Abstract
Objective: To examine the promise and pitfalls of using multi-component motivational stages framework for tailoring alcohol prevention programs. Methods: Review empirical research examining intra-drug-use stages of acquisition and testing the efficacy of stage-tailored interventions. Results: Seven cross-sectional studies suggest that youth exist within a range of stages of alcohol acquisition. Five randomized trials showed that stage-based preventive interventions resulted in significant alcohol reductions. Conclusions: Recommendations for future stage-related prevention research and practice are discussed.

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