Alcohol Intervention for Adolescents with Fetal Alcohol Spectrum Disorders: Project Step Up, a Treatment Development Study

Details

• Alternative Title:
  Alcohol Clin Exp Res
• Personal Author:
  O’Connor, Mary J. ; Quattlebaum, Justin ; Castañeda, Marleen ; Dipple, Katrina M.
• Description:
  Background:
  
  Project Step Up proposed to reduce alcohol consumption and alcohol-related negative outcomes in adolescents with fetal alcohol spectrum disorders (FASD).
  
  Methods:
  
  The 54 participants (30 females, 24 males) were assigned to either Project Step Up Intervention (SUI) or Control conditions and were assessed prior to intervention, immediately following intervention, and at 3-month follow-up. Adolescents in the SUI condition participated in a 6-week, 60-minute group intervention that provided alcohol education and promoted adaptive responses to alcohol-related social pressures. Caregivers attended concurrent but separate sessions on the effects of prenatal alcohol exposure on the brain and how to handle parenting challenges associated with alcohol use in teens with FASD.
  
  Results:
  
  Thirty-three percent (n = 18) of adolescents were classified as light/moderate drinkers, and 67% (n = 36) were abstinent/infrequent drinkers based on their lifetime drinking histories. Results revealed a significant decrease in self-reported alcohol risk and in alcohol-related negative behaviors (Cohen’s d = 1.08 and 0.99) in light/moderate drinkers in the SUI compared to the Control group. These results were partially sustained at 3-month follow-up. Furthermore, adolescents in the abstinent/infrequent group exhibited no increase in alcohol-related outcomes suggesting that the group intervention used in this study was not iatrogenic.
  
  Conclusions:
  
  The success of this treatment development study provides preliminary support for effective treatment of adolescents with FASD to prevent or reduce alcohol use and its negative consequences in this high risk population.
  
  
• Subjects:
  Adolescent Adolescents Alcohol Abstinence Alcohol Drinking Alcohol Intervention Alcohol Misuse Article Early Medical Intervention Female Fetal Alcohol Spectrum Disorders Follow-Up Studies Humans Male Pilot Projects Pregnancy Prenatal Alcohol Exposure Prenatal Exposure Delayed Effects Self Report Treatment Outcome

  More +
• Source:
  Alcohol Clin Exp Res. 40(8):1744-1751
• Pubmed ID:
  27219498
• Pubmed Central ID:
  PMC10246469
• Document Type:
  Journal Article
• Funding:
  U84 DD000504/DD/NCBDD CDC HHSUnited States/
• Volume:
  40
• Issue:
  8
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:18e54250dce5d0264587cb8a7cf864ed46376c379ec750a33505ade24a606dcb
• Download URL:
  https://stacks.cdc.gov/view/cdc/129448/cdc_129448_DS1.pdf
• File Type:
  [PDF - 204.39 KB ]