Disorders - Alcohol Use
Wilton, G., Moberg, D. P., Van-Stelle, K. R., Dold, L. L., Obmascher, K., Goodrich, J.
Brief, effective interventions are needed to reduce the risk of an alcohol-exposed pregnancy in women who drink and do not use effective contraception. The Healthy Choices study compared telephone and in-person administration of a brief intervention. In addition to indicators of alcohol use and effective contraception, compliance with the intervention was examined. Women between the ages of 18 and 44 who were drinking above recommended levels and not using effective contraception were randomly assigned to either a telephone (n=68) or in-person (n=63) brief (two sessions) intervention. Overall, participants showed small but significant reductions in alcohol use and larger increases in effective use of contraception. Risk of alcohol-exposed pregnancy was thus significantly reduced, largely due to improved contraception with minor reductions in alcohol use. There was no significant difference in success of the intervention between the two conditions (telephone versus in-person). These findings suggest telephone-based brief intervention may be equally successful and cost-effective in reducing the risk of an alcohol-exposed pregnancy and thus fetal alcohol syndrome. ; © 2013.
Journal of Substance Abuse Treatment, 45(5) : 389-394
- Year: 2013
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
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
, Other service delivery and improvement interventions
Voogt, Carmen. V., Kuntsche, Emmanuel., Kleinjan, Marloes., Poelen, Evelien. A. P., Lemmers, Lex. A. C. J., Engels, Rutger. C. M. E.
Background: Alcohol consumption of college students has a fluctuating nature, which might impact the measurement of intervention effects. By using 25 follow-up time-points, this study tested whether intervention effects are robust or might vary over time.; Methods: Data were used from a two-arm parallel group randomized controlled trial applying ecological momentary assessment (EMA) with 30 data time-points in total. Students between 18 and 24 years old who reported heavy drinking in the past six months and who were ready to change their alcohol consumption were randomly assigned to the experimental (n = 456: web-based brief alcohol intervention) and control condition (n = 451: no intervention). Outcome measures were weekly alcohol consumption, frequency of binge drinking, and heavy drinking status.; Results: According to the intention-to-treat principle, regression analyses revealed that intervention effects on alcohol consumption varied when exploring multiple follow-up time-points. Intervention effects were found for a) weekly alcohol consumption at 1, 2, 3, 4, and 7 weeks follow-up, b) frequency of binge drinking at 1, 2, 7, and 12 weeks follow-up, and c) heavy drinking status at 1, 2, 7, and 16 weeks follow-up.; Conclusions: This research showed that the commonly used one and six month follow-up time-points are relatively arbitrary and not using EMA might bring forth erroneous conclusions on the effectiveness of interventions. Therefore, future trials in alcohol prevention research and beyond are encouraged to apply EMA when assessing outcome measures and intervention effectiveness.; Trial Registration: Netherlands Trial Register NTR2665.;
PLoS ONE, 8(11) : e78436-e78436
- Year: 2013
- 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)
Voogt, Carmen. V., Poelen, Evelien. A. P., Kleinjan, Marloes., Lemmers, Lex. A. C. J., Engels, Rutger. C. M. E.
Aims: To evaluate the effectiveness of a web-based brief alcohol intervention 'What Do You Drink' (WDYD) among heavy drinking students at 1- and 6-month post-intervention. Additionally, it was investigated whether certain subgroups would benefit more than others from the WDYD intervention.; Methods: A two-arm parallel group randomized controlled trial was conducted online in the Netherlands in 2010-2011. Inclusion criteria were: (1) being between 18- and 24-year old, (2) reporting heavy drinking in the past 6 months, (3) being motivated to change alcohol consumption, (4) having access to the Internet and (5) giving informed consent. Participants (n = 913) were randomized to the experimental (WDYD intervention) or control condition (no intervention). Measures were heavy drinking, frequency of binge drinking and weekly alcohol consumption.; Results: Analyses according to the intention-to-treat principle revealed no significant main intervention effects in reducing the alcohol measures at the follow-up assessments. Secondary analyses revealed that gender, freshmen and fraternity or sorority membership did not moderate the effect of the WDYD intervention at both follow-ups. Readiness to change, problem drinking and carnival participation moderated intervention effects such that contemplators, those with severe symptoms of alcohol abuse or dependence, and those who participated in carnival benefited more than others from the WDYD intervention regarding weekly alcohol consumption at 1-month follow-up.; Conclusions: The WDYD intervention was not effective in reducing the alcohol measures among heavy drinking students at 1- and 6-month post-intervention. However, there is preliminary evidence that the WDYD intervention is effective in lowering drinking levels for subgroups of heavy drinking students in the short term.;
Alcohol & Alcoholism, 48(3) : 312-321
- Year: 2013
- 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)
Koning, Ina M., vandenEijnden, Regina J. J. M., Verdurmen, Jacqueline E. E., Engels, Rutger C. M. E., Vollebergh, Wilma A. M.
Objective: It is questioned whether the alcohol prevention program "Prevention of Alcohol use in Students" (PAS) is effective in reducing the prevalence of heavy weekend drinking and the amount of drinking among adolescents at the age at which they are allowed to buy alcohol in The Netherlands (16 years). In addition, it is questioned whether the intervention effects are attributed to a delay in onset earlier in adolescence or to the development of skills due to the PAS intervention (mediation analyses). Design: A cluster randomized trial including 3490 Dutch early adolescents (M age = 12.66, SD = 0.49) and their parents randomized over four conditions; 1) parent intervention, 2) student intervention, 3) combined intervention and 4) control group. Outcome measures: Outcome measures were prevalence of heavy drinking and amount of weekend drinking measured at age 16, 50 months after baseline. Results: Only when parents and students were targeted simultaneously could the prevalence of heavy weekend drinking (b = −.44, p = .02) and the amount of alcohol use (b = −.24, p = .02) be reduced. No significant effects of the separate parent and student interventions were found. The effect of the combined PAS intervention on heavy weekend drinking and amount of drinking can be attributed to respectively the increase in self-control and strict parenting, and a delayed alcohol initiation earlier in adolescence. Conclusions: The current study confirms the effectiveness of the combined PAS intervention up to the legal drinking age of 16. The results underline that postponing the onset of drinking among early adolescents is not only crucial for health development in the short term, but also impacts the development of a healthier drinking pattern later on. (PsycINFO Database Record (c) 2013 APA, all rights reserved). (journal abstract)
Addictive Behaviors, 38(4) : 2032-2039
- Year: 2013
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions
Kulesza, Magdalena, McVay, Megan Apperson, Larimer, Mary E., Copeland, Amy L.
Brief interventions for college heavy drinkers have shown promise in reducing drinking and alcohol-related negative consequences. However, intervention duration, content, method of delivery, and follow-up length vary across studies. It therefore remains unclear whether intervention length significantly influences the interventions' efficacy. The present study is a randomized clinical trial systematically evaluating the efficacy of two brief interventions aimed at reducing alcohol use and alcohol-related negative consequences among college student drinkers. Treatment mediators were also evaluated. Participants (N=278) were, on average, 20.1 years old (SD=2.4), mostly Caucasian (87%) and female (71%). They were randomly assigned to a 10-minute brief intervention, a 50-minute brief intervention, or an attention-control group. Both active interventions were provided by clinical graduate students trained in Brief Alcohol Screening and Intervention for College Students (BASICS). As hypothesized, participants in both active conditions significantly reduced their alcohol consumption, as compared to the control group participants F(2,264)=9.84, p=.00, η(2)=.07. There were no significant differences in alcohol-related negative consequences F(2,264)=3.08, p=.06, η(2)=.02. The hypothesized mediators, alcohol drinking norms and coping behavioral strategies, explained significant variance in intervention efficacy, but neither self-efficacy nor alcohol expectancies were significant mediators. Given the preliminary nature of our investigation, more research is warranted to determine parameters of the critical mechanisms of change within brief alcohol interventions with college student drinkers.; Copyright © 2013 Elsevier Ltd. All rights reserved.
Addictive Behaviors, 38(4) : 2094-2101
- Year: 2013
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
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
King, S. C., Hoffman, L., McChargue, D. E.
The current study examined the predictive utility of treatmentmodality and dysphoric states (i.e., anxiety, anger, depression) on treatment outcome trajectory after completing a brief motivational enhancement intervention. Data were collected from 591 undergraduates (Mage = 19.6, 39.1% female) from a large Midwestern university who were mandated to a brief motivational enhancement treatment because of alcohol violations on campus. Individuals agreeing to participate in research were used within our analyses. The participants were randomly assigned to a two session face-toface group treatment (n = 274) or an online only intervention (n = 317). The participants completed a set of initial surveys and follow-up surveys to be completed at three, six, and twelve months post treatment. The surveys included the dysphoria construct which combined mood disturbance subscales from the Profile ofMood States (POMS) as a predictor and the Alcohol Use Disorders Identification Test (AUDIT) as an outcome measure of problematic drinking. While both the AUDIT and the POMS measure were completed pre-treatment, the AUDIT was also completed at the follow-up time points. Models were estimated utilizingmaximum likelihood (ML) estimation in SAS 9.3 to determine the eect of the predictors on the problematic drinking recovery trajectory up to twelvemonths post treatment. The trajectory of problematic drinking over time (as measured by AUDIT) was best modeled with a two random slope piecewise model which indicated a significant decrease in problematic drinking from pre-treatment to three months post treatment. From three to twelvemonths post treatment, an increase in problematic drinking was observed; however, it remained significantly lower than the pre-treatment level. Next, the treatment modality and dysphoria predictors were added to the model. Overall, the results of these analyses indicated that the group and website treatment modalities demonstrated equivalent patterns of problematic drinking reduction up to twelve months post treatment while higher levels of dysphoria promoted a more significant decrease in drinking from treatment until the three month follow-up.
Alcoholism: Clinical & Experimental Research, 37 : 82A
- Year: 2013
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy, Technology, comparing delivery mode (e.g. online vs. face-to-face)
Hustad, J. T. P., Mastroleo, N. R., Kong, L., Urwin, R. I., Zeman, S., LaSalle, L., Borsari, B.
Individual brief motivational intervention (BMI) is an empirically supported strategy to reduce heavy drinking by college students. Ecacious interventions have diminished utility when they are not feasible or eective in real-world settings. For example, many colleges lack the required resources (i.e., financial, space, and sta) to provide individual BMI (iBMI) to mandated students. Therefore, groupdelivered BMI (gBMI) can conserve valuable resources while reaching large number of individuals. This study conducted a comparative eectiveness evaluation of a one-on-one brief motivational interview (iBMI) to a group-delivered brief motivational interview (gBMI) for alcohol use. Both interventions were delivered by full-time sta at a university health services center. Participants (N = 278) were college students who were mandated to receive an alcohol intervention following an alcoholrelated incident (e.g., underage drinking, medical attention for an alcohol-related incident, driving under the influence). Following the baseline assessment, participants were randomized to receive an iBMI (n = 133) or a gBMI (n = 145) that lasted approximately 60 minutes. Follow-up assessments occurred 1-, 3-, and 6-months post-intervention. Results generated from the generalized estimating equations (GEE) method indicated that participants, on average, reduced their peak estimated blood alcohol concentration (BAC) and the number of negative alcohol-related consequences after the BMI, despite no significant dierences in average weekly alcohol use. The iBMI and gBMI conditions were not significantly dierent at follow-up. These findings provide support for the use of both iBMI and gBMIs for college students in real-world settings. Furthermore, results suggest that gBMI is a viable option for universities interested in supplying an ecient and eective alcohol use intervention to large numbers of college students.
Alcoholism: Clinical & Experimental Research, 37 : 81A
- Year: 2013
- 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
Hides, L., Carroll, S., Scott, R., Cotton, S., Baker, A., Lubman, D. I.
Psychotherapy & Psychosomatics, 82(2) : 122-124
- Year: 2013
- Problem: Anxiety Disorders (any), Depressive Disorders, Alcohol Use, Cannabis Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
, Disorder established (diagnosed disorder)
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Treatment and intervention: Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy
Geisner, I. M., Mittman, A., Kilmer, J. R.
This study examines the effectiveness of a web-based, personalized, brief intervention in reducing college students' drinking and depressed mood. For alcohol, there is evidence that such interventions can reduce frequency of drinking and related consequences, and there is some evidence that similar interventions have worked with depression. Because college students are at risk for problem drinking and mood disorders, addressing both factors is of great importance. Students are generally thought to drink for social reasons; however, a small minority of students also drinks with coping motives in mind. This is the first study to examine a web-based, personalized feedback intervention for a co-morbid group of college students, and thus fills an important need in the treatment options offered. Given the multiple motives for drinking, social motives are examined as a moderator of intervention efficacy. Method: 1822 students at a large public university took a brief survey, and 254 (14%) met the study criteria of depressed mood (BDI score of (greater-than or equal to)14) and high risk drinking (AUDIT score of (greater-than or equal to) 8 and 1 or more episodes of binge drinking (5 for men/4 for women) in the past month). 65%of the participants were women, and 66%Caucasian. Students filled out a baseline survey assessing their depressed mood and hopelessness, alcohol use and related problems, and drinking motives and were randomized to condition: Alcohol Feedback Only, Depressed Mood Feedback Only, Integrated Feedback, or Assessment Only Control. Results: Data are still being collected at this time. Preliminary analyses reveal the follow-up depression and hopelessness were lowest for the integrated and mood conditions, while AUDIT scores and drinking norms were lower in the alcohol condition. Regression results revealed significant interaction of condition and motives. Students receiving integrated feedback who had high social motives for drinking have lower depressed mood at follow up than those in the other three conditions while there were no differences in depression rates for students with low social motives for drinking between groups. Conclusion: Brief personalized web based interventions can help reduce depressed mood and problems related to drinking for at risk students, especially for those high in social motives for drinking. As colleges consider a range of prevention and intervention options for addressing students' needs, such approaches could be a valuable component of an overall strategic plan.
Alcoholism: Clinical & Experimental Research, 37 : 81A
- Year: 2013
- 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, Diana M., Turrisi, Rob, Ray, Anne E., Esp, Susan M., Curtis-Schaeffer, Amy K.
This study evaluated the effectiveness of a parent based intervention (PBI) in reducing drinking among first year college students (N = 443). Students were assigned to one of three conditions: PBI, PBI plus booster brochures (PBI-B), and an assessment only control group (CNT). At a 4-month post-intervention follow-up, results indicated students in the PBI-B group reported significantly less drinking to intoxication and peak drinking relative to the PBI group and CNT group. No significant differences were found between the PBI group and CNT group. Results provide further support for PBIs to reduce college student drinking and suggest that a booster brochure increases the effectiveness of PBIs. (PsycINFO Database Record (c) 2013 APA, all rights reserved). (journal abstract)
Journal of Substance Abuse Treatment, 45(1) : 31-37
- Year: 2013
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions
Flewelling, Robert L., Grube, Joel W., Paschall, M. J., Biglan, Anthony, Kraft, Anne, Black, Carol, Hanley, Sean M., Ringwalt, Christopher, Wiesen, Chris, Ruscoe, Jeff
Underage drinking continues to be an important public health problem and a challenge to the substance abuse prevention field. Community-based interventions designed to more rigorously control underage access to alcohol through retailer education and greater enforcement of underage drinking laws have been advocated as potentially effective strategies to help address this problem, but studies designed to evaluate such interventions are sparse. To address this issue we conducted a randomized trial involving 36 communities to test the combined effectiveness of five interrelated intervention components designed to reduce underage access to alcohol. The intervention was found to be effective in reducing the likelihood that retail clerks would sell alcohol to underage-looking buyers, but did not reduce underage drinking or the perceived availability of alcohol among high school students. Post hoc analyses, however, revealed significant associations between the level of underage drinking law enforcement in the intervention communities and reductions in both 30-day use of alcohol and binge drinking. The findings highlight the difficulty in reducing youth drinking even when efforts to curtail retail access are successful. Study findings also suggest that high intensity implementation of underage drinking law enforcement can reduce underage drinking. Any such effects of enhanced enforcement on underage drinking appear to be more directly attributable to an increase in perceived likelihood of enforcement and the resultant perceived inconveniences and/or sanctions to potential drinkers, than to a reduction in access to alcohol per se. (PsycINFO Database Record (c) 2013 APA, all rights reserved). (journal abstract)
American Journal of Community Psychology, 51(1-2) : 264-277
- Year: 2013
- Problem: Alcohol Use
- Type: Randomised controlled trials
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Stage: Universal prevention
-
Treatment and intervention: Service Delivery & Improvement, Other service delivery and improvement interventions
Conrod, Patricia, O'Leary-Barrett, Maeve, Newton, Nicola, Topper, Lauren, Castellanos-Ryan, Natalie, Mackie, Clare, Girard, Alain
Context: Selective school-based alcohol prevention programs targeting youth with personality risk factors for addiction and mental health problems have been found to reduce substance use and misuse in those with elevated personality profiles.; Objectives: To report 24-month outcomes of the Teacher-Delivered Personality-Targeted Interventions for Substance Misuse Trial (Adventure trial) in which school staff were trained to provide interventions to students with 1 of 4 high-risk (HR) profiles: anxiety sensitivity, hopelessness, impulsivity, and sensation seeking and to examine the indirect herd effects of this program on the broader low-risk (LR) population of students who were not selected for intervention.; Design: Cluster randomized controlled trial.; Setting: Secondary schools in London, United Kingdom.; Participants: A total of 1210 HR and 1433 LR students in the ninth grade (mean [SD] age, 13.7 [0.33] years).; Intervention: Schools were randomized to provide brief personality-targeted interventions to HR youth or treatment as usual (statutory drug education in class).; Main Outcome Measures: Participants were assessed for drinking, binge drinking, and problem drinking before randomization and at 6-monthly intervals for 2 years.; Results: Two-part latent growth models indicated long-term effects of the intervention on drinking rates (β = -0.320, SE = 0.145, P = .03) and binge drinking rates (β = -0.400, SE = 0.179, P = .03) and growth in binge drinking (β = -0.716, SE = 0.274, P = .009) and problem drinking (β = -0.452, SE = 0.193, P = .02) for HR youth. The HR youth were also found to benefit from the interventions during the 24-month follow-up on drinking quantity (β = -0.098, SE = 0.047, P = .04), growth in drinking quantity (β = -0.176, SE = 0.073, P = .02), and growth in binge drinking frequency (β = -0.183, SE = 0.092, P = .047). Some herd effects in LR youth were observed, specifically on drinking rates (β = -0.259, SE = 0.132, P = .049) and growth of binge drinking (β = -0.244, SE = 0.073, P = .001), during the 24-month follow-up.; Conclusions: Findings further support the personality-targeted approach to alcohol prevention and its effectiveness when provided by trained school staff. Particularly novel are the findings of some mild herd effects that result from this selective prevention program.; Trial Registration: clinicaltrials.gov Identifier: NCT00776685.;
JAMA Psychiatry, 70(3) : 334-342
- Year: 2013
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions