Disorders - Alcohol Use
Suffoletto, B., Kirisci, L., Clark, D. B., Chung, T.
Text message (SMS) interventions can reduce binge drinking in young adults, but optimal behavior change techniques (BCTs) remain unknown. The present study tests the acceptability and preliminary efficacy of different combinations of SMS-delivered BCTs. 149 young adults who screened positive for hazardous drinking completed a baseline survey in the Emergency Department. For the following 2-weeks, on days they typically drank (1 to 3 days per week), participants received ecological momentary assessments (EMA) of drinking plans and desire to get drunk; the next day they were prompted to report recall of number of drinks consumed the prior day. Participants who responded to at least 50% these EMA (N = 127) were randomized to one of five 12-week interventions: Cued Self-Monitoring (TRACK); Drinking Intentions Feedback (PLAN); Drinking Performance Feedback (USE); Adaptive Goal Support (GOAL); and a combination of BCTs (COMBO). 79% of all EMA were completed over 12 weeks, which decreased from around 93% on week 1 to 65% by week 12. Using EMA data, relative to TRACK, only COMBO showed significant reductions in binge drinking and max drinks per drinking episode over time. Using TLFB data, there were no significant differences between groups from baseline to 14- and 28-weeks follow-up. Results lay the groundwork for a larger trial testing the effects of BCTs on binge drinking for young adults. Copyright © 2019 Elsevier Ltd
Addictive Behaviors, 92 : 161-167
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Other Psychological Interventions, Biofeedback, neurofeedback, audio/video feedback, Personalised feedback, normative feedback
, Technology, interventions delivered using technology (e.g. online, SMS)
Acuff, S. F., Voss, A. T., Dennhardt, A. A., Borsari, B., Martens, M. P., Murphy, J. G.
Alcohol-induced blackouts are a form of anterograde amnesia that is achieved at high levels of alcohol consumption. Among college students, alcohol-induced blackouts are common (over 50% of student drinkers have experienced a blackout), and although memory formation is inhibited during alcohol-induced blackouts, those experiencing a blackout continue tomove about because ambulatory motor movement is not restricted. Thus, alcohol-induced blackouts are among the best predictors of most alcohol problems, including having a hangover, interpersonal issues, and emergency room visits. Brief motivational interventions (BMI) facilitate moderate reductions in alcohol consumption and general alcohol problems and may be a promising approach for reducing alcohol-induced blackoutsmore specifically. One previous study found that a four-session BMI decreased alcoholinduced blackouts (Kazemi et al., 2013), but lacked a control group, whichmade the impact of BMI versus maturation out of heavy drinking impossible to determine. The current study examines the effects of two-session BMIs on reducing alcohol-induced blackouts among first and second year college students over the course of 16-months. Participants (N = 393) were first or second year college students at two public universities who reported two binge drinking occasions in the past-month. After completing a baseline survey measuring alcohol behavior, including blackouts (Young Adult Alcohol Consequence Questionnaire), participants were randomized into either (1) BMI plus a Relaxation Training session (RT); (2) BMI plus a Substance-free Activity Session (SFAS); or (3) Assessment only control. Participants then completed follow-up surveys 1-month, 6-months, 12-months, and 16-months post-baseline. Participants in either BMI condition (BMI+RT or BMI+SFAS) were significantly less likely to report an alcohol-induced blackout at 1-month (OR = 0.31, p < 0.001), 6- months (OR = 0.40, p < 0.001), and 12-months (OR = 0.55, p = 0.02) post-baseline compared to the assessment only control. There were no differences between BMI conditions in their effect on reducing alcohol-induced blackouts. The assessment-only condition demonstrated slow reductions over time, resulting in nonsignificant differences between intervention conditions at 16-months. The results suggest that alcohol-induced blackouts generally decrease over the course of college, but that two-session BMIsmay accelerate thematuration process for reducing alcohol-induced blackouts, potentially preventing the excess of consequences associated with alcohol-induced blackouts. These results are promising for colleges and universities due to the low cost of BMI interventions.
Alcoholism: Clinical and Experimental Research, 43 (Supplement 1) : 75A
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Complementary & Alternative Interventions (CAM)
, Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy, Biofeedback, neurofeedback, audio/video feedback, Personalised feedback, normative feedback
, Relaxation
Bogg, T., Marshbanks, M. R., Doherty, H. K., Vo, P. T.
Background: The goal of the present study was to test the drink and harm reduction effects of a novel educational commitment (EC) module as a complement to a standard brief MI protocol (i.e., the Brief Alcohol Screening and Intervention for College Students; BASICS, Dimeff, Baer, Kivlahan, & Marlatt, 1999). Method(s): Using a randomized trial design, 180 university students were assigned to one of three conditions: Information, BASICS, or BASICS+EC. Participants completed an alcohol consumption interview and measures of alcohol-related problems, partying decision-making, subjective student role investment, and self-control-related traits at baseline and at two- and nine-month follow-ups. Result(s): Linear models showed significant condition effects for two-month and nine-month drink quantity, but not for alcohol problems/consequences. Secondary outcome analyses showed significant condition effects for two-month high-risk high-reward partying decision-making and nine-month conscientiousness. Somewhat larger-sized decreases in consumption were observed at two months for the BASICS+EC condition compared to the BASICS condition, although these differences were not present at nine months. Conclusion(s): The differential efficacy between the BASICS and BASICS+EC conditions compared to the Information condition reinforces the utility of in-person feedback modalities as more intensive indicated prevention strategies for at-risk college drinkers. The limited differential efficacy for BASICS+EC compared to BASICS suggests a brief MI module for the academic/vocational aspects of the student role is not associated with greater long-term drink and harm reduction. Future research should examine more intensive educational commitment modalities, the utility of on-going academic goal and action feedback, and mechanisms of differential efficacy across intervention groups. Copyright © 2018 Elsevier Ltd
Addictive Behaviors, 90 : 151-157
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy, Psychoeducation, Biofeedback, neurofeedback, audio/video feedback, Personalised feedback, normative feedback
McCarty, C. A., Gersh, E., Katzman, K., Lee, C. M., Sucato, G. S., Richardson, L. P.
BACKGROUND: This study aimed to compare care delivery and alcohol and marijuana use for adolescents with risky alcohol use who received a school-based health center (SBHC) visit with and without the Check Yourself tool, an electronic tool that gives motivational feedback on substance use and summarizes results for providers. METHOD(S): We conducted a randomized controlled trial with 148 adolescents aged 13-18 who met criteria for moderate- to high- risk alcohol use, recruited from urban SBHCs. Participants were randomized to receive their SBHC visit with (n=73) or without (n=75) the Check Yourself screening and feedback tool. All SBHC providers received a brief training on motivational interviewing. RESULT(S): Adolescents who received the Check Yourself tool+SBHC visit reported higher levels of alcohol (67%) and marijuana (73%) counseling from the provider during their visit, compared with those who received a SBHC visit without the tool (40% and 45%, respectively, Ps<.005), and had higher motivation to decrease marijuana use relative to those who did not (P=.02). Relative to baseline, adolescents in both groups reduced their typical number of drinks of alcohol, maximum number of drinks of alcohol, and hours high on marijuana over time (Ps<.02) at 2-month follow-up. CONCLUSION(S): When adolescent patients are given an electronic screening and feedback tool, it can prompt providers to increase counseling of adolescents with substance use risk. Overall, participants who had a visit with a trained provider reported high satisfaction with care and decreased the amount of alcohol use over 2months, suggesting that SBHCs are an excellent venue for delivery of brief substance use interventions.
Substance abuse, : 1-9
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Biofeedback, neurofeedback, audio/video feedback, Personalised feedback, normative feedback
, Technology, interventions delivered using technology (e.g. online, SMS)
Salemink, E., Woud, M.L., Roos, M., Wiers, R., Lindgren, K.P.
Problematic alcohol use is associated with drinking alcohol to reduce negative mood states (negative reinforcement motive). Further, heavy drinking individuals tend to interpret ambiguous situations as alcohol-related (interpretive bias). The current experimental study aimed to examine the role of alcohol-related interpretive biases in negative-affect drinking. It was hypothesized that a single-session Cognitive Bias Modification of Interpretation (CBM-I) training condition (compared to a sham condition) would lead to less alcohol-related interpretations of negative affect situations, and less alcohol consumption while being in a negative mood state. The most pronounced effects were expected in individuals who drink alcohol to cope with anxiety. Moderate to heavy drinking university students (N = 134) were randomly assigned to a CBM-I or a sham condition. Interpretations were assessed during and after the training session. Drinking was assessed in a lab-based drink test and one week later using a self-report measure. With respect to alcohol-related interpretative bias, this bias was weaker in the CBM-I compared to the sham condition during the training session. This effect was not moderated by coping-anxiety motives, and did not generalize to another interpretation measure. No training effects were found on drinking behavior in the lab or on self-reported daily-level use. In sum, the CBM-I training condition was associated with lower alcohol-related interpretive bias scores during training. Generalization to another interpretation measure or to drinking behavior was not observed. Future research could explore providing multiple training sessions in order to strengthen the effects of the CBM-I training. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
Addictive Behaviors, 88 : 106-113
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Attention/cognitive bias modification
Flori, J. N., Dunn, M. E., Dvorak, R. D., Crisafulli, M. J., Schreiner, A., Hall, T. V., Willis, E. A., Tantleff-Dunn, S.
Purpose: Expectancy challenge interventions have been found to be effective in reducing alcohol use among college students. The purpose of this study was to demonstrate the effectiveness of the Expectancy Challenge Alcohol Literacy Curriculum (ECALC) in reducing underage and risky alcohol use and associated harms among first year students. Method/Data: Participants (n = 991) were first year college students enrolled in a "Strategies for Success in College" course at a large state university during Fall, Spring, and Summer semesters. Participants were randomly assigned to receive the ECALC or an active control presentation. Alcohol expectancies were assessed before and after the presentations, and alcohol use data was collected for a 30-day period before and after delivery of the programs. All data was collected anonymously. Result(s): First, we examined the effects of ECALC on post-intervention expectancies. A MANOVA with each expectancy as a dependent variable indicated significant effects of ECALC, Wilks lambda = 0.76, F(7. 781) = 37.07, p < 0.001. Examination of the post-intervention expectancies showed effects of the intervention on expectancies ranging from Cohen's d = 0.24 - 0.89. Thus, there were broad, and statistically significant effects of ECALC on the hypothesized intervention target, though there was considerable variation in the magnitude of effects. Next, we examined themediated effects of the intervention on alcohol-related harms via latent alcohol expectancies. In thismodel, condition (0 = control, 1 = ECALC) was specified as the exogenous variable. Alcohol expectancies were specified as a latent mediator variable. Average alcohol use on drinking days was also specified as amediator. Alcohol harms was specified as the outcome variable. This model showed good fit to the data, v2(29) = 153.85, p < 0.001, CFI = 0.97, RMSEA = 0.07, SRMR = 0.06. There were significant indirect effects from condition to alcohol use (IND = -0.04, p < 0.001) and alcohol harms (IND = -0.06, p < 0.001). This model accounted for 51% of the variance in alcohol use and 44% of the variance in alcohol related harms. Conclusion(s): The ECALC is an effective, single session, group delivered program to reduce alcohol use and associated harms among first year college students.
Alcoholism: Clinical and Experimental Research, 43 (Supplement 1) : 65A
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Psychoeducation, Other Psychological Interventions
Claus, E. D., Klimaj, S. D., Chavez, R., Martinez, A. D., Clark, V. P.
Background: Deriving novel treatments for alcohol use disorders (AUDs) is of critical importance, as existing treatments are only modestly effective for reducing drinking. Two promising strategies for treating AUDs include cognitive bias modification (CBM) and transcranial direct current stimulation (tDCS). While each strategy has shown positive results in reducing drinking or alcohol-related constructs (e.g., craving), initial tests of the combination of CBM and tDCS have shown mixed results. The present study investigated the degree to which combining CBM and tDCS (2.0 mA anodal current over F10) could reduce alcohol approach biases and alcohol consumption. Method(s): Seventy-nine at-risk drinkers were randomized to 1 of 4 conditions in a 2 x 2 factorial design: verum CBM/verum tDCS, verum CBM/sham tDCS, sham CBM/verum tDCS, or sham CBM/sham tDCS. Participants completed a baseline assessment of alcohol approach bias and drinking quantity/frequency (i.e., drinks per drinking day [DDD] and percent heavy drinking days [PHDD]), 4 sessions of combined CBM and tDCS, and follow-up assessments of approach bias and alcohol consumption. Result(s): Results indicated that while participants did demonstrate significant alcohol approach biases at baseline, neither CBM, tDCS, nor the interaction reduced the bias at the follow-up. In addition, there was evidence of a trend toward reducing DDD from baseline to the 1-week/1-month follow-ups, but there was no significant effect of the intervention on either DDD or PHDD. Conclusion(s): These results partially replicated null results presented in similar CBM/tDCS trials and suggest that this combination, at least with anodal stimulation over dorsolateral or inferior frontal sites, may have limited utility to reduce drinking. Copyright © 2019 by the Research Society on Alcoholism
Alcoholism: Clinical and Experimental Research., 43(7) : 1591 - 1599
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Biological Interventions (any)
, Other biological interventions, Psychological Interventions (any)
, Attention/cognitive bias modification
Byrnes, H.F., Miller, B.A., Grube, J.W., Bourdeau, B., Buller, D.B., Wang-Schweig, M., Woodall, W.
This study examines effects of a randomized controlled trial for an online, family-based prevention program for older teens, Smart Choices 4 Teens, on alcohol use and related outcomes. Families (N = 411; teen age M = 16.4, SD = 0.5) were randomly assigned to the intervention or control condition in 2014-2015. Both intent to treat (ITT) and dosage models were conducted. ITT models: At the 6-month follow-up, teens in the experimental condition reported fewer friends who had been drunk, and parents in the experimental group reported more communication about social host laws. At the 12-month follow-up, parents in the experimental condition reported consuming fewer drinks than parents in the control group. Dosage models: At the 6-month follow-up, dosage was inversely related to teen drinking in the past 6 months or 30 days, frequency of teen drinking during the past 6 months and 30 days, drinks consumed by teens over the past 6 months, teen drunkenness and binge-drinking during the past 30 days, teen reported communication about safe drinking and positively related to parent and teen reported communication about social host laws. At 12 months, dosage was inversely related to teen alcohol use, frequency of teen drinking over the past 30 days, drinks consumed by teens over the past 6 months and 30 days, and teen drunkenness over the past 6 months. Results suggest that Smart Choices 4 Teens is beneficial for families. Dissemination and implementation strategies that motivate completion of program content will improve outcomes related to older teens' alcohol use. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
Psychology of Addictive Behaviors, 33(1) : 1-14
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Technology, interventions delivered using technology (e.g. online, SMS)
Bedendo, A., Ferri, C.P., deSouza, A. A. L., Andrade, A.L.M., Noto, A.R.
Background: Web-based personalized normative feedback (PNF) interventions are less effective than their laboratory versions. Participant motivation may account for this reduced effect, but there is only a limited amount of research into the influence of motivation on PNF effectiveness. We evaluated the effectiveness of a web-based PNF in reducing alcohol use and consequences among college students with different motivation levels. Methods: Pragmatic randomized controlled trial among Brazilian college drinkers aged 18-30 years (N = 4460). Participants were randomized to a Control or PNF group and followed-up after one (T1), three (T2) and six (T3) months. Outcomes were: AUDIT score (primary outcome), the number of consequences, and the typical number of drinks. Motivation for receiving the intervention was assessed with a visual analog scale (range: 0-10). Generalized mixed models assessed intervention effects via two paradigms: observed cases and attrition models. Results: PNF reduced the number of typical drinks at T1 (OR = 0.71, p = 0.002), T2 (OR = 0.60, p < 0.001) and T3 (OR = 0.68, p = 0.016), compared to the control. Motivated students (score >= 3) receiving PNF also reduced the number of typical drinks at T1 (OR = 0.60, p < 0.001), T2 (OR = 0.55, p < 0.001) and T3 (OR = 0.56, p = 0.001), compared to the control. However, the attrition models were more robust at T1 and T2. In contrast, low-motivated students receiving the PNF increased AUDIT score at T3 (b = 1.49, p < 0.001). Conclusions: The intervention reduced alcohol use, and motivation for receiving the intervention moderated the intervention effects. Motivated students reduced their typical alcohol use, whereas low-motivated students increased their AUDIT score. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
Drug and Alcohol Dependence, 199 : 92-100
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Biofeedback, neurofeedback, audio/video feedback, Personalised feedback, normative feedback
, Technology, interventions delivered using technology (e.g. online, SMS)
Neighbors, C., DiBello, A. M., Young, C. M., Steers, M. L. N., Rinker, D. V., Rodriguez, L. M., Ryamond-Knee, C., Blanton, H., Lewis, M. A.
Deviance Regulation Theory (DRT) proposes that individuals regulate their behavior to be in line with the behaviors of others. Specifically, individuals desire to stand out in positive way and not stand out in a negative way. DRT has been successfully applied to encourage other health behaviors and offers a unique method to utilize both injunctive norms in combination with descriptive norms in brief alcohol interventions. This randomized controlled trial evaluated a computer-delivered, norms-based personalized feedback intervention which systematically varied the focus on whether specific drinking behaviors were described as common or uncommon (a descriptive norm), whether the drinking behaviors were healthy versus unhealthy, and whether the drinking behaviors were positively or negatively framed (an injunctive norm). Nine-hundred and fifty-nine college drinkers completed baseline, three-month, and six-month follow-up assessments. Results indicated messages focusing on unhealthy drinking behaviors, particularly when described as uncommon, were most effective in reducing drinking and alcohol-related problems over time. This research utilizes deviance regulation theory as a way of improving personalized normative feedback by elucidating how to construct messages for brief interventions based on descriptive characteristics associated with specific target drinking behaviors in combination with perceptions of prevalence and acceptability of such drinking behaviors (an injunctive norm). Copyright © 2018
Behaviour Research and Therapy, 115 : 73-82
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Biofeedback, neurofeedback, audio/video feedback, Personalised feedback, normative feedback
, Technology, interventions delivered using technology (e.g. online, SMS)
Young, C. M., Neighbors, C.
Background: Personalized normative feedback (PNF) interventions have repeatedly been found to reduce drinking among undergraduates. However, effects tend to be small, potentially due to inattention to and inadequate processing of the information. Adding a writing component to PNF interventions may allow for greater cognitive processing of the feedback, thereby boosting intervention efficacy. Additionally, expressive writing (EW) has been shown to reduce drinking intentions; however, studies have not examined whether it can reduce drinking behavior. The present experiment evaluated whether including a writing task would improve the efficacy of PNF and whether EW alone can be used to reduce drinking and alcohol-related problems. Method(s): Heavy drinking undergraduates (N = 250) were randomized to receive either: (i) PNF about their alcohol use; (ii) EW about a negative, heavy drinking occasion; (iii) PNFplus writing about the norms feedback; or (iv) attention control feedback about their technology use in an online brief intervention. Participants (N = 169) then completed a 1-month follow-up survey about their past month alcohol use and alcohol-related problems online. Result(s): PNFplus writing reduced alcohol-related problems compared to all other conditions. No significant reductions were found for EW. Both PNF and PNFplus writing reduced perceived norms and perceived norms mediated intervention effects for both feedback conditions. Conclusion(s): The current findings suggest that adding a writing component to traditional norms-based feedback approaches might be an efficacious strategy, particularly for reducing alcohol-related consequences. Copyright © 2019 by the Research Society on Alcoholism
Alcoholism: Clinical and Experimental Research, 43(5) : 916-926
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Complementary & Alternative Interventions (CAM)
, Psychological Interventions (any)
, Biofeedback, neurofeedback, audio/video feedback, Personalised feedback, normative feedback
, Creative expression: music, dance, drama, art
Goncalves, M. F., Bedendo, A., Noto, A. R.
Purpose: Web-based interventions aiming at reducing alcohol consumption have already shown to be effective for college drinkers but the use of incentives may influence the intervention effects. This study aimed to evaluate two recruitment strategies (with and without incentives) as moderators of a web-based brief intervention for alcohol use among college students. Method(s): College students aged 18-30 years and with alcohol use during the last 3 months recruited through Facebook and e-mail invitations. Participants were randomized into two groups: 1) Control Group (CG): assessment-only; 2) Intervention Group (IG): web-based personalized normative feedback and were followed after 1 (T1), 3 (T3) and 6 (T6)months. The questionnaire included educational and sociodemographic characteristics, alcohol use (AUDIT), alcohol-related consequences and motivation to know more about their alcohol consumption. Outcomes were: AUDIT scores, the frequency of use, the number of consequences, and the number of typical drinks. We used Generalized Linear Mixed Models to analyze data. Data: 872 college students were recruited using non-incentive strategies (e-mail invitations and Facebook) or incentives (e-mail invitations plus academic credits). Result(s): A three-way interaction termshow that the recruitment strategy moderated the intervention effects at T3 over AUDIT score (b = -1.83; 95%IC: -3.29; -0.38, p = 0.013) and typical drinks (b = -3.04, 95%IC: -5.44; -0.63, p = 0.013). Subgroup analysis showed that the intervention was effective in reducing AUDIT score only among students not receiving incentives (b = -0.66; 95%IC: -1.32; -0.01, p = 0.050). On the other hand, the intervention reduced the number of typical drinks only among students who received incentives (b = -1.77, 95%IC: -3.49; -0.05, p = 0.043). There were no effects on the frequency of use and the number of consequences. Conclusion(s): The intervention reduced the AUDIT score and the number of typical drinks, and the recruitment strategy moderated the intervention effects. After 3 months, participants who not received incentives reduced their AUDIT score and those receiving incentives reduced their number of typical drinks. This study highlights that different recruitment strategy may act as a moderator of a web-based personalized normative feedback for alcohol use among college students. Findings may help to improve future web-based alcohol interventions.
Alcoholism: Clinical and Experimental Research, 43 (Supplement 1) : 128A
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Personalised feedback, normative feedback
, Technology, interventions delivered using technology (e.g. online, SMS)