level; consequently resources devoted to health-related activities vary widely. Partnering with schools requires soliciting buy-in from ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2007-1115F

    authors: Lindley MC,Boyer-Chu L,Fishbein DB,Kolasa M,Middleman AB,Wilson T,Wolicki J,Wooley S,Working Group on the Role of Schools in Delivery of Adolescent Vaccinations.

    更新日期:2008-01-01 00:00:00

  • A controlled trial of high-intensity double-surface phototherapy on a fluid bed versus conventional phototherapy in neonatal jaundice.

    abstract:OBJECTIVE:To evaluate a simple, relatively inexpensive method using the fluid bed to provide high-intensity double-surface (HIDS) phototherapy and to confirm that the method described is more effective than conventional phototherapy (CPT) in the treatment of neonatal hyperbilirubinemia. DESIGN:Prospective controlled s...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章

    doi:

    authors: Garg AK,Prasad RS,Hifzi IA

    更新日期:1995-06-01 00:00:00

  • Adult patient visits to children's hospital emergency departments.

    abstract:BACKGROUND:Adults frequently seek medical services in children's hospital emergency departments (CHEDs), and are required to be admitted to CHEDs under the provisions of the Emergency Medical Transfer and Active Labor Act (EMTALA), which requires medical evaluation and stabilization of every patient who presents to an ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.111.6.1268

    authors: Bourgeois FT,Shannon MW

    更新日期:2003-06-01 00:00:00

  • The relationship between maternal hypertensive disease of pregnancy and the incidence of idiopathic respiratory distress syndrome.

    abstract::The relationship between maternal hypertensive disease of pregnancy (HDOP) and idiopathic respiratory distress syndrome (IRDS) was analyzed in 2,105 premature infants weighing between 1,000 and 2,199 gm and born between January 1968 and December 1975 at the Kings County Hospital Center and State University Hospital. H...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Yoon JJ,Kohl S,Harper RG

    更新日期:1980-04-01 00:00:00

  • Comprehensive evaluation of the child with intellectual disability or global developmental delays.

    abstract::Global developmental delay and intellectual disability are relatively common pediatric conditions. This report describes the recommended clinical genetics diagnostic approach. The report is based on a review of published reports, most consisting of medium to large case series of diagnostic tests used, and the proporti...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2014-1839

    authors: Moeschler JB,Shevell M,Committee on Genetics.

    更新日期:2014-09-01 00:00:00

  • Is Chlamydia pneumoniae infection associated with stroke in children with sickle cell disease?

    abstract:BACKGROUND:Stroke is often a devastating complication of sickle cell disease (SCD). Most children with SCD-related stroke have stenotic and occlusive disease of cerebral blood vessels due to intimal hyperplasia. This hyperplasia is hypothesized to result from an inflammatory response similar to that in atherosclerosis ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.113.4.e318

    authors: Goyal M,Miller ST,Hammerschlag MR,Gelling M,Gaydos CA,Hardick J,Wood BJ,Reznik T,Rao SP

    更新日期:2004-04-01 00:00:00

  • Preschool vision screening frequency after an office-based training session for primary care staff.

    abstract:OBJECTIVE:Although vision screening for preschool children is recommended for detecting amblyopia, many pediatric and family medicine practices do not screen preschool-aged children. The aim of this study was to determine the effect of a training program for primary care clinical staff on vision screening behavior and ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.112.1.e17

    authors: Hered RW,Rothstein M

    更新日期:2003-07-01 00:00:00

  • Immunoglobulin subclass antibodies to varicella-zoster virus.

    abstract::Commercially available mouse monoclonal antibodies to human IgG subclass (IgG1 to IgG4) were applied to an enzyme-linked immunosorbent assay to measure IgG subclass-specific antibodies to varicella-zoster virus in children naturally infected with varicella-zoster virus and in varicella vaccine recipients. In children ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Asano Y,Hiroishi Y,Itakura N,Hirose S,Kajita Y,Nagai T,Yazaki T,Takahashi M

    更新日期:1987-12-01 00:00:00

  • Increasing breast milk production for premature infants with a relaxation/imagery audiotape.

    abstract::Many women whose premature infants are hospitalized in a newborn intensive care unit choose to express breast milk for their babies. Yet anxiety, fatigue, and emotional stress are powerful inhibitors of lactation. To facilitate the breast-feeding experience, intervention mothers were given a 20-minute audio cassette t...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Feher SD,Berger LR,Johnson JD,Wilde JB

    更新日期:1989-01-01 00:00:00

  • Psychosocial functioning of children with cystic fibrosis.

    abstract::The adjustment of children with cystic fibrosis as rated by parents and teachers was compared to that of physically healthy siblings, normal children, and other chronically ill children. The findings indicated that children with cystic fibrosis achieved an age-adequate level of adjustment at home and school. Adjustmen...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Drotar D,Doershuk CF,Stern RC,Boat TF,Boyer W,Matthews L

    更新日期:1981-03-01 00:00:00

  • Safety and Immunogenicity of Sequential Rotavirus Vaccine Schedules.

    abstract:BACKGROUND AND OBJECTIVES:Although both licensed rotavirus vaccines are safe and effective, it is often not possible to complete the schedule by using the same vaccine formulation. The goal of this study was to investigate the noninferiority of the immune responses to the 2 licensed rotavirus vaccines when administered...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1542/peds.2015-2603

    authors: Libster R,McNeal M,Walter EB,Shane AL,Winokur P,Cress G,Berry AA,Kotloff KL,Sarpong K,Turley CB,Harrison CJ,Pahud BA,Marbin J,Dunn J,El-Khorazaty J,Barrett J,Edwards KM,VTEU Rotavirus Vaccine Study Work Group.

    更新日期:2016-02-01 00:00:00

  • Predicting time to hospital discharge for extremely preterm infants.

    abstract:BACKGROUND:As extremely preterm infant mortality rates have decreased, concerns regarding resource use have intensified. Accurate models for predicting time to hospital discharge could aid in resource planning, family counseling, and stimulate quality-improvement initiatives. OBJECTIVES:To develop, validate, and compa...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-0810

    authors: Hintz SR,Bann CM,Ambalavanan N,Cotten CM,Das A,Higgins RD,Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network.

    更新日期:2010-01-01 00:00:00

  • Pathophysiology of acetaminophen overdosage toxicity: implications for management.

    abstract::Acute acetaminophen intoxication was studied in the dog to characterize pathogenesis and in the mouse as a model for antidotal research. In the dog, overt toxicity was manifested principally by cyanosis, facial and paw edema, gastrointestinal disturbance, and coma. Typical laboratory findings were methemoglobinemia, h...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Piperno E,Mosher AH,Berssenbruegge DA,Winkler JD,Smith RB

    更新日期:1978-11-01 00:00:00

  • Does being a chief resident predict leadership in pediatric careers?

    abstract:OBJECTIVE:Many organizations make efforts to identify future pediatric leaders, often focusing on chief residents (CRs). Identifying future leaders is an issue of great importance not only to the ultimate success of the organization but also to the profession. Because little is known regarding whether completing a CR p...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Alpert JJ,Levenson SM,Osman CJ,James S

    更新日期:2000-04-01 00:00:00

  • Lactobacillus GG in the prevention of nosocomial gastrointestinal and respiratory tract infections.

    abstract:OBJECTIVE:The incidence of nosocomial infections, predominantly gastrointestinal and respiratory, in children in developed countries is high, ranging from 5% to 44%. There is no effective strategy for preventing these infections. The objective of our study was to investigate the role of Lactobacillus GG (LGG) in preven...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2009-2568

    authors: Hojsak I,Abdović S,Szajewska H,Milosević M,Krznarić Z,Kolacek S

    更新日期:2010-05-01 00:00:00

  • Pediatric cardiac surgery: the effect of hospital and surgeon volume on in-hospital mortality.

    abstract:OBJECTIVE:To examine the relationship between annual provider (hospital and surgeon) volume of pediatric cardiac surgery and in-hospital mortality. DESIGN:Population-based retrospective cohort study using a clinical database. SETTING:The 16 acute care hospitals in New York with certificate of need approval to perform...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.101.6.963

    authors: Hannan EL,Racz M,Kavey RE,Quaegebeur JM,Williams R

    更新日期:1998-06-01 00:00:00

  • Fatal myocardial infarction following therapy with prothrombin complex concentrates in a young man with hemophilia A.

    abstract::A fatal myocardial infarction in a 22-year-old man with hemophilia A and a factor VIII inhibitor is described. The catastrophic event occurred while the patient was receiving high doses of unactivated prothrombin complex concentrates. Autopsy examination revealed myocardial hemorrhage with no evidence of coronary arte...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Sullivan DW,Purdy LJ,Billingham M,Glader BE

    更新日期:1984-08-01 00:00:00

  • Selective screening device for the early detection of normal or delayed cognitive development in infants at risk for later mental retardation.

    abstract::The present study tested the predictive validity at 3 years of age of a screening device for the early identification of later cognitive delay. The screening device, administered between 3 and 7 months of age, is based on the infant's differential fixation "to novel" over previously shown pictures. The sample was comp...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Fagan JF 3rd,Singer LT,Montie JE,Shepherd PA

    更新日期:1986-12-01 00:00:00

  • Rapid fluorometric assay of bilirubin and bilirubin binding capacity in blood of jaundiced neonates: comparisons with other methods.

    abstract::The concentrations of total blood bilirubin, albumin-bound bilirubin, and the reserve and total bilirubin binding capacities of 35 neonatal blood samples (28 patients) were determined by automated front-face fluorometry ((hematofluorometer). These values were compared to results of diazo determinations, Sephadex gel f...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Cashore WJ,Oh W,Blumberg WE,Eisinger J,Lamola AA

    更新日期:1980-09-01 00:00:00

  • American Academy of Pediatrics. Committee on Injury and Poison Prevention. Snowmobiling hazards.

    abstract::Snowmobiles continue to pose a significant risk to children younger than 15 years and adolescents and young adults 15 through 24 years of age. Head injuries remain the leading cause of mortality and serious morbidity, arising largely from snowmobilers colliding, falling, or overturning during operation. Children also ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors:

    更新日期:2000-11-01 00:00:00

  • Practitioner policies and beliefs and practice immunization rates: a study from Pediatric Research in Office Settings and the National Medical Association.

    abstract:OBJECTIVE:To identify vaccination policies and beliefs associated with practice immunization rates (PIR) among office-based pediatricians. METHODS:Primary care pediatricians recruited from the Pediatric Research in Office Settings (PROS) network of the American Academy of Pediatrics or the Pediatric Section of the Nat...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.109.2.294

    authors: Taylor JA,Darden PM,Brooks DA,Hendricks JW,Baker AE,Wasserman RC

    更新日期:2002-02-01 00:00:00

  • A multiple-source method for studying the prevalence of developmental disabilities in children: the Metropolitan Atlanta Developmental Disabilities Study.

    abstract::The Metropolitan Atlanta Developmental Disabilities Study is the first US, population-based epidemiologic study of the prevalence of mental retardation, cerebral palsy, hearing impairment, and visual impairment among school-age children. The study population consisted of children who were 10 years of age between 1985 ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Yeargin-Allsopp M,Murphy CC,Oakley GP,Sikes RK

    更新日期:1992-04-01 00:00:00

  • Improving early literacy promotion: a quality-improvement project for Reach Out and Read.

    abstract:BACKGROUND:The Reach Out and Read (ROR) program promotes early literacy as part of pediatric primary care through the distribution of children's books and anticipatory guidance during early childhood. OBJECTIVES:To improve the rates of age-appropriate book-giving during well-child care and the delivery of ROR-recommen...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2010-2290

    authors: Khandekar AA,Augustyn M,Sanders L,Zuckerman B

    更新日期:2011-04-01 00:00:00

  • Principles of patient safety in pediatrics.

    abstract::The American Academy of Pediatrics and its members are committed to improving the health care system to provide the best and safest health care for infants, children, adolescents, and young adults. In response to a 1999 Institute of Medicine report on building a safer health system, a set of principles was established...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.107.6.1473

    authors: Lannon CM,Coven BJ,Lane France F,Hickson GB,Miles PV,Swanson JT,Takayama JI,Wood DL,Yamamoto L,National Initiative for Children's Health Care Quality Project Advisory Committee.

    更新日期:2001-06-01 00:00:00

  • Should Neonatologists Give Opinions Withdrawing Life-sustaining Treatment?

    abstract::An infant has a massive intracranial hemorrhage. She is neurologically devastated and ventilator-dependent. The prognosis for pulmonary or neurologic recovery is bleak. The physicians and parents face a choice: withdraw the ventilator and allow her to die or perform a tracheotomy? The parents cling to hope for recover...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2016-2585

    authors: Blumenthal-Barby JS,Loftis L,Cummings CL,Meadow W,Lemmon M,Ubel PA,McCullough L,Rao E,Lantos JD

    更新日期:2016-12-01 00:00:00

  • Compliance with alarm limits for pulse oximetry in very preterm infants.

    abstract:OBJECTIVE:The objective of this study was to determine the rate of compliance with hospital guidelines for alarm limits for pulse oximetry in preterm infants on oxygen therapy. METHODS:All infants admitted to the nurseries at the Royal Women's Hospital, Melbourne, Australia, with gestational age <32 weeks or birth wei...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-3099

    authors: Clucas L,Doyle LW,Dawson J,Donath S,Davis PG

    更新日期:2007-06-01 00:00:00