Table_1_Adolescent: provider connectedness and STI risk reduction following a brief alcohol intervention: findings from a randomized controlled trial.DOCX

ObjectiveGiven the frequent co-occurrence between alcohol use and sexual behavior among adolescents, alcohol interventions may play a role in helping prevent sexually transmitted infections (STIs) in this age group. Psychotherapy “common factors” are one potential active ingredient in intervention efficacy. Thus, the purpose of this study was to evaluate the influence of a critical common factor, adolescent: provider connectedness, on STI risk reduction at 3 months post-intervention.MethodsCommunity-based youth (N = 168) were randomized to two 60-min individual sessions of either motivational interviewing (MI) or brief adolescent mindfulness (BAM). Logistic regressions predicted post-intervention positive STI from adolescent: provider connectedness, intervention condition, and their interaction. Path analytic models tested post-intervention hazardous drinking as a mediator of the association between adolescent: provider connectedness and reduction in STI risk at 3-month follow-up.ResultsStronger adolescent: provider connectedness reduced risk of STI at 3 months post-intervention, with no differences by treatment condition. A mediational relationship between adolescent: provider connectedness and STI risk via hazardous drinking was not observed.ConclusionPsychotherapeutic common factors, including adolescent: provider connectedness, may be important in mitigating adolescent health risk in behavioral interventions, above and beyond intervention condition and beyond the target behavior of the intervention.

鉴于青少年饮酒与性行为之间频繁的共现现象，酒精干预可能在帮助预防这一年龄段的性传播疾病（STIs）方面发挥一定作用。心理治疗中的‘常见因素’是干预效果中的一个潜在有效成分。因此，本研究的目的是评估关键常见因素——青少年与提供者之间的联系，对干预后3个月STI风险降低的影响。研究方法：基于社区的青少年（N=168）被随机分为两组，每组进行60分钟的个别会话，分别接受动机访谈（MI）或简短青少年正念（BAM）。通过逻辑回归预测干预后阳性STI与青少年与提供者之间的联系、干预条件及其相互作用。路径分析模型检验了干预后危险饮酒作为青少年与提供者之间的联系以及3个月随访后STI风险降低之间关联的中介作用。研究结果：较强的青少年与提供者之间的联系在干预后3个月降低了STI的风险，且治疗条件之间没有差异。未观察到青少年与提供者之间的联系通过危险饮酒与STI风险之间的中介关系。研究结论：心理治疗中的常见因素，包括青少年与提供者之间的联系，可能在降低青少年行为干预中的健康风险方面起到重要作用，这种作用超越了干预条件，也超越了干预的目标行为。