Abstract

Risky, impulsive decision making in young people is reliably implicated in problematic alcohol and other substance use, but few interventions directly target decision-making processes to reduce substance use. Impulsive decision reduction training (IDRT) was designed as a stand-alone, CBT treatment to foster deliberation and problem solving, target decision-making biases, reduce impulsive alcohol use decisions, and reduce risky binge drinking in young adults. The purpose of this presentation is to: 1) summarize preliminary IDRT efficacy findings in young adults with early-onset alcohol use disorder (AUD); and 2) describe ongoing efforts to test the feasibility and acceptability of an adapted IDRT for at-risk adolescents (IDRT-A).

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