Date of Award
Evidence-Based Project Report
Doctor of Nursing Practice (DNP)
Scarlet R. Spain
Adolescent alcohol consumption is a serious health problem in the United States. Alcohol is the most widely used substance, and it continues to be the drug of choice for adolescents (CDC, 2018). Over 7 million adolescents and approximately 30 percent of high school students in the U.S. that admit to drinking more than a few sips of alcohol in the past 30 days (NIAAA, n.d.). Underage alcohol use can lead to many complications such as social, school, and legal problems, and when initiated early in life is associated with the development of alcohol use disorder (NIAAA, n.d.). The purpose of this evidence-based project is to create a policy to help clinicians identify and manage adolescent alcohol use with the goal of reducing underage alcohol consumption. The PICOT question examined was, “In adolescents 13-18 years old that seek health care at a school-based clinic (P) how does the implementation of an SBIRT policy that focuses on motivational interviewing (I) decrease underage alcohol use (O) at 4 and 8- weeks post-intervention”. A policy for screening and management of adolescent alcohol use at school-based clinics was implemented from October 2019 to February 2020 in an underserved community in northwestern Indiana. The policy included the process of provider training, confidentiality, screening, motivational interviewing (MI), and referral. Data were collected on screening results using the age-based screening packet, which contains demographic information, the NIAAA screener, CRAFFT tool, and additional alcohol questions. A score of 2 or higher on the CRAFFT tool indicates the need for MI. A pre-test post-test design was utilized where adolescents are measured pre-intervention, and then at four- and eight-weeks post-intervention. Descriptive and inferential statistics will be utilized to analyze the data. It is anticipated that underage alcohol use will be reduced. The results will indicate if the policy for identification and management utilizing MI should be integrated into practice to reduce adolescent alcohol use.
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Berger, Kelsie L., "Identification and Management of Adolescent Alcohol Use: Screening and Motivational Interviewing" (2020). Evidence-Based Practice Project Reports. 155.
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