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