A developmental-based motivational intervention to reduce alcohol and marijuana use among non-treatment-seeking young adults: a randomized controlled trial

Stein, Michael D.; Caviness, Celeste M.; Morse, Emily F.; Grimone, Kristin R.; Audet, Daniel; Herman, Debra S.; Moitra, Ethan; Anderson, Bradley J.

doi:10.1111/add.14026

Cited by 33Substance Abuse Treatment and OutcomesSmoking Behavior and CessationOpioid Use Disorder Treatment

A developmental-based motivational intervention to reduce alcohol and marijuana use among non-treatment-seeking young adults: a randomized controlled trial

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Stein, Michael D., Caviness, Celeste M., Morse, Emily F., Grimone, Kristin R., Audet, Daniel, Herman, Debra S., Moitra, Ethan, Anderson, Bradley J.·2018·Addiction

DOI 10.1111/add.14026PMC PMC5807100

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Abstract

Aims: To test the hypothesis that among non‐treatment‐seeking emerging adults (EA) who both use marijuana and have alcohol binges, a brief, longitudinally delivered, developmentally based motivational intervention would show greater reductions in the use of these two substances compared with a health education control condition. Design: Parallel, two‐group, randomized controlled trial with follow‐up interventions conducted at 1, 3, 6 and 9 months and final assessments at 12 and 15 months. Setting: Hospital‐based research unit in the United States. Participants: Community‐based 18–25‐year‐olds who reported at least monthly binge drinking and at least weekly marijuana use. Intervention: Motivational intervention (EA‐MI) focused primarily on themes of emerging adulthood (identity exploration, instability, self‐focus, feeling in‐between, a sense of possibilities) and the subjects' relationship to substance use ( n = 110) compared with an attention‐matched health education control condition ( n = 116). Measurements: The primary outcomes were days of binge alcohol, marijuana and dual use day as measured using the timeline follow‐back method analysing the treatment by time interaction to determine relative differences in the rate of change between intervention arms. Findings: At baseline, the mean rate (days/30) of binge drinking was 5.23 (± 4.31) of marijuana use was 19.4 (± 10.0) and of dual (same day) use was 4.11 (± 4.13). Relative to baseline, there were reductions in the rate of binge alcohol use, marijuana use and days of combined binge alcohol and marijuana use ( P < 0.001) at all follow‐up assessments. However, the treatment × time interaction was not statistically significant for alcohol ( P = 0.37), for marijuana ( P = 0.07) or for dual use ( P = 0.55). Averaged over all follow‐ups, mean reductions in binge, marijuana and dual use days were 1.16, 1.45 and 1.08, respectively, in the health education arm, and 1.06, 1.69 and 0.96 in EA‐MI. Bayes factors were < 0.01 for frequency of binge alcohol use and frequency of dual binge alcohol and marijuana and 0.016 for marijuana use. Conclusions: A brief, longitudinally delivered, developmentally based motivational intervention for young adults did not produce reductions in binge alcohol, marijuana use or dual use days relative to a control condition.

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Stages of Change Model has Limited Value in Explaining the Change in Use of Cannabis among Adolescent Participants in an Efficacious Motivational Interviewing Intervention
Dupont, H., Candel, M. J. J. M., Lemmens, P. H. H. M., Kaplan, C. D., van de Mheen, D., & de Vries, N. K. (2017) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2017.1325030 · Cited by 2 · see citing works

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[88]Stephens RS Roffman RA Fearer SA Williams C Burke RS The Marijuana Check-up: promoting change in ambivalent marijuana users Addiction 2007 102 6 947 957 17523990

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Authors: Stein, M. D., Caviness, C. M., Morse, E. F., Grimone, K. R., Audet, D., Herman, D. S., Moitra, E., & Anderson, B. J.
Affiliations: Boston University (US)
Butler Hospital (US)
Brown University (US)
Corresponding author: Stein, Michael D.
ORCID: Stein, Michael D.
Herman, Debra S.
Moitra, Ethan
Anderson, Bradley J.
Venue: Addiction
Publisher: Wiley
Published: 2017-10-16
Volume: 113
Issue: 3
Pages: 440-453
ISSN: 0965-2140 (ISSN-L)
1360-0443
DOI: 10.1111/add.14026
PMC: PMC5807100
OpenAlex: W2750636263
Cited by: 33
References: 89
Citations by year: 2026: 4 · 2024: 3 · 2023: 4 · 2022: 4 · 2021: 2 · 2020: 7 · 2019: 6 · 2018: 3
FWCI: 3.43
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Addiction (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Alcohol Abuse and Alcoholism (R01AA020509)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords: emerging adulthood, binge drinking, cannabis use, dual substance use, identity exploration, health education, brief intervention, substance use reduction, treatment-seeking behavior, Bayes factor
MeSH terms: Marijuana Use, Adolescent, Adult, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Psychotherapy, Brief, United States, Comorbidity, Young Adult, Motivational Interviewing, Binge Drinking

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A developmental-based motivational intervention to reduce alcohol and marijuana use among non-treatment-seeking young adults: a randomized controlled trial

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