Disorders - Alcohol Use
Appiah-Brempong, E., Okyere, P., Owusu-Addo, E., Cross, R.
OBJECTIVE: The study sought to assess the effectiveness of Motivational Interviewing (MI) interventions in reducing alcohol consumption among college students, as compared to no intervention or alternative interventions. It also sought to identify the potential moderators to MI intervention effects. DATA SOURCE: Database sources consulted included Cochrane Central Register of Control Trials, PsycINFO, PsycARTICLE, PsycLIT, CINAHL, and MEDLINE. STUDY INCLUSION AND EXCLUSION CRITERIA: Included studies were (1) underpinned by experimental, quasi-experimental, and nonexperimental designs; (2) studies in which participants were either college males only or females only or both; and (3) studies in which adaptations of MI were based on key MI principles. Excluded studies were (1) non-English language studies; (2) studies not published from 2000-2012; (3) studies in which participants were not college students; (4) studies in which intervention was not delivered by face-to-face approach; and (5) studies that failed to embark on postintervention follow-ups. DATA EXTRACTION: A total of 115 abstracts were screened. These were narrowed down to 13 studies from which data for the study were extracted. DATA SYNTHESIS: Selected studies were underpinned by experimental, quasi-experimental, and nonexperimental designs. Owing to the heterogeneity in selected studies, a narrative synthesis was used. RESULTS: MI interventions were found to be effective in reducing alcohol consumption among college students, when compared to alternative interventions or no intervention. Potential moderators of MI intervention effects were identified to include practitioner's adherence to MI techniques and individual's drinking motives. CONCLUSION: MI presents itself as a promising tool that can augment the many existing social-environmental strategies of health promotion.
American Journal of Health Promotion, 29(1) : e32-e42
- Year: 2014
- Problem: Alcohol Use
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy
Bertholet, N., Cunningham, J. A., Faouzi, M., Gaume, J., Burnand, B., Daeppen, J. B.
Background: Unhealthy alcohol use is a major health concern among young men. Internet-based alcohol brief interventions (IBI)may help decrease alcohol use and binge drinking among young men from the general population. We conducted a randomized controlled trial of an IBI targeting young men with unhealthy alcohol use (drinking >=6 drinks/occasion at least monthly or >14 drinks/ week or Alcohol Use Disorders Identification Test (AUDIT) score >8). Methods: There is a mandatory army recruitment process in Switzerland at age 19 for men. Of the 4365 men attending recruitment centers invited to participate, 1633 (37%) did so; of them, 737 reported unhealthy alcohol use and were included. Participants in the intervention (IG) group (n=367) completed a short assessment on alcohol use and received the IBI (normative feedback, consequences, calorific value of reported consumption, computed blood alcohol concentration based on reported consumption, indication of risk, information on alcohol and health). Participants in the control (CG) group (n=370) completed the assessment only. Follow-up took place 1 and 6 months post-randomization. Primary outcomes were prevalence of monthly binge drinking and number of drinks/week at 1 and 6 months follow-up. The AUDIT score at 6 months was a secondary outcome. The impact of the intervention on the prevalence of binge-drinking was analyzed using a random-effects logitmodel, the impact on the number of drinks/week was analyzed using a randomeffects negative binomialmodel, the impact on the AUDIT score was analyzed using a negative binomial regression model. Results: The follow-up rate was 92% at 1 month and 91% at 6 months. Over time, there was a significant decrease in the prevalence of binge drinking [IG: 85. 6%(baseline), 69. 8%(6 mo); CG: 84. 3%, 71. 1%], mean (SD) number of drinks/week [IG: 10. 1(7. 9), 8. 5(8. 5); CG: 9. 5(7. 8), 9. 1(8. 9)] andmean AUDIT (SD) score [IG: 10. 7(4. 3), 8. 8(4. 3); CG: 10. 5(4. 0), 9. 3(4. 5). There was no intervention effect on the prevalence of binge drinking. There was an intervention effect on the mean number of drinks/week at 6 months (IRR=0. 80(0. 74; 0. 87) in IG vs IRR=0. 90 (0. 83;0. 97) in CG, p=0. 03) and on the AUDIT score at 6 months (IRR 0. 92 (0. 87; 0. 98), p=0. 01). Conclusion: We found no intervention effect on the prevalence of binge drinking but small effects on the number of drinks/week and AUDIT score at 6 months, following an IBI for unhealthy alcohol use among young men in the general population.
Alcoholism: Clinical & Experimental Research, 38 : 208A
- Year: 2014
- Problem: Alcohol Use
- Type: Controlled clinical trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)
Armitage, C. J., Rowe, R., Arden, M. A., Harris, P. R.
Objective: Alcohol consumption in adolescence is associated with problem drinking in later life, and there is a need to develop evidence-based interventions to reduce adolescent alcohol consumption. The aims of the present study were to test the ability of a very brief intervention based on self-affirmation theory to reduce alcohol consumption in a sample of adolescents and to examine potential mediators of the effects. Method: 67 adolescents were randomly allocated either to form a self-affirming implementation intention or to complete a distractor task. All participants were exposed to a threatening message concerning the health risks of alcohol consumption. The main outcome measure was subsequent alcohol intake, but message processing (operationalized as perceived threat and message derogation), behavioral intention, and self-efficacy were also measured as potential mediators. Results: The intervention produced a significant decrease in alcohol consumption: Participants in the self-affirming implementation intention condition consumed 2.48 fewer grams of pure alcohol per day at the end of the study than adolescents who completed the distractor task. The effect was not mediated by perceived threat, message derogation, behavioral intention, or self-efficacy. Conclusions: The findings provide support for the efficacy of the self-affirming implementation intention for promoting health behavior change and extend previous research by testing an adolescent sample and observing longer term effects. Further research is needed to find out what mediates the effects of self-affirming implementation intentions on health behavior change. (PsycINFO Database Record (c) 2014 APA, all rights reserved) (journal abstract).
Journal of Consulting & Clinical Psychology, 82(3) : 546-550
- Year: 2014
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions
Borsari, B., Short, E. E., Mastroleo, N. R., Hustad, J. T. P., Tevyaw, T. O., Barnett, N. P., Kahler, C. W., Monti, P. M.
Objective: Across the United States, tens of thousands of college students are mandated to receive an alcohol intervention following an alcohol policy violation. Telephone interventions may be an efficient method to provide mandated students with an intervention, especially when they are away from campus during summer vacation. However, little is known about the utility of telephone-delivered brief motivational interventions. Method: Participants in the study (N= 57) were college students mandated to attend an alcohol program following a campus-based alcohol citation. Participants were randomized to a brief motivational phone intervention (pBMI) (n= 36) or assessment only (n= 21). Ten participants (27.8%) randomized to the pBMI did not complete the intervention. Follow-up assessments were conducted 3, 6, and 9 months post-intervention. Results: Results indicated the pBMI significantly reduced the number of alcohol-related problems compared to the assessment-only group. Participants who did not complete the pBMI appeared to be lighter drinkers at baseline and randomization, suggesting the presence of alternate influences on alcohol-related problems. Conclusion: Phone BMIs may be an efficient and cost-effective method to reduce harms associated with alcohol use by heavy-drinking mandated students during the summer months. © 2014.
Journal of Substance Abuse Treatment, 46(5) : 592-596
- Year: 2014
- 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
Bergen, G., Pitan, A., Qu, S., Shults, R. A., Chattopadhyay, S. K., Elder, R. W., Sleet, D. A., Coleman, H. L., Compton, R. P., Nichols, J. L., Clymer, J. M., Calvert, W. B.
Context: Publicized sobriety checkpoint programs deter alcohol-impaired driving by stopping drivers systematically to assess their alcohol impairment. Sobriety checkpoints were recommended in 2001 by the Community Preventive Services Task Force for reducing alcohol-impaired driving, based on strong evidence of effectiveness. Since the 2001 review, attention to alcohol-impaired driving as a U.S. public health problem has decreased. This systematic review was conducted to determine if available evidence supports the effectiveness of publicized sobriety checkpoint programs in reducing alcohol-impaired driving, given the current context. The economic costs and benefits of the intervention were also assessed.; Evidence Acquisition: This review focused on studies that evaluated the effects of publicized sobriety checkpoint programs on alcohol-involved crash fatalities. Using Community Guide methods, a systematic search was conducted for studies published between July 2000 and March 2012 that assessed the effectiveness of publicized sobriety checkpoint programs.; Evidence Synthesis: Fourteen evaluations of selective breath testing and one of random breath testing checkpoints met the inclusion criteria for the systematic review, conducted in 2012. Ten evaluations assessed the effects of publicized sobriety checkpoint programs on alcohol-involved crash fatalities, finding a median reduction of 8.9% in this crash type (interquartile interval=-16.5%, -3.5%). Five economic evaluations showed benefit-cost ratios ranging from 2:1 to 57:1.; Conclusions: The number of studies, magnitude of effect, and consistency of findings indicate strong evidence of the effectiveness of publicized sobriety checkpoint programs in reducing alcohol-involved crash fatalities. Economic evidence shows that these programs also have the potential for substantial cost savings.; Published by Elsevier Inc.
American Journal of Preventive Medicine, 46(5) : 529-539
- Year: 2014
- Problem: Alcohol Use
- Type: Systematic reviews
-
Stage: Universal prevention
-
Treatment and intervention: Service Delivery & Improvement
Cairns, G., Purves, R., McKell, J.
Purpose - The purpose of this paper is to map and identify evidence for effective components of combined school and family alcohol education interventions. The paper describes current practice, evaluative evidence of its effects, and highlights specific elements of school and family linked education associated with effective prevention or reduction of alcohol misuse by young people aged 11-18 years. Design/methodology/approach - This paper takes the form of a systematic review. Findings - The review found evidence of small positive effects for interventions delivered over short and longer term duration and low and higher levels of direct contact with students and families. Family-based elements that correlated with positive effects were targeting information and skills development, family communications, and stricter parental attitudes to alcohol misuse. School-based components which involved life skills and social norms approaches were associated with reductions in risky behaviours. Weaker evidence indicated that peer-led programmes, external delivery agents and linkages of school-based components to community-level change may strengthen combined school and family intervention programmes. Research limitations/implications - The heterogeneity of the studies precluded the option to perform meta-analysis. Practical implications - There is a need for more focused use of planning and evaluation tools, and especially more explicit articulation of behaviours and/or behavioural determinants targeted; the methods that will be employed and the conceptual basis for the programme design could contribute to deeper understanding amongst the intervention community of how and why impact is or is not achieved. Social implications - Few studies provide information on the concepts, assumptions or change objectives that shape programme design. The potential benefits of combining school and family education interventions warrants further exploration. Originality/value - The authors believe this is the first review to systematically examine objectives, design and impact of combined school and family alcohol education interventions. (PsycINFO Database Record (c) 2014 APA, all rights reserved) (journal abstract).
Health Education, 114(6) : 451-472
- Year: 2014
- Problem: Alcohol Use
- Type: Systematic reviews
-
Stage: Universal prevention
, At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
DeSousa, A.
Aims: There are currently three agents approved by US-FDA for the pharmacotherapy of alcohol dependence, namely Naltrexone, Disulfiram and Acamprosate. The present study aimed to clinically compare Disulfiram (DSF) and Naltrexone (NTX) and their efficacy in relapse prevention in adolescents in a routine clinical setting. Design: Fifty-two adolescents with alcohol dependence with supportive family members that would ensure medical compliance and follow up were randomized to 6 months of treatment with DSF or NTX. Weekly group psycho-education was also provided. The psychiatrist, patient and family member were not blind to the treatment prescribed. Measurements: Alcohol consumption, craving and adverse events were recorded weekly for 4 months and then fortnightly. Serum gamma glutamyl transferase (GGT) was measured at the start and end of the study. Results: At the end of the study, 46 patients were still in contact. Relapse occurred at a mean of 93 days with DSF compared to 63 days for NTX. 84.61% patients on DSF remained abstinent compared to 53.85% with NTX. Conclusions: DSF was superior to NTX in promoting abstinence in adolescents with alcohol dependence having good family support. © 2014 Informa UK Ltd. All rights reserved.
Journal of Substance Use, 19(5) : 341-345
- Year: 2014
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Biological Interventions (any)
, Medications used to treat substance abuse
DeMartini, K. S., Gueorguiva, R., Leeman, R. F., Corbin, W. R., Fucito, L. M., Kranzler, H. R., O'Malley, S. S.
Behavioral interventions to reduce drinking in young adults are efficacious, but produce small effect sizes and are less effective for heavy drinkers and other at-risk groups. They also show limited effects at 12-months post-treatment (Carey et al., 2007). Few studies have examined longitudinal outcomes of pharmacotherapy trials for alcohol use, and no study has examined these effects in a young adult sample. Recently, we completed the first placebo-controlled trial of naltrexone in nontreatment seeking, young adult heavy drinkers (O'Malley et al., in review). The study was a randomized, double-blind, placebo-controlled 8-week trial at an outpatient research center for young adults ages 18-25 (N=118) who reported ≥4 heavy drinking days in the 4 weeks before intake. Participants were randomized to receive a brief motivational intervention plus either: (a) daily naltrexone (25 mg) + targeted naltrexone (25 mg in anticipation of a drinking occasion) or (b) daily placebo + targeted placebo. Post-treatment assessments occurred at the end of treatment (8-weeks, (8 W)), and at 3- month (3 M), 6-month (6 M), and 12-month (12 M) follow-ups. These analyses examine changes in outcomes from 8 Wthrough 12 M follow-up. The main outcome variables were percent heavy drinking days (PHDD), percent days abstinent (PDA), and drinks per drinking day (DPDD). The maximum number of drinks (MD) was also assessed at 3 M, 6 M, and 12 M. Linear mixed models were fit for each outcome, with fixed effects including: time, treatment (medication vs. placebo), gender, and family history of alcoholism. All models also included a treatment by time interaction term and baseline values for each outcome as covariates. There were no significant effects for PHDD. For PDA, there weremain effects of time and gender. Women reported higher PDA thanmen, and PDA significantly increased from 8 Wto 12 M follow-up. For DPDD, there was a significant time by treatment interaction. At 8 W, the naltrexone group had fewer DPDD than the placebo group. All other timepoints were equivalent. In the naltrexone condition, there was a significant increase in DPDD from 8 Wto 6 M followed by a significant reduction at 12 M. Placebo participants showed no significant change in DPDD after treatment. For MD, there was a significant increase after treatment and amain effect of gender. Men increasedMDmore than women. Overall, participants showed decreases or no change on most drinking indices over 1-year post-treatment.
Alcoholism: Clinical & Experimental Research, 38 : 212A
- Year: 2014
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
, Disorder established (diagnosed disorder)
-
Treatment and intervention: Biological Interventions (any)
, Medications used to treat substance abuse, Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy
Doumas, D. M., Esp, S., Turrisi, R., Hausheer, R., Cuffee, C.
Alcohol use increases substantially during the transition from middle school to high school. This study tested a brief, web-based personalized feedback program aimed at reducing risk factors for drinking, alcohol use, and alcohol-related consequences among 9th grade students. At a 3-month follow-up, students in the intervention group showed positive results relative to those in the control group on variables associated with reduced risk, including positive alcohol expectancies and positive beliefs about alcohol. Students in the intervention group also reported a reduction in drinking frequency and alcohol-related consequences relative to those in the control group. There were, however, no differences in normative beliefs regarding peer drinking or quantity of weekly drinking between the two groups. Results indicate that a brief, web-based personalized normative feedback program delivered in the school setting is a promising approach to reducing alcohol use and the associated consequences among 9th grade students. © 2013 Elsevier Ltd.
Addictive Behaviors, 39(1) : 231-238
- Year: 2014
- 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)
Doumas, D. M., Hausheer, R., Esp, S.
The purpose of the current study is to test age of drinking initiation as amoderator of the efficacy of a brief, web-based intervention programon alcohol use and alcohol-related consequences among 9th grade students. Underage drinking is a significant problem in the United States, with 70%of students reporting alcohol use by the end high school. Alcohol use increases substantially during the transition frommiddle school to high school. Further, early initiation of alcohol use is associated with high-risk drinking and an increased risk of adult alcohol dependence. Although a growing number of controlled studies indicate that web-based programs delivered to adolescents are effective in reducing drinking and alcohol-related consequences in adolescents, it is unclear if these interventions are effective for high-risk students. Ninth grade students (N=538) were randomly assigned to a web-based intervention group or control group. Participants completed questionnaires on drinking variables at baseline and 3-month followup assessments. Seventy-nine percent (N=410) of the students completed the 3-month follow-up. There were no baseline drinking differences between those who completed and those who did not. Repeated measures ANOVAs indicated age of drinking initiation was a significant moderator of intervention efficacy on frequency of drinking and alcohol-related consequences. Post-hoc Tukey's HSD comparisons indicated that intervention effects were greatest among two groups of students-those who reported abstinence at baseline and those who initiated drinking at or prior to age 11. Results support a brief, web-based intervention as a promising strategy for reducing frequency of drinking and the associated consequences among adolescents. In particular, results indicate this type of programmay be used as a prevention strategy for students who have not yet initiated drinking and as an intervention strategy for early initiators who are at the highest risk for developing alcoholrelated problems.
Alcoholism: Clinical & Experimental Research, 38 : 129A
- Year: 2014
- 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, Technology, interventions delivered using technology (e.g. online, SMS)
Doumas, D. M., Hausheer, R., Esp, S., Cuffee, C.
This study tested a brief, Web-based personalized feedback program aimed at reducing alcohol use and alcohol-related consequences among 9th grade students (N= 513). Results indicated no differences between the control group and intervention group on either frequency of drinking or alcohol-related consequences at the 6-month follow-up. Reductions in alcohol use and the associated consequences found at the 3-month follow-up were not sustained across the academic year. Results indicate that brief, Web-based feedback programs may not be sufficient to provide a sustained impact on alcohol use and alcohol-related consequences over time, suggesting either booster sessions or adjunctive interventions, such as parent-based interventions, may be warranted for this age group. © 2014 Elsevier Inc.
Journal of Substance Abuse Treatment, 47(1) : 102-105
- Year: 2014
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: Universal prevention
, 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)
Cronce, J. M., Bittinger, J. N., Liu, J., Kilmer, J. R.
Alcohol consumption is prevalent among college students and can be associated with serious negative consequences. Several efficacious programs using one-on-one brief intervention techniques have been developed to target high-risk drinking by individual students, such as the Brief Alcohol Screening and Intervention for College Students (BASICS) (Dimeff et al. 1999). To reach a larger population (e.g., the incoming freshman class), researchers have adapted these interventions so that students can access them via the Internet or in some other electronic format. The purpose of this review is to discuss specific alcohol intervention programs that were (1) designed to be delivered remotely (e.g., via the Web or on an electronic device) without interaction with a provider and (2) were tested among college students using a randomized controlled trial design. Specific studies were drawn from earlier reviews as well as a comprehensive literature search. Although many programs have limited research support, and some findings are mixed, components that were directly translated from in-person BASICS to remote-delivery mediums (i.e., personalized feedback interventions [PFIs], personalized normative feedback [PNF] interventions), and broader programs that incorporate PFI/PNF, show promise in reducing alcohol use and/or negative consequences. However, more research is needed and suggestions for how the field can move these interventions forward are discussed. (PsycINFO Database Record (c) 2015 APA, all rights reserved) (journal abstract).
Alcohol Research: Current Reviews, 36(1) : 47-62
- Year: 2014
- Problem: Alcohol Use
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy, Personalised feedback, normative feedback
, Technology, interventions delivered using technology (e.g. online, SMS)