OBJECTIVE Despite rates of alcohol misuse being higher among emerging adults experiencing homelessness compared to those who are stably housed, there are few brief evidence-based risk reduction programs for this population that focus on alcohol use and assess outcomes for more than 1 year. This study examines alcohol outcomes from a 24-month evaluation of AWARE, a brief motivational interviewing-based group risk reduction intervention for emerging adults experiencing homelessness. METHOD In a cluster randomized crossover trial, 18- to 25- year-olds received AWARE (n = 132) or standard care (n = 144) at one of three drop-in centers serving young people experiencing homelessness in Los Angeles County. We evaluated intervention effects on past month alcohol use, consequences, and related cognitions such as motivation to change behavior. RESULTS AWARE participants showed significant reductions over 24 months in alcohol use and negative consequences from drinking and reported significant increases in their use of drinking protective strategies. Except for drinking frequency, control group participants did not show a significant change in these outcomes. CONCLUSIONS Findings build on earlier work by demonstrating that AWARE is effective in reducing alcohol use and related problems among emerging adults experiencing homelessness over a 2-year period. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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对无家可归的新兴成年人进行基于简短动机访谈的团体干预的随机对照试验：对饮酒的 24 个月影响。

目标 尽管与稳定居住的成年人相比，无家可归的新兴成年人的酒精滥用率更高，但针对该人群的简短、基于证据的风险降低计划却很少，该计划专注于饮酒并评估一年以上的结果。本研究通过对 AWARE 进行 24 个月的评估来检验酒精的结果，AWARE 是一项针对无家可归的新兴成年人的基于简短动机访谈的群体风险降低干预措施。方法 在一项整群随机交叉试验中，18 至 25 岁的青少年在洛杉矶县为无家可归的年轻人提供服务的三个临时中心之一接受了 AWARE（n = 132）或标准护理（n = 144）。我们评估了对过去一个月饮酒、后果和相关认知（例如改变行为的动机）的干预效果。结果意识参与者在 24 个月内表现出饮酒量和饮酒带来的负面后果显着减少，并报告说他们使用饮酒保护策略的情况显着增加。除了饮酒频率外，对照组参与者在这些结果上没有表现出显着变化。结论 研究结果建立在早期工作的基础上，证明 AWARE 可有效减少两年内无家可归的新兴成年人的饮酒和相关问题。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。