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This study assesses the feasibility, acceptability and preliminary effects of a brief intervention for reducing adolescent substance use and other risk behaviours. This single\u2010arm feasibility test recruited 30 substance\u2010using adolescents and their primary caregiver. Participants received separate interventions (2 sessions for adolescents, 1 session for caregivers), with a subsample randomly selected for post\u2010intervention interviews. Feasibility was measured by the proportion of eligible adolescents who were enrolled and retained in the study. Interviews explored acceptability, and changes in outcomes from baseline to 1\u2010month follow\u2010up assessed preliminary effects of the intervention. Thirty of 43 (69.8%) eligible adolescents and their caregivers were enrolled, with 29 adolescents (96.7%) and 28 caregivers (93.3%) completing the intervention. Twenty\u2010eight adolescents (93.3%) and 29 caregivers (96.7%) were retained at follow\u2010up. Frequency of alcohol, cannabis use and delinquent\u2010type behaviours decreased significantly from baseline to follow\u2010up. Participants appreciated the intervention content and delivery and felt that it facilitated behaviour change. Suggestions for improving the intervention were provided. This study found that the intervention is feasible, acceptable and had promising effects on adolescent behaviour. Efficacy must be established with a randomised controlled trial.<\/jats:p>","DOI":"10.1002\/ijop.12668","type":"journal-article","created":{"date-parts":[[2020,4,14]],"date-time":"2020-04-14T05:18:41Z","timestamp":1586841521000},"page":"1016-1025","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Acceptability and feasibility of a brief substance use intervention for adolescents in Cape Town, South Africa: A pilot study"],"prefix":"10.1002","volume":"55","author":[{"given":"Tara","family":"Carney","sequence":"first","affiliation":[{"name":"Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council  Tygerberg South Africa"},{"name":"Division of Addiction Psychiatry, Department of Psychiatry and Mental Health, University of Cape Town Groote Schuur Hospital, Observatory  Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Johnson","sequence":"additional","affiliation":[{"name":"Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council  Tygerberg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Carrico","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, Division of Prevention Science &amp; Community Health University of Miami  Coral Gables FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bronwyn","family":"Myers","sequence":"additional","affiliation":[{"name":"Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council  Tygerberg South Africa"},{"name":"Division of Addiction Psychiatry, Department of Psychiatry and Mental Health, University of Cape Town Groote Schuur Hospital, Observatory  Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/pir.34-3-103"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.16069"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2004.08.004"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2019.1656352"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2013.01.004"},{"key":"e_1_2_9_7_1","first-page":"CD008969","article-title":"Brief school\u2010based interventions and behavioural outcomes for substance\u2010using adolescents","volume":"1","author":"Carney T.","year":"2016","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2017-000539"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-7795.2009.00634.x"},{"key":"e_1_2_9_10_1","volume-title":"Substance abuse and the family: An examination of the south African policy context","author":"Groenewald C.","year":"2016"},{"key":"e_1_2_9_11_1","first-page":"85","volume-title":"Crime and criminals: Contemporary and classic readings in criminology","author":"Huizinga D.","year":"1999"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-8624.2011.01676.x"},{"key":"e_1_2_9_13_1","volume-title":"Survey on substance use, risk behaviour and mental health among grade 8\u201310 learners in Western cape provincial schools, 2011","author":"Morojele N. 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