Reducing Risk for Adolescent Substance Misuse with Text-Delivered Counseling to Adolescents and Parents

Mason, Michael; Coatsworth, J. Douglas; Russell, Michael A.; Khatri, Parinda; Bailey, Suzanne; Moore, Matthew; Brown, Aaron; Zaharakis, Nikola; Trussell, Mikaela; Stephens, Chelsea J.; Wallis, Dorothy; Hale, Christopher

doi:10.1080/10826084.2021.1910709

Cited by 11 publications

(22 citation statements)

References 50 publications

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“…For example, new student orientation staff can develop workshops for parents of incoming college freshmen who have ADHD; at these workshops, parents can learn about ways to support their children’s academic success (e.g., Arria & DuPont, 2010). Communication with parents can then be maintained via platforms such as apps and text-messaging, which have been shown effective with parents in prior prescription drug interventions (e.g., Mason et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

“…Peer health educators may help prevent diversion between peers by educating students about the harmful health impacts associated with taking unprescribed medication, and the legal consequences that come from diversion (e.g., Arria & DuPont, 2010). Platforms relevant to the population, such as text-messaging, can be used effectively to reach this population (e.g., Hadler et al, 2021; Mason et al, 2021). In addition, the stressful environment associated with intense academic periods, like finals week, influenced participants to divert to their peers.…”

Section: Discussionmentioning

confidence: 99%

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Using Narrative Vignettes to Understand the Misuse and Diversion of Stimulants Among College Students With and Without a Prescription

et al. 2022

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We used the narrative vignette/storytelling approach to provide a holistic illustration of prescription stimulant misuse [PSM] and diversion [PSD] initiation and maintenance among college-attending emerging adults. We conducted 32 semi-structured, theory-guided interviews with 20 students during spring and summer 2019. The participants were diverse with respect to age, race/ethnicity and gender, and had a history of PSM and/or PSD. We created four narrative vignettes using a multi-step, collaborative process that incorporated patterns of what contributed to initiation and maintenance for four identified student groups (i.e., PSM with and without a prescription and PSD with and without a prescription). Characteristics of the individual, social and broader environments influenced behavior initiation, and positive reinforcement from trial behavior contributed to maintenance. Similarities and differences were identified across the groups. Approaches for PSM and PSD prevention and intervention in college-attending emerging adults should be multifaceted and consider prescription status.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Using Narrative Vignettes to Understand the Misuse and Diversion of Stimulants Among College Students With and Without a Prescription

et al. 2022

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“…This study provides initial guidance and encouragement in the continued development and testing of text-delivered interventions targeting at-risk populations such as adolescent patients of FQHCs. Broadly focused stressand-coping text-delivered interventions appear to be acceptable and feasible (Mason et al, 2021) and could provide scalable preventive interventions to address developmentally important adolescent health issues such as mental health and substance use.…”

Section: Discussionmentioning

confidence: 99%

“…We developed a text-delivered intervention for which previous results from a randomized clinical trial demonstrated the efficacy in reducing symptoms of depression and anxiety among adolescents (Mason et al, 2021). For details, see the Parent Study section.…”

Section: Abstract Adolescent Depression Adolescent Alcohol Use Text-d...mentioning

confidence: 99%

“…Data for the current study were obtained from a randomized controlled trial testing an automated, text message-delivered preventive intervention designed to reduce risk factors for and increase protective factors against substance use among adolescents. Details of the study and intervention are described by Mason et al (2021). Briefly, 69 adolescents were recruited from a federally qualified health center (FQHC) and randomized to a text-delivered prevention intervention or a waitlist control condition.…”

Section: Parent Studymentioning

confidence: 99%

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Breaking the Connection Between Depressive Symptoms and Alcohol Use Among Adolescents With a Text-Message Delivered Intervention: A Randomized Controlled Pilot Trial in Primary Care

Mason

Coatsworth

Russell

et al. 2022

Journal of Prevention and Health Promotion

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Adolescent depression is a significant public health problem reflected in increasing rates of major depressive episodes. Depression is also a critical risk for adolescent substance use. Adolescents who have experienced a major depressive episode are approximately twice as likely to engage in heavy drinking compared to those without. Developing strategies to intervene early and reduce adolescent depressive disorders and alcohol use is warranted. We examined the relationship between adolescent depressive symptoms and alcohol use with 69 adolescents enrolled in a preventive randomized controlled pilot trial for substance use risk within a federally qualified health care setting. We also tested a mediation model to determine if a text-delivered intervention reduced alcohol use by reducing depressive symptoms. Participants were randomized to a 4-week, text-delivered stress-and-coping intervention or a waitlist control condition. Participants completed baseline assessments and monthly follow-up surveys for 3 months. Logistic regression showed that adolescents with probable depressive disorder had six times higher odds of alcohol use compared to those with sub-clinical depressive symptoms. Mediation analysis revealed that the intervention reduced alcohol use by reducing depressive symptoms for adolescents with sub-clinical depressive scores. Results support targeting proximal risk factors such as depressive symptoms among adolescents presenting for primary care with text-delivered preventive interventions in order to reduce alcohol use. Incorporating more intensive interventions for adolescents with a broad range of presenting depressive symptoms is recommended.

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A Systematic Review and Meta-Analysis Evaluating the Efficacy of Stand-Alone Digital Interventions to Prevent Substance Use Among Adolescents

et al. 2023

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Reducing Risk for Adolescent Substance Misuse with Text-Delivered Counseling to Adolescents and Parents

Cited by 11 publications

References 50 publications

Using Narrative Vignettes to Understand the Misuse and Diversion of Stimulants Among College Students With and Without a Prescription

Using Narrative Vignettes to Understand the Misuse and Diversion of Stimulants Among College Students With and Without a Prescription

Breaking the Connection Between Depressive Symptoms and Alcohol Use Among Adolescents With a Text-Message Delivered Intervention: A Randomized Controlled Pilot Trial in Primary Care

A Systematic Review and Meta-Analysis Evaluating the Efficacy of Stand-Alone Digital Interventions to Prevent Substance Use Among Adolescents

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