title: Predictors of motivation to change after medical treatment for drinking-related events in adolescents.
abstract: Characteristics associated with intention to change drinking were examined in 254 adolescents treated in an emergency department for alcohol. Younger age, living at home, lower baseline level of drinking and drinking problems, greater depression, having penalties for breaking family drinking rules, higher injury severity, being frightened, and being admitted to the hospital predicted greater intention to change drinking at the time of the event. Baseline characteristics related to being in the action stage of change 3 months later were younger age; lower drinking; having penalties for breaking family drinking rules; injury severity; and number of anticipated consequences, including being in trouble with parents. This study has implications for brief interventions that capitalize on potential teachable moments with problem-drinking adolescents.
authors.affiliation: Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island 02912, USA. nancy_barnett@brown.edu
authors.forename: Nancy P
authors.initials: NP
authors.lastname: Barnett
authors.forename: Rebecca
authors.initials: R
authors.lastname: Lebeau-Craven
authors.forename: Tracy A
authors.initials: TA
authors.lastname: O'Leary
authors.forename: Suzanne M
authors.initials: SM
authors.lastname: Colby
authors.forename: Damaris J
authors.initials: DJ
authors.lastname: Rohsenow
authors.forename: Peter M
authors.initials: PM
authors.lastname: Monti
authors.forename: Robert
authors.initials: R
authors.lastname: Woolard
authors.forename: Anthony
authors.initials: A
authors.lastname: Spirito
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy*; D000437:Alcoholism / Q000150:complications / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy*; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D008297:Male; D009042:Motivation; D012307:Risk Factors; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000209:etiology / Q000523:psychology