Disorders - Alcohol Use
Champion, Katrina, Newton, Nicola, Barrett, Emma, Teesson, Maree
Issues: The use of alcohol and drugs amongst young people is a serious concern and the need for effective prevention is clear. This paper identifies and describes current school-based alcohol and other drug prevention programs facilitated by computers or the Internet.; Approach: The Cochrane Library, PsycINFO and PubMed databases were searched in March 2012. Additional materials were obtained from reference lists of papers. Studies were included if they described an Internet- or computer-based prevention program for alcohol or other drugs delivered in schools.; Key Findings: Twelve trials of 10 programs were identified. Seven trials evaluated Internet-based programs and five delivered an intervention via CD-ROM. The interventions targeted alcohol, cannabis and tobacco. Data to calculate effect size and odds ratios were unavailable for three programs. Of the seven programs with available data, six achieved reductions in alcohol, cannabis or tobacco use at post intervention and/or follow up. Two interventions were associated with decreased intentions to use tobacco, and two significantly increased alcohol and drug-related knowledge.; Conclusion: This is the first study to review the efficacy of school-based drug and alcohol prevention programs delivered online or via computers. Findings indicate that existing computer- and Internet-based prevention programs in schools have the potential to reduce alcohol and other drug use as well as intentions to use substances in the future. These findings, together with the implementation advantages and high fidelity associated with new technology, suggest that programs facilitated by computers and the Internet offer a promising delivery method for school-based prevention.; © 2012 Australasian Professional Society on Alcohol and other Drugs.
Drug & Alcohol Review, 32(2) : 115-123
- Year: 2013
- Problem: Alcohol Use, Cannabis Use
- Type: Systematic reviews
-
Stage: Universal prevention
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)
Baek, T., Shen, L., Reid, L.
This experiment examined the interaction effects of message framing and counterfactual thinking on attitudes toward binge drinking and behavioral intentions. Data from a 2 (message framing: gain vs. loss) × 2 (counterfactual thinking priming: additive vs. subtractive) between-subjects factorial design showed that a gain-framed message resulted in lower binge drinking intentions than did a loss-framed message after subjects engaged in additive counterfactual thinking. The effects of a loss-framed message on binge drinking intentions occurred when subtractive counterfactual thinking was induced. Theoretical and practical implications for anti-binge drinking public service announcements are discussed.;
Journal of Health Communication, 18(4) : 442-458
- Year: 2013
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions
Carey, K., DeMartini, K., Prince, M., Luteran, C, Carey, M.
This study tested the hypothesis that client choice influences intervention outcomes. We recruited 288 student drinkers (60% men, 67% freshmen) required to participate in an intervention due to a violation of campus alcohol policy. Participants were randomized either to self-chosen or researcher-assigned interventions. In the choice condition they selected either a brief motivational intervention (BMI) or a computer-delivered educational program. In the assigned condition they received 1 of the 2 interventions, assigned randomly. Follow-up assessments at 1 and 2 months revealed that choice was associated with higher intervention satisfaction. However, the assigned and choice conditions did not differentially change on consumption or consequences across intervention type. Overall, change scores favored the BMI over the computer-delivered intervention on consumption and consequences. Exploratory analyses revealed that given the choice of intervention, heavier-drinking students self-selected into the face-to-face BMI. Furthermore, among the students who received a BMI, the students who chose it (despite their heavier drinking) reduced drinks per drinking day more than did the assigned students. In summary, offering a choice of intervention to students mandated for campus alcohol violations increased the chance that at-risk students will select a more intensive and effective intervention. (copyright) 2012 American Psychological Association.
Psychology of Addictive Behaviors, 27(3) : 596-603
- Year: 2013
- Problem: Alcohol Use
- Type: Controlled clinical 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, Technology, interventions delivered using technology (e.g. online, SMS)
Alfonso, Jacqueline, Hall, Thomas, Dunn, Michael
Unlabelled: The present study used a randomized clinical trial design to examine the effectiveness of personalized alcohol feedback delivered individually, in a group and via computer on alcohol use and related negative consequences in a sample of 173 college students referred for alcohol-related violations. Findings revealed statistically significant reductions in alcohol use and related harms for the individually delivered intervention, with significant reductions in alcohol-related harms for the electronically delivered intervention. No statistically significant results were found for the group-delivered intervention or between groups, and a main effect of time was noted for all outcome variables. This study adds to the literature by being the first randomized clinical trial to include analyses of an empirically supported individually delivered personalized alcohol feedback intervention with more cost-effective group-delivered and electronically delivered feedback formats within a single research design, by expanding the range of participant drinking habits reported at baseline to include all drinking levels and not solely those classified as 'heavy drinking' and by providing anonymity pre-intervention and post-intervention given the potential demand characteristics to underreport illegal and/or illicit behaviours in this vulnerable population.; Key Practitioner Message: Personalized alcohol feedback delivered in a one-on-one, face-to-face format serves to decrease both alcohol use and harms in mandated college students. The use of web-delivered personalized alcohol feedback may be clinically useful when working with a mandated student population to reduce alcohol-related harms. Personalized alcohol feedback delivered in a group setting may not be indicated for use with a mandated student population as it does not demonstrate decreases in either alcohol use or harms, possibly because of the normalization of deviant behaviour.; Copyright © 2012 John Wiley & Sons, Ltd.
Clinical Psychology & Psychotherapy, 20(5) : 411-423
- Year: 2013
- Problem: Alcohol Use
- Type: Randomised controlled trials
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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, comparing delivery mode (e.g. online vs. face-to-face)
Arden, M. A., Armitage, C. J.
Aims: This study tested the ability of a volitional help sheet (VHS) to decrease binge drinking in UK students. Methods: Fifty-six participants were randomly allocated to one of three conditions: control, active control or VHS as part of a questionnaire-based study. Results: There were significant decreases in units of alcohol consumed and self-reported binge drinking frequency in the VHS condition, but not in either of the control conditions. Conclusions: The findings support use of the VHS to help people to reduce their alcohol consumption and binge drinking. (copyright) The Author 2012. Medical Council on Alcohol and Oxford University Press. All rights reserved.
Alcohol & Alcoholism, 47(2) : 156-159
- Year: 2012
- 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: Psychological Interventions (any)
, Other Psychological Interventions
Carey, Kate B., Scott-Sheldon, Lori A. J., Elliott, Jennifer C., Garey, Lorra, Carey, Michael P.
Alcohol misuse occurs commonly on college campuses, necessitating prevention programs to help college drinkers reduce consumption and minimize harmful consequences. Computer-delivered interventions (CDIs) have been widely used due to their low cost and ease of dissemination but whether CDIs are efficacious and whether they produce benefits equivalent to face-to-face interventions (FTFIs) remain unclear. Therefore, we identified controlled trials of both CDIs and FTFIs and used meta-analysis (a) to determine the relative efficacy of these two approaches and (b) to test predictors of intervention efficacy. We included studies examining FTFIs ( N=5237; 56% female; 87% White) and CDIs (N=32,243; 51% female; 81% White). Independent raters coded participant characteristics, design and methodological features, intervention content, and calculated weighted mean effect sizes using fixed and random-effects models. Analyses indicated that, compared to controls, FTFI participants drank less, drank less frequently, and reported fewer problems at short-term follow-up ( d+s=0.15 - 0.19); they continued to consume lower quantities at intermediate ( d+=0.23) and long-term (d+=0.14) follow-ups. Compared to controls, CDI participants reported lower quantities, frequency, and peak intoxication at short-term follow-up ( d+s=0.13 - 0.29), but these effects were not maintained. Direct comparisons between FTFI and CDIs were infrequent, but these trials favored the FTFIs on both quantity and problem measures ( d+s=0.12 - 0.20). Moderator analyses identified participant and intervention characteristics that influence intervention efficacy. Overall, we conclude that FTFIs provide the most effective and enduring effects. (PsycINFO Database Record (c) 2012 APA, all rights reserved) (journal abstract)
Clinical Psychology Review, 32(8) : 690-703
- Year: 2012
- Problem: Alcohol Use
- Type: Systematic reviews
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Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Technology, comparing delivery mode (e.g. online vs. face-to-face)
Burleson, Joseph A., Kaminer, Yifrah, Burke, Rebecca H.
Adolescents with alcohol use disorders (AUDs) previously completed a randomized controlled outpatient aftercare study (Y. Kaminer, J. A. Burleson, & R. H. Burke, 2008) in which they were randomly assigned to in-person, brief telephone, or no-active aftercare. Youth were assessed at end of aftercare and at 3-, 6-, and 12-month follow-up on frequency and quantity of alcohol use. It was predicted that active aftercare (in-person and brief telephone) would be superior to no-active aftercare in reducing alcohol use, as shown in the original study. No subject or therapy group attributes were significant moderators of outcome. Active aftercare in general maintained short-term favorable effects by reducing relapse in youth with AUD and should be considered as part of standard procedures in therapeutic interventions for all alcohol and other substance use. In-person and the brief telephone procedures did not differ in their effectiveness. Structured communications with AUD youth during and after treatment by use of electronic technology rather than in-person contact might therefore be more fully investigated. (PsycINFO Database Record (c) 2012 APA, all rights reserved) (journal abstract)
Journal of Substance Abuse Treatment, 42(1) : 78-86
- Year: 2012
- Problem: Alcohol Use
- Type: Randomised controlled trials
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Stage: Relapse prevention
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Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Cognitive & behavioural therapies (CBT)
, Motivational interviewing, includes Motivational Enhancing Therapy, Technology, comparing delivery mode (e.g. online vs. face-to-face)
Borsari, B., Hustad, J. T. P., Mastroleo, N. R., Tevyaw, T. O., Barnett, N. P., Kahler, C. W., Short, E. E., Monti, P. M.
Objective: Over the past 2 decades, colleges and universities have seen a large increase in the number of students referred to the administration for alcohol policies violations. However, a substantial portion of mandated students may not require extensive treatment. Stepped care may maximize treatment efficiency and greatly reduce the demands on campus alcohol programs. Method: Participants in the study (N = 598) were college students mandated to attend an alcohol program following a campus-based alcohol citation. All participants received Step 1: a 15-min brief advice session that included the provision of a booklet containing advice to reduce drinking. Participants were assessed 6 weeks after receiving the brief advice, and those who continued to exhibit risky alcohol use (n = 405) were randomized to Step 2, a 60-to 90-min brief motivational intervention (n = 211), or an assessment-only control (n = 194). Follow-up assessments were conducted 3, 6, and 9 months after Step 2. Results: Results indicated that the participants who received a brief motivational intervention showed a significantly reduced number of alcohol-related problems compared to those who received assessment only, despite no significant group differences in alcohol use. In addition, low-risk drinkers (n = 102; who reported low alcohol use and related harms at 6-week follow-up and were not randomized to stepped care) showed a stable alcohol use pattern throughout the follow-up period, indicating they required no additional intervention. Conclusion: Stepped care is an efficient and cost-effective method to reduce harms associated with alcohol use by mandated students. (copyright) 2012 American Psychological Association.
Journal of Consulting & Clinical Psychology, 80(6) : 1062-1074
- Year: 2012
- 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
Carey, K. B., DeMartini, K. S., Prince, M. A., Carey, M. P.
Alcohol abuse prevention interventions designed for college students mandated because of alcohol policy violations produce significant but modest risk reduction. According to Self- Determination Theory, autonomy is a core human motive that may be threatened in the context of a mandated intervention. A sense of autonomy and control promotes engagement and outcome in health behavior interventions and may be with enhanced by incorporating an element of choice. This study tested the primary hypothesis that choice of intervention improved outcomes, and secondary hypotheses that client characteristics will predict intervention choice. We recruited 288 student drinkers (60% male, 67% freshmen) who were required to participate in an alcohol intervention by campus authorities. After completing a baseline assessment, participants were randomized to one of two study arms: in the assigned condition they received either a brief motivational intervention (BMI, n = 67) or a computerdelivered educational program (Alcohol101+, n = 74); in the choice condition they selected either the BMI (n = 68) or Alcohol101+ (n = 79). Contrary to expectations, the assigned and choice conditions did not differentially change on consumption or consequences at either the 1- and 2-month assessments. Regardless of choice status, change scores on drinking outcomes favored participants receiving a BMI. Because the students in the choice condition self-selected into their intervention, we explored the predictors of intervention choice. A priori predictors included alcohol consumption and consequences, motivation for change, need for relatedness, and the Big Five personality dimensions including extraversion. However, only 3 drinking variables measured at baseline predicted student choice. Specifically, students with more drinks per drinking day, more alcohol-related consequences, and higher AUDIT scores tended to choose the face-to-face BMI. In summary, offering a choice of intervention to students mandated for campus alcohol violations does not invariably improve outcomes. If resources do not permit offering the more efficacious BMI to all mandated students, it may be desirable to offer referred students the option of meeting with a counselor for reasons other than autonomy support. Our findings suggest that students who are at greater risk may elect the face-to-face BMI, providing an opportunity for a counselor to assess need for additional counseling.
Alcoholism: Clinical & Experimental Research, 36 : 355A
- Year: 2012
- 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, Psychoeducation, Technology, interventions delivered using technology (e.g. online, SMS)
Cimini, M. D., Sokolowski, K., Rivero, E. M.
Research examining the efficacy of brief alcohol interventions for mandated students delivered by trained service providers in the context of naturally existing campus-based health care settings is important for several reasons. Such research can help identify both facilitative factors and potential barriers when translating laboratory findings to practice, and such studies can help us evaluate how we might engage our mandated students in accessible interventions within campus service delivery settings most familiar to them. The aim of this study was to examine further the efficacy of individual and group brief motivational interventions delivered by trained service providers at a counseling center within a large public university in the Northeast to a population of students mandated for alcohol policy violations. Participants were 144 students sanctioned for violations of campus alcohol policy who agreed to participate in the research. These students attended an enrollment meeting, and were randomly assigned to complete either an individual face-to-face BASICS intervention or a group-delivered Alcohol Skills Training Program (ASTP) intervention. Interventionists were psychologists trained to deliver BASICS and ASTP interventions. Significant differences were found between the 6- month outcomes of the BASICS interventions and the ASTP interventions, with BASICS emerging as more effective than ASTP. Specifically, BASICS was significantly more effective than ASTP with regard to reductions in alcohol consumption and negative consequences of alcohol use, and increases in use of protective behavioral strategies at 6-month follow-up. Additionally, BASICS performed significantly better than ASTP in terms of correction of alcohol use norm misperceptions at 6-month follow-up. Results suggest that individual face-toface brief motivational interventions may be an effective alternative for mandated students. To provide such target population-relevant and responsive screening and brief intervention within naturally-existing and accessible university service delivery environments is a very promising strategy and a feasible and effective solution to the challenge of mandated college student high-risk drinking, with benefits for the individual and the overall quality of campus life. Additional research examining the efficacy of brief motivational interventions for mandated students delivered by trained service providers in campus health care settings is recommended.
Alcoholism: Clinical & Experimental Research, 36 : 244A
- Year: 2012
- 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, Skills training, Personalised feedback, normative feedback
Donovan, Elizabeth, Wood, Mollie, Frayjo, Kezia, Black, Ryan A., Surette, Daniel A.
Alcohol consumption among college students remains a major public health concern. Universal, Web-based interventions to reduce risks associated with student alcohol consumption have been found to be effective in changing their alcohol-related behavior. Recent studies also indicate that parent-based interventions, delivered in booklet form, are effective. A parent-based intervention that is also Web-based may be well suited to a dispersed parent population; however, no such tool is currently available. The purpose of this study was to test the efficacy of an online parent-based intervention designed to (1) increase communication between parents and students about alcohol and (2) reduce risks associated with alcohol use to students. A total of 558 participants, comprising 279 parent-teen dyads, were enrolled in the study. The findings suggested that parents who participated in the online intervention were more likely to discuss protective behavioral strategies, particularly those related to manner of drinking and stopping/limiting drinking, with their teens, as compared with parents in an e-newsletter control group. Moreover, students whose parents received the intervention were more likely to use a range of protective behavioral strategies, particularly those related to manner of drinking and stopping/limiting drinking, as compared with students whose parents did not receive the intervention. A universal, online, parent-based intervention to reduce risks associated with student alcohol consumption may be an efficient and effective component of a college's overall prevention strategy.; Copyright © 2011 Elsevier Ltd. All rights reserved.
Addictive Behaviors, 37(1) : 25-35
- Year: 2012
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: Universal 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., Turrisi, R., Ray, A., Esp, S.
High-risk drinking and the negative consequences associated with heavy alcohol use have been well-documented on college campuses. Relative to the general college student population, first year students have been identified as a high-risk group for heavy drinking. A growing body of research suggests that parent based interventions (PBIs) are effective in reducing heavy drinking in first year college students. The purpose of this study is to compare the effectiveness of PBIs with and without booster brochures vs an assessment only control group with first year students. Incoming first year students (N=443) ages 18-20 were randomly assigned to one of three groups: 1) PBI alone (PBI; n = 141), 2) PBI plus booster brochures (PBI-B; n = 152), or 3) assessment only control (CNT; n = 149). Participants completed questionnaires on drinking variables at baseline and 4 month follow-up assessments. Parents of students in both intervention groups received a parent handbook the summer prior to fall semester. Parents in the PBI-B group also received three booster brochures throughout the fall semester. Sixty percent of the students completed the 4 month follow-up. There were no baseline drinking differences between those who completed and those who did not. Repeated measures ANOVAs were conducted to assess changes in weekly drinking, frequency of drinking to intoxication, and peak drinking quantity. Results indicated less growth in frequency of drinking to intoxication and peak drinking quantity relative to students in the PBI group and CNT group. Results of this study provide support for the use of booster brochures in combination with a parent handbook. Findings add to the growing body of literature suggesting PBIs are a promising strategy for reducing the growth of heavy drinking in first year students.
Alcoholism: Clinical & Experimental Research, 36 : 242A
- Year: 2012
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions