{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T02:58:37Z","timestamp":1781492317768,"version":"3.54.1"},"reference-count":51,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,2,16]],"date-time":"2012-02-16T00:00:00Z","timestamp":1329350400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Nursing Scholarship"],"published-print":{"date-parts":[[2012,3]]},"abstract":"<jats:title>Abstract\u2002<\/jats:title><jats:p><jats:bold>Purpose:<\/jats:bold> To examine the role of family environment and peer networks in abstinence outcomes for adolescents 1 year after intake to alcohol and other drug (AOD) treatment.<\/jats:p><jats:p><jats:bold>Design:<\/jats:bold> Survey of 419 adolescents 13 to 18 years of age at consecutive intakes to AOD treatment programs at four sites of a large health system, with telephone follow\u2010up survey 1 year after intake.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> Examined association of 1\u2010year abstinence with baseline characteristics. Using logistic regression, we examined characteristics predicting 1\u2010year abstinence and predicting having fewer than four substance\u2010using friends at 1 year.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> We found that family environment scores related to family conflict, limit setting, and positive family experiences, were not related to abstinence outcomes, but peer networks were related. Adolescents with fewer (less than four) AOD\u2010using friends were more likely to be abstinent than those with four or more AOD\u2010using friends (65% vs. 41%, <jats:italic>p<\/jats:italic>= .0002). Having fewer than four AOD\u2010using friends at intake predicted abstinence at 1 year (odds ratio [<jats:italic>OR<\/jats:italic>]= 2.904, <jats:italic>p<\/jats:italic>= .0002) and also predicted having fewer than four AOD\u2010using friends at 1 year (<jats:italic>OR<\/jats:italic>= 2.557, <jats:italic>p<\/jats:italic>= 0.0007).<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> Although family environment is an important factor in the development of AOD problems in adolescents, it did not play a significant role in treatment success. The quality of adolescent peer networks did independently predict positive outcomes.<\/jats:p><jats:p><jats:bold>Clinical Relevance:<\/jats:bold> For physicians, advanced practice registered nurses, and other primary and behavioral care providers who screen and care for adolescents with AOD and other behavioral problems, our finding suggest the importance of focusing on improving the quality of their peer networks.<\/jats:p><jats:p>Journal of Nursing Scholarship, 2012; 44:1, XXX\u2013XXX. \u00a92011 Sigma Theta Tau International.<\/jats:p>","DOI":"10.1111\/j.1547-5069.2011.01437.x","type":"journal-article","created":{"date-parts":[[2012,2,16]],"date-time":"2012-02-16T17:25:42Z","timestamp":1329413142000},"page":"36-44","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":48,"title":["Peer Influences on Adolescent Alcohol and Other Drug Use Outcomes"],"prefix":"10.1111","volume":"44","author":[{"given":"Rhonda","family":"Ramirez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agatha","family":"Hinman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacy","family":"Sterling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constance","family":"Weisner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia","family":"Campbell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,2,16]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"SP25","article-title":"A framework for assessing the effectiveness, efficiency, and equity of behavioral healthcare","volume":"5","author":"Aday L. 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