• Bradley O Boekeloo, Judith Jerry, Wilhelmena I Lee-Ougo, Kevin D Worrell, Ellen K Hamburger, Estelle Russek-Cohen, and Mark H Snyder.
• Department of Public and Community Health, College of Health and Human Performance, University of Maryland, College Park, MD 20742, USA. bb153@umail.umd.edu
• Arch Pediat Adol Med. 2004 Jul 1;158(7):635-42.

ObjectiveTo determine whether office-based interventions change adolescents' alcohol beliefs and alcohol use.DesignRandomized, controlled trial.SettingFive managed care group practices in Washington, DC.ParticipantsConsecutive 12- to 17-year-olds (N = 409) seeing primary care providers (N = 26) for general check-ups. Most of the adolescents (79%) were African American, 44% were male, and 16% currently drank.InterventionsUsual care (Group I), adolescent priming with alcohol self-assessment just prior to check-up (Group II), adolescent priming and provider prompting with adolescent self-assessment and brochure (Group III).Main Outcome MeasuresAdolescent alcohol beliefs at exit interview and self-reported behaviors at 6- and 12-month follow-up.ResultsAt exit interview, Groups II and III reported that less alcohol was needed for impaired thinking and a greater intent to drink alcohol in the next 3 months than Group I. At 6 months, Group III reported more resistance to peer pressure to drink, and Groups II and III reported more bingeing than Group I. At 1-year follow-up, controlling for baseline levels, Groups II (odds ratio [OR], 3.44; 95% confidence interval [CI], 1.44-6.24) and III (OR, 2.86; CI, 1.13-7.26) reported more bingeing in the last 3 months than Group I. Group II reported more drinking in the last 30 days (OR, 2.31; CI, 1.31-4.07) and in the last 3 months (OR, 1.76; CI, 1.12-2.77) than Group I.ConclusionBrief office-based interventions were ineffective in reducing adolescent alcohol use but may increase adolescent reporting of alcohol use.

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