Long-Term RCT outcomes for adolescent alcohol and cannabis use within a predominantly Hispanic sample

J Res Adolesc. 2023 Sep;33(3):1038-1047. doi: 10.1111/jora.12856. Epub 2023 May 1.

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: Hispanic; adolescents; alcohol; cannabis; motivational interviewing; randomized controlled trial.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Alcohol Drinking
  • Cannabis*
  • Humans
  • Motivation
  • Motivational Interviewing*