6th International Conference of INEBRIA São Paulo State University Campus of São José do Rio Preto BRIEF INTERVENTION APPLIED BY TEACHERS IN RISK-DRINKING ADOLESCENTS: 4-MONTH FOLLOW-UP 6th International Conference of INEBRIA Raul Aragão Martins Funding: - São Paulo State Research Agency

This group is exposed to three types of problems. Drug use is a vast and striking topic that has been provoking debate and concern in practically all the Brazilian society. One of the most vulnerable segments of the population to the use of psychoactive substances is of teenagers. This group is exposed to three types of problems. Social problems Non-fulfillment of school assignments, the involvement in risky situations and difficulty of family relations Legal problems Beer and cigarettes are prohibited to children and teenagers Health problems associated with the early use of such substances

Yearly usage ranging from 75-85% Monthly usage of about 64% Epidemiology of alcohol use among elementary and high school students in Brazil Yearly usage ranging from 75-85% Monthly usage of about 64% Brazilian national survey on the use of drugs carried out in the 107 biggest Brazilian cities: 2001 48.3% of teenagers have already used alcohol in life and 5.2% are already addicted 2005 7,0 % are already addicted

Objectives This research has as objective to train teachers in service from a high school to indentify and apply brief intervention to risk-drinking adolescents. Results of initial screening and Brief Intervention (DIMEFF et al., 1999). Results of 4-months follow-up

Training of the teachers team Research local: a public high school situated in a city of São Paulo state with 430.000 inhabitants (about 280 miles from São Paulo city). Teachers team: principal, vice-principal and seven teachers. 30 hours course taught by the research team (Topics: epidemiology, alcohol use among adolescents, screening and interview, and brief intervention); Weekly meeting (two hours). Teachers’ financial help: the teachers team received about US $ 170 for month to participate in the research. This aid was paid by the sponsor of the research.

Research Design The research comprised four stages: Training of the teachers team from the participant school; Screening; Brief intervention; Four-month follow-up. Group 1 Students with AUDIT  8 score were classified as positive. Group 2 It was sorted among all students a general group with the same number of the students of the group 1.

Measures and Procedures Screening: sociodemographic variables, religion, AUDIT and evaluation of family history on alcoholic beverage abuse. Interview and four-month follow-up: sociodemographic variables, assessment of alcohol consumption. Procedures The intervention follows the procedure described in the book BASICS - Brief Alcohol Screening and Intervention for College Students. A Harm Reduction Approach (DIMEFF et al., 1999). The student receives information on his/her intake pattern, the risks and problems associated with alcohol use, and the student’s alcoholic beverage intake rate is compared with the mean of the students of the school he attends. After the interview, the student takes with him/her a summary of the information received, as well as tips and suggestions of moderation in alcohol consumption.

Participants Students enrolled in 2008 N = 550 (100%) Students of initial screening N = 481 (87,5%) Age mean (standard deviation) 16.37 (1.55) % female gender 49.5% Interview Group 1 (Risky group) 68 (14,2%) Group 2 (General group) 71 (14,8%) 4 month follow-up 53 (77,9%) 64 (90,1%) Socio economic level D + C2 13.4% C1 27.6% B2 37.2% B1 15.4% A1 + A2 6.5%

Screening results Frequency and percentage of AUDIT scores by period, grade, gender, SEL and religion

Screening results Frequency and percentage of Amount of doses, Frequency and Binge drinking (last month)

4-month follow-up results Comparisons between Groups 1 and 2

4-month follow-up results Comparisons between Groups 1 and 2

4-month follow-up results Comparisons between Groups 1 and 2

4-month follow-up results Comparisons between Groups 1 and 2

Discussion The results for the “Amount of doses” and “Audit score” show significant effect for the interaction time per group in the comparison between Group 1, which received intervention, and Group 2, the control. We can interpret these results as they maintain the frequency of drinking but in these occasions they drink less. The risky group maintain the binge drinking. We need to explore more these behavior. These results altogether suggest a good effect for BASICS Brief Intervention (DIMEFF et al., 1999) in the format applied, which was developed for college students. AUDIT is deemed to be appropriate for the screening process among high school students.

Research team Raul Aragão Martins Luciana Ap. Nogueira da Cruz Izabella Alvarenga Silva Antonio José Manzatto Patrícia S. Teixeira Teachers team from the participant school UNESP - São Paulo State University Campus of São José do Rio Preto São Paulo, Brazil e-mail: raul@ibilce.unesp.br Phone: 55 17 3221 2317