Disorders - Alcohol Use
Quinn, C. A., Hides, L., deAndrade, D., Pocuca, N., Wilson, M., Kavanagh, D. J.
INTRODUCTION AND AIMS: Many young people engage in risky partying behaviours and excessive alcohol use in the transition period following high school graduation. Despite this, there is limited longitudinal research on adolescents before and after school graduation; and limited evaluation of interventions targeting these high-risk periods. The present study aims to address this gap in the literature by examining the impact of brief psychoeducation interventions on substance use, psychological distress and well-being during this important life transition. DESIGN AND METHODS: Participants were 334 high school leavers (53% female, Mage =17.14) from Queensland, Australia. They received either: (i) a psychoeducation intervention on safe partying behaviours; (ii) a reconstructed version of the psychoeducation intervention; or (iii) a standard health curriculum control. Surveys were conducted at baseline; 2 weeks, immediately following post-graduation celebratory event 'Schoolies'; and 4 months, immediately following university orientation 'O-week'. RESULT(S): Significant time by group effects were found for problem drinking, F(2, 227)=3.07, P<0.05, and well-being, F(4, 439)=3.54, P<0.01. There was stability in problem drinking from baseline to follow-up for the psychoeducation groups but small increases in problem drinking for the control (d=0.12). Both psychoeducation groups had improvements in well-being scores from baseline to post-Schoolies (d=0.40; 0.20), which were maintained across time. In contrast, the control condition showed a decrease in well-being scores from baseline to the post O-week follow-up (d=0.15). DISCUSSION AND CONCLUSION(S): Brief school-based psychoeducational interventions may result in small improvements in well-being, and possibly stabilise the trajectory of problematic drinking in high-risk environments. Copyright © 2019 Australasian Professional Society on Alcohol and other Drugs.
Drug & Alcohol Review, 38(4) : 339-348
- Year: 2019
- Problem: Alcohol Use
- Type: Controlled clinical trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Psychoeducation
Leary, A. V., Dvorak, R. D.
Objective: An alcohol-drinking culture exists among first-time-in-college students. Many of these students come to university relatively inexperienced with alcohol, which may increase alcohol-related consequences. Several interventions exist to combat this campus problem. However, recent research suggests these interventions may not be as successful as initially thought. The current study investigates the use of a relatively new web-based intervention, grounded in Deviance Regulation Theory (DRT), aimed at increasing alcohol Protective Behavioral Strategies (PBS). PBS include behaviors such as monitoring drinks, using a designated driver, and drinking water in between alcoholic beverages, among college freshmen. Method(s): College freshmen participants (N = 157) were randomly assigned to one of three conditions: a positivemessage about individuals who use PBS, a negativemessage about individuals who do not use PBS, or an attention control condition that did not receive messaging. Participants then completed web-based surveys examining alcohol-related behaviors once a week for six weeks. Participants also reported their norms of PBS use among typical students and among friends. Data was analyzed for each PBS subtype: Manner of Drinking, Stop/Limiting Drinking, and Serious Harm Reduction. Results and Conclusion(s): Results support previous research, showing that PBS use increases across time among those with initially high PBS norms who also received a negativemessage. The growth in the effectiveness of the negativemessage was related to increases in PBS norms across time. There was no immediate effect of the positivemessage. However, within a given week, the positive message was associated with increased weekly PBS among those with low weekly PBS norms. These results suggest an event-level real-time DRT intervention may be beneficial to firsttime- in-college students.
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)
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Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Other Psychological Interventions, Personalised feedback, normative feedback
, Technology, interventions delivered using technology (e.g. online, SMS)
Bernstein, M. H., Carey, K. B., Suffoletto, B., Stein, L. A. R.
Researchers have recently begun using text-message interventions for young adult alcohol misuse prevention (e.g. Bock et al., 2016; Lewis et al., 2018; Suffoletto et al., 2015). As this intervention modality becomes more commonplace, it is important to examine whether recipients of the interventions actually view the messages, and if so, what their perception of the messages are. The present study addresses these questions. College students with an upcoming 21st birthday completed a baseline assessment and were randomized to a text-message intervention or an assessment-only control condition. Participants in the intervention group (n = 98), which is the focus of the present study, were sent a text-message the day before and day of their planned 21st birthday celebration. Texts focused on 21st birthday-specific Personalized Normative Feedback and Protective Behavioral Strategies, respectively. Participants were asked to send a text-message response to the texts as a proxy for having read the message. Aa follow-up assessment the day after their birthday celebration was sent. The follow-up included a two-item "message liking" assessment (alpha = 0.776), which queried whether they considered the feedback useful and whether they thought about the information, using Likert scales from1 (not at all) to 5 (extremely). The survey also included a fouritem "message derogation" assessment (alpha = 0.876; Jessop et al., 2009), which queried whether they thought the messages were: overblown, exaggerated,manipulative, or strained the truth, each using a Likert scale from 1 (totally disagree) to 9 (totally agree). Alcohol outcomes were also assessed (estimated 21st birthday blood alcohol content [eBAC] and 21st birthday alcohol problems). In total, 96%of participants in the intervention group responded to the first text message; 96% also responded to the second message. Message liking was moderate, M = 2.92 (SD = 1.00) and message derogation was low (M = 3.64, SD = 1.19). Regression analyses revealed that, after controlling for gender and intended 21st birthday eBAC, neithermessage liking nor message derogation was related to actual 21st birthday eBAC, Betas = -0.118, 0.014, respectively, or alcohol problems, Betas = -0.127, -0.160, respectively (all ps > 0.20).These results suggest that text-messaging is a useful platform to reach college students, particularly in the context of event-level drinking. While the messages were not viewed especially favorably, this had no impact on alcohol involvement.
Alcoholism: Clinical and Experimental Research, 43 (Supplement 1) : 127A
- 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)
D'Amico, E. J., Parast, L., Shadel, W. G., Meredith, L. S., Seelam, R., Stein, B. D., Osilla, K. C.
Purpose: Alcohol and other drug (AOD) use during adolescence is associated with numerous problems. Primary care (PC) settings provide a unique opportunity to address AOD use through screening and brief intervention. Methods/Data: Every adolescent age 12 through 18 that came for an appointment to four PC clinics (one in Los Angeles; three in Pittsburgh) during the 2.5-year study period was asked to be in the study. Teens completed a screening; those at-risk completed a baseline survey and were randomized to either CHAT, a brief 15-minmotivational interviewing intervention, or enhanced usual care (UC), a brochure on AOD use. Teens were followed at 3-, 6- and 12-months. The sample (n = 294) was 58% female, 66% Hispanic, 17% Black, 12% white, 5%multiethnic or other, with an average age of 16 years. Result(s): We worked closely with staff at the PC clinics to determine the best way to approach teens and parents. We faced several recruitment challenges including construction and staffing changes. Retention was also initially lower in Pittsburgh due to challenges, including gift card vendors and cell phones being disconnected. For example, the Target in Pittsburgh was too far for many teens, so we changed the gift card to a local shopping place and retention rates increased. Compared to UC adolescents, CHAT adolescents reported less perceived peer use of alcohol andmarijuana at 3 (p's<.05) and 6 months (p's<.05). CHAT adolescents also reported marginally fewer negative alcohol consequences experienced at 6 months (p = .08). At 12 months, compared to UC, CHAT adolescents reported less perceived peer alcohol (p < .05) andmarijuana (p < .01) use and fewer negative consequences from alcohol (p < .05) andmarijuana use (p < .05). After controlling for baseline outcomes, CHAT teens who reported more alcohol consequences or had an alcohol use disorder at baseline reported less alcohol use, heavy drinking, and consequences one year later compared to UC teens. CHAT teens who reported more marijuana consequences at baseline reported fewer marijuana consequences one year later compared to UC teens. Conclusion(s): It is crucial to determine the best ways to engage and retain at-risk adolescents. Findings emphasize that teens can benefit from PC interventions that briefly and effectively address both alcohol and marijuana use.
Alcoholism: Clinical and Experimental Research, 43 (Supplement 1) : 281A
- Year: 2019
- Problem: Alcohol Use, Cannabis Use
- Type: Randomised controlled trials
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Stage: At risk (indicated or selected prevention)
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Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy, Psychoeducation, Other service delivery and improvement interventions
Grodin, E. N., Lim, A. C., MacKillop, J., Karno, M. P., Ray, L. A.
Brief interventions have support for reducing alcohol use among non-treatment-seeking heavy drinkers. Motivation to change is thought to be a crucial component of brief interventions. Neuroimaging allows for the examination of the neurobiological effect of interventions, probing systems involved in treatment response, including motivation to change. Few studies have prospectively evaluated whether psychosocial interventions attenuate neural cue-reactivity that in turn reduces drinking. This study aimed to examine the effect of a brief intervention on drinking outcomes, motivation to change, neural alcohol cue-reactivity, and the ability of neural alcohol cue-reactivity to predict drinking outcomes. Non-treatment-seeking heavy drinkers were randomized to receive a brief intervention (n = 22) or an attention-matched control (n = 24). Three indices of motivation to change were assessed at baseline and post-intervention: importance, confidence, and readiness. Immediately following the intervention, participants underwent an fMRI comprised of the alcohol taste cues paradigm. Participants returned 4-weeks after the intervention to report on their past-month drinking. Percent heavy drinking days (PHDD) were calculated for each participant from Timeline Followback interviews. The brief intervention significantly increased ratings of importance, but not confidence or readiness. There was no significant direct effect of the brief intervention on follow-up PHDD or on modulating neural alcohol cue-reactivity. There was a significant association between neural response to alcohol taste and PHDD across groups, such that individuals who had greater activation in the precuneus and prefrontal cortex had fewer PHDD at follow-up. There was also a significant moderating effect of the intervention on the association between ratings of importance and neural alcohol cue-reactivity, such that individuals in the intervention condition showed a positive association between ratings of importance and activation in the precuneus, posterior cingulate, and insula. The intervention was successful at improving one dimension of motivation to change. Among participants in the intervention condition this change in motivation related to greater alcohol cue-reactivity in brain regions associated with self-reflection. However, the intervention did not improve drinking outcomes and was not associated with differential neural alcohol taste cue-reactivity. Nevertheless, greater activation of the precuneus and prefrontal cortex during alcohol cue exposure predicted less alcohol use prospectively suggesting that these neural substrates subserve the effects of alcohol cues on drinking behavior.
Alcoholism: Clinical and Experimental Research, 43 (Supplement 1) : 262A
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
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Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy
Plotnikoff, R. C., Costigan, S. A., Kennedy, S. G., Robards, S. L., Germov, J., Wild, C.
OBJECTIVE: To evaluate the effectiveness of interventions targeting alcohol consumption, drug use and smoking for college/university students. PARTICIPANTS: College/University students. METHOD(S): Studies were eligible if: (1)included students attending universities/colleges; (2)implemented in a university/college setting; (3)aimed to improve at least one of the following behaviors: alcohol and/or drug use and/or smoking; (4)were RCTs. The effect of the interventions on behaviors was determined by the percentage of studies that reported an effect. Due to the heterogeneity of outcomes meta-analysis was not conducted. RESULT(S): 88 studies met criteria. University-based interventions were effective for reducing alcohol-related outcomes (drinking patterns, BAC, consequences, problem drinking). Inconsistent findings for drug and smoking were observed. CONCLUSION(S): University-based interventions have the potential to improve health for students. While there is a breadth of research examining the efficacy of interventions to reduce alcohol consumption, further research is needed to determine the best approach for addressing smoking and drug use among students.
Journal of American College Health, 67(1) : 68-84
- Year: 2019
- Problem: Alcohol Use
- Type: Systematic reviews
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Stage: At risk (indicated or selected prevention)
, Universal prevention
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Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Technology, interventions delivered using technology (e.g. online, SMS)
Murphy, J. G., Dennhardt, A. A., Martens, M. P., Borsari, B., Witkiewitz, K., Meshesha, L. Z.
Behavioral economic theory suggests that a reduction in alcohol use is most likely when there is an increase in rewarding substance-free activities. Anxiety has also been linked to heavy drinking, and strategies to reduce anxiety may enhance alcohol interventions. The goal of this 2-site randomized controlled clinical trial was to evaluate the efficacy of a brief alcohol intervention that was supplemented with either a behavioral economic substance-free activity session (SFAS) or a relaxation training (Relaxation training [RT]) session. Method(s): Participants were 393 college students (61% female, mean age 18.77 years) who reported 2 or more past-month heavy drinking episodes. Participants were randomized to 1 of 3 conditions: (a) assessment; (b) alcohol brief motivational intervention (BMI) plus SFAS; or (c) BMI plus RT. Both treatment conditions included 2 in-person sessions plus a phone booster session. Outcomes were evaluated 1-, 6-, 12-, and 16-months postintervention. Result(s): Generalized linear mixed models indicated that the combination of a BMI plus either the SFAS or RT was associated with significant reductions in alcohol use and problems across the 16-month follow-up compared with assessment only. There were no significant differences between the two active treatment conditions. Changes in proportional reinforcement from substance-related activities, and protective behavioral strategies mediated treatment effects. Conclusion(s): Two-session (plus booster) interventions that combine BMI and either substance-free activity enhancement or RT can result in enduring reductions in alcohol misuse among college drinkers. Copyright © 2019 American Psychological Association.
Journal of Consulting and Clinical Psychology, 87(7) : 657-669
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
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Stage: At risk (indicated or selected prevention)
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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
Tael-Oeren, M., Naughton, F., Sutton, S.
Aim: To evaluate the effectiveness of a universal parent-oriented alcohol prevention program ("Effekt") in Estonia. The main objective of the program was to delay and reduce adolescents' alcohol consumption by maintaining parental restrictive attitudes towards adolescents' alcohol use over time. Method(s): A matched-pair cluster randomized controlled trial with a three-year assessment period (baseline (T1), 18-months (T2) and 30-months (T3) follow-ups) was undertaken in 2012-2015 among 985 fifth grade adolescents and 790 parents in sixty-six schools (34 intervention, 32 control). The primary outcome measure was adolescents' alcohol use initiation. Secondary outcome measures were lifetime drunkenness and alcohol use in the past year. Intermediate outcomes were restrictive parental attitudes towards adolescents' alcohol use reported by parents and perceived restrictive parental attitudes and parental alcohol supply reported by adolescents. Result(s): There were no significant differences in adolescents' alcohol use initiation, lifetime drunkenness, alcohol use in the past year, parental alcohol supply, and adolescent's perception of parental restrictive attitudes between intervention and control school participants at T2 and T3. There were significant differences in parental attitudes - the odds of having restrictive attitudes were 2.05 (95% confidence interval (CI) = 1.32-3.17) times higher at T2 and 1.92 (95% CI = 1.31-2.83) times higher at T3 in the intervention group than in the control group. Conclusion(s): The Estonian version of the "Effekt" program had a positive effect on parental attitudes, but it did not succeed in delaying or reducing adolescents' alcohol consumption. Copyright © 2018 Elsevier B.V.
Drug and Alcohol Dependence, 194 : 279-287
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
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Stage: Universal prevention
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Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions
Allara, E., Angelini, P., Gorini, G., Bosi, S., Carreras, G., Gozzi, C., Martini, A., Tamelli, M., Punreddy, R. R., Faggiano, F.
We aimed to assess the effectiveness of 'Paesaggi di Prevenzione', a school-based prevention program delivered by trained teachers and designed to tackle smoking, alcohol misuse, dietary risks, and physical inactivity in adolescence. We evaluated the program between 2010 and 2013 with a two-arm, parallel-group, multicentre cluster randomized controlled trial in which schools were the units of randomization. We collected data on health-compromising behaviours using self-reported measurements of behaviour frequency administered before and after program implementation. We used multivariable mixed-effects logistic regression models to estimate program effects on health-compromising behaviours. The analysis sample included 3410 middle school students and 1651 high school students. Among middle school students, mean age at baseline was 12years (standard deviation [SD] 0.5years), 51% were boys, and 41% had high socioeconomic status [SES] (defined as having at least one parent/guardian with university level education). In high school students, mean age at baseline was 14years (SD 0.7years), 56% were boys, and 31% had high SES. The program did not have effects on smoking, alcohol misuse, and physical activity. The program had iatrogenic effects in regard to some eating behaviours, resulting in (i) lower odds of fruit consumption among middle-school students (odds ratio [OR] 0.82; 95% confidence interval [CI] 0.68-0.99) and (ii) lower odds of having breakfast every day in high-school students at the post-intervention measurement (OR 0.76; 95%CI 0.58-0.99) but not at one-year follow-up (OR 0.94; 95%CI 0.69-1.28). Due to the possibility of unintended effects, we advise against disseminating 'Paesaggi di Prevenzione' in its present form. TRIAL REGISTRATION: ISRCTN00953701. Copyright © 2019. Published by Elsevier Inc.
Preventive Medicine, 124 : 1-10
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions
Osypuk, T. L., Joshi, S., Schmidt, N. M., Glymour, M. M., Nelson, T. F.
AIMS: To test how a housing voucher generating residential mobility to lower-poverty neighborhoods, compared with public housing controls, influenced adolescent binge drinking, and whether gender modified effects. DESIGN: A multi-site household-level three-arm randomized trial of a housing intervention executed 1994-98, evaluated 2001-02. SETTING: Five US cities: Baltimore, MD; Boston, MA; Chicago, IL; Los Angeles, CA; and New York, NY. PARTICIPANTS: A total of 3537 adolescents in 4248 low-income eligible families were randomized; 2829 adolescents were analyzed at the interim evaluation (1950 in treatment; 879 in the control group). Attrition bias was accounted for with a 3-in-10 oversampling of hard-to-reach participants (effective response rate: 89%). INTERVENTIONS: The Moving to Opportunity (MTO) trial randomized volunteer low-income families in public housing to receive (1) rental subsidies redeemable in neighborhoods with < 10% tract poverty plus housing counseling, (2) unrestricted Section 8 rental subsidies or (3) to remain in public housing. We pooled the subsidy ('treatment') groups because they were conceptually similar and there was no evidence of statistical differences between groups on binge drinking. MEASUREMENTS: Primary outcome: past month binge drinking (five or more drinks in one sitting). FINDINGS: Adolescent binge drinking prevalence was 3.9% for treatment and 3.2% for control. The intention-to-treat (ITT) main effect of subsidy treatment (versus control) on binge drinking was non-significant, but treatment effects were different for girls and boys (treatment-gender interaction P = 0.002). MTO treatment reduced girls' binge drinking [odds ratio (OR) = 0.48, 95% confidence interval (CI) = 0.24-0.96, P = 0.037], but increased boys' binge drinking (OR = 2.37, 95% CI = 1.13-4.97, P = 0.023), compared with controls. Results were similar for secondary alcohol outcomes. Instrumental variable (IV) results adjusting for treatment compliance were comparable with ITT, but larger. CONCLUSION(S): A housing subsidy treatment that enables low-income families to move from public to private housing appears to lessen girls' binge drinking but increases boys' binge drinking, compared with controls. Copyright © 2018 Society for the Study of Addiction.
Addiction (Abingdon, England), 114(1) : 48-58
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: Universal prevention
, At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Other service delivery and improvement interventions
Dunn, M. E., Crisafulli, M. J., Flori, J. N., Dietz, A. R., Sivasithamparam, J., Dvorak, R. D., Tantleff-Dunn, S.
Purpose: Programs to prevent underage alcohol use are implemented in most schools, but few have an empirical basis or produce significant reductions in alcohol use. Meta-analyses of expectancy challenge (EC) interventions have concluded that EC can be effective in reducing drinking among college students, but some expectancy challenge programs require an alcohol administration exercise which cannot be implemented with younger populations. An alternative EC approach, the Expectancy Challenge Alcohol Literacy Curriculum (ECALC), uses interactive exercises to change expectancy processes and thereby reduce alcohol use. The ECALC has been found to produce significant reductions in drinking and harms among college students. In the present study, the ECALC was delivered to high school juniors and seniors to evaluate effectiveness in changing expectancy processes and reducing underage alcohol use. Method/Data: Students in 11th and 12th grades (n = 177) were randomly assigned to receive the ECALC or a body image presentation within one class period. An alcohol expectancymeasure was completed before and after the presentations, and a 30-day calendar was used to collect alcohol use data at baseline and 30-day follow-up. All data was collected anonymously. Result(s): A series of ANCOVAs with baseline expectancies and alcohol use measures as covariates indicated significant changes in alcohol expectancies and significant reductions in alcohol use among participants who received the ECALC. Compared to control participants, students who received the ECALC exhibited significant reductions in sociability expectancies (p = 0.02, etap2 = 0.03),mean BAC (p < 0.01, etap2 = 0.08), peak BAC (p = 0.03, etap2 = 0.03), and mean drinks per sitting (p < 0.01, etap2 = 0.10). Among ECALC participants,mean BAC decreased from 0.08 (SD = 0.10) to 0.04 (SD = 0.08), peak BAC decreased from 0.12 (SD = 0.14) to 0.08 (SD = 0.12), andmean drinks per sitting decreased from 4.32 (SD = 3.21) to 1.95 (SD = 2.69). For the control group, mean BAC increased from 0.08 (SD = 0.09) to 0.09 (SD = 0.09), peak BAC did not change, andmean drinks per sitting decreased from 5.29 (SD = 5.08) to 4.49 (SD = 4.56). Conclusion(s): The ECALC is effective in reducing alcohol use and easily implemented in high schools, requiring only 50 min of class time and minimal training for teachers. Future research will evaluate duration of effects and the potential added benefit of smart phone delivered boosters.
Alcoholism: Clinical and Experimental Research, 43 (Supplement 1) : 64A
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: Universal prevention
, At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Psychoeducation, Other Psychological Interventions
Edalati, H., Afzali, M. H., Castellanos-Ryan, N., Conrod, P. J.
Background: A range of school-based prevention programs has been developed and used to prevent, delay, or reduce alcohol use among adolescents. Most of these programs have been evaluated at the community-level impact. However, the effect of contextual risk factors has rarely been considered in the evaluation of these programs. The aim of this study was to investigate the potential moderating effects of 2 important contextual risk factors (i.e., socioeconomic status [SES] and peer victimization) on the effectiveness of the school-based personality-targeted interventions (Preventure program) in reducing adolescent alcohol use over a 2-year period using a cluster-randomized trial. Method(s): High-risk adolescents were identified using personality scores on the Substance Use Risk Profile Scale and randomized to intervention and control groups. Two 90-minute cognitive behavioral therapy-based group sessions targeted 1 of 4 personality risk profiles: Anxiety Sensitivity, Hopelessness, Impulsivity, or Sensation Seeking. Multilevel linear modeling of alcohol use, binge drinking, and drinking-related harm was conducted to assess the moderating effect of baseline peer victimization and SES. Result(s): Results indicated that the Preventure program was equally beneficial to all adolescents, regardless of SES and victimization history, in terms of their alcohol outcomes and related harm. Receiving the intervention was additionally beneficial for adolescents reporting peer victimization regarding their alcohol-related harm compared to nonvictimized youth (beta = -0.29, SE = 0.11, p = 0.014). Conclusion(s): Findings suggest that the content of personality-targeted interventions is beneficial for all high-risk youth regardless of their SES or experience of peer victimization. The current study suggests that using targeted approaches, such as targeting underlying personality risk factors, may be the most appropriate substance use prevention strategy for high-risk youth, as it is beneficial for all high-risk youth regardless of their contextual risk factors. Copyright © 2019 by the Research Society on Alcoholism
Alcoholism: Clinical and Experimental Research, 43(5) : 997-1006
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Cognitive & behavioural therapies (CBT)
, Motivational interviewing, includes Motivational Enhancing Therapy, Psychoeducation