Disorders - alcohol use
Diaz Gomez, C., Ngantcha, M., Le-Garjean, N., Brouard, N., Lasbleiz, M., Perennes, M., Kerdiles, F. J., Le-Lan, C., Moirand, R., Bellou, A.
Background: Introduction to alcohol consumption early in life increases the risk of alcohol dependency and hence motivational interventions are needed in young patients visiting the emergency department (ED). Aim(s): This study aims to investigate the efficacy of a brief motivational intervention in reducing alcohol consumption among young ED patients. Patients and Methods: This was a blind randomized controlled trial with follow-up at 3 months. Patients were stratified on the basis of age and blood alcohol level of 0.5 g/l or more. A total of 263 patients aged 16-24 were randomized, with 132 patients in the brief motivational intervention group and 131 in the control group, with data collection at 3 months. From September 2011 to July 2012, a psychologist performed the brief motivational intervention 5 days after the patients' discharge. A phone call was made at 1 and 2 months. The control group received a self-assessment leaflet. The reduction in consumption was determined on the basis of the number of drinks consumed in the last week prior to the survey. Result(s): The mean reduction between number of drinks at baseline and number of drinks at 3 months in the control group was 0.3 and that in the intervention group was 0.9. This reduction in alcohol use in the brief motivational intervention group was not significant. The study did not show an association between brief motivational intervention and repeated drunkenness [relative risk (RR): 0.99, 95% confidence interval (CI): 0.79-1.24], alcohol consumption at least once a month (RR: 0.81, 95% CI: 0.31-2.10) and alcohol consumption at least 10 times during the month (RR: 1.1, 95% CI: 0.96-1.26). Conclusion(s): We did not observe a significant decrease in alcohol consumption among the youth. Further studies are needed to confirm the positive impact of a brief motivational intervention in the ED. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.
European Journal of Emergency Medicine, 26(1) : 59-64
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy
Buckner, J.D., Neighbors, C., Walukevich-Dienst, K., Young, C.M.
High-risk drinking events (e.g., Mardi Gras) are associated with heavy and problematic drinking behaviors in college students. Online personalized normative feedback (PNF) interventions have been found to reduce college drinking, yet few studies have investigated the effect of event-specific PNF on drinking. The present study investigated the impact of a Mardi Gras-specific PNF intervention on Mardi Gras drinking and normative beliefs. Undergraduate students who reported intending to drink during Mardi Gras were randomly assigned to receive PNF (n = 74) or nondrinking control feedback (n = 73), both delivered online. Compared to those in the control condition, those in the PNF condition reported lower normative beliefs at follow-up. Follow-up beliefs mediated the relation between condition and peak estimated blood alcohol content (eBAC) during Mardi Gras such that the PNF condition was related to lower follow-up maximum estimated eBAC via lower follow-up normative beliefs. Baseline drinking moderated treatment effects such that the PNF was related to lower follow-up eBAC among heavier but not lighter baseline drinkers. This is the first known study to find that an event-specific stand-alone PNF intervention administered online in anticipation of a university-wide holiday associated with drinking can result in decreased event-specific drinking via changes in event-specific normative beliefs. (PsycINFO Database Record (c) 2019 APA, all rights reserved) Impact Statement Public Health Significance-The current study suggests that an online intervention containing personalized feedback on event-specific drinking norms for a high-risk drinking event decreases event-specific drinking among college students. Given that online interventions can be easily disseminated to and accessed by college students, such interventions may be a cost- and resource-effective strategy to target high-risk, event-specific college drinking. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
Experimental and Clinical Psychopharmacology, : No Pagination Specified
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Biofeedback, neurofeedback, audio/video feedback, Personalised feedback, normative feedback
, Technology, interventions delivered using technology (e.g. online, SMS)
Sevil, J., Garcia-Gonzalez, L., Abos, A., Generelo, E., Aibar, A.
Purpose: The main aim was to examine the effects of a school-based intervention on multiple health behaviors in adolescents, such as 24-hour movement behaviors (i.e., physical activity, sedentary time, and sleep duration), diet, and substance consumption (i.e., alcohol and tobacco). Another aim was to examine intragender differences in the effectiveness of the programme. Method(s): A quasi-experimental design was carried out in two secondary schools throughout one academic year. A final sample of 210 students participated: 105 in the control (Mage = 13.07 +/- 0.63) and 105 in the experimental school (Mage = 13.05 +/- 0.59). A multicomponent school-based intervention was conducted by teachers in the experimental school via curricular (i.e., tutorial action plan, interdisciplinary project, and school break) and extracurricular (i.e., family involvement, institutional and noncurricular activities, and dissemination of health information and events) actions to promote adolescents' healthy lifestyles. Physical activity and sedentary time were measured by accelerometers, and the rest of health behaviors by using self-reported scales. Result(s): Experimental school students showed a significant improvement in meeting specific and general combinations of 24-hour movement guidelines, sedentary screen time levels, nap duration, (un)healthy diet scores, breakfast intake, and soft drink consumption compared to both control school students and their baseline values (p >.05). Active commuting and substance consumption rates only showed a significant improvement compared to control school students (p >.05). Although the intervention programme was effective in improving health-related behaviors in both genders, a large effect size was observed in boys. Conclusion(s): Conducting multiple health behavior interventions becomes essential to improve adolescents' healthy lifestyles. Copyright © 2018
Journal of Adolescent Health, 64(4) : 478-486
- Year: 2019
- Problem: Alcohol Use
- Type: Controlled clinical trials
-
Stage: Universal prevention
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Treatment and intervention: Complementary & Alternative Interventions (CAM)
, Psychological Interventions (any)
, Other Psychological Interventions, Dietary advice, dietary change, Physical activity, exercise
Acuff, S. F., Voss, A. T., Dennhardt, A. A., Borsari, B., Martens, M. P., Murphy, J. G.
Background: Alcohol-induced blackouts, a form of anterograde amnesia that restricts the encoding of short-term memories into long-term ones, are among the most severe alcohol-related consequences. College students are at high risk of experiencing alcohol-induced blackouts, and there is a need to determine whether alcohol interventions can effectively reduce blackouts in this population. The current study uses data from 3 randomized clinical trials to examine the effect of various intervention approaches on alcohol-induced blackouts. Method(s): Four interventions were compared over 3 studies: (i) a computerized feedback intervention (electronic Check-Up To Go [e-Chug]; Study 1); (ii) a single-session brief motivational intervention (BMI; Study 1); (iii) a BMI plus behavioral economic session focused on increasing substance-free activities (BMI + Substance-Free Activity Session [SFAS]; Studies 2 and 3); and (iv) a BMI plus supplemental Relaxation Training session (BMI + Relaxation Training; Studies 2 and 3). Studies 1 and 3 also included an assessment-only control condition. For each study, participants reported whether they had experienced an alcohol-induced blackout at each time point; binary logistic regressions examined differential likelihood of experiencing an alcohol-induced blackout over time. Result(s): Neither the single-session BMI nor e-Chug reduced alcohol-induced blackouts over assessment only; however, participants in the BMI + SFAS or BMI + Relaxation Training condition were significantly less likely to experience an alcohol-induced blackout compared to assessment only at 1-month (Wald = 4.77, odds ratio [OR] = 0.53, p = 0.03) and 6-month follow-ups (Wald = 5.72, OR = 0.52, p = 0.02). Study 2 also revealed a larger effect for the BMI + SFAS over the BMI + Relaxation Training condition at 6 months (Wald = 4.11 OR = 0.22, p = 0.043), although this was not replicated in Study 3. The effects for the 2-session BMIs lasted 6 months, at which point maturation effects diminished differences between assessment-only and intervention conditions. Conclusion(s): Two sessions of BMI are a substantial enough dose to result in reductions in alcohol-induced blackouts among college student heavy drinkers. Copyright © 2019 by the Research Society on Alcoholism
Alcoholism: Clinical and Experimental Research, 43(5) : 988-996
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy, Biofeedback, neurofeedback, audio/video feedback, Personalised feedback, normative feedback
Garcia, T. A., Borsari, B., Feldstein-Ewing, S.
Hispanic populations are projected to be one of the largest minority populations. Despite parallel levels of alcohol use, Hispanic youth experience greater alcohol-related consequences. Despite the need for effective alcohol treatment for Hispanic youth, few empirically supported treatments are available. One promising approach is MI; however, MI needs further evaluation among Hispanic youth. This study provides a rigorous, a-priori examination of two widely-used treatments for adolescent alcohol use: MI versus education. Alcohol using youth recruited from a high-risk setting (N = 448; Mage = 16.09, SD = 1.24, Range 13 18; 72%male, 28%female; 77%Hispanic) were randomized to MI or education. MI youth showed significantly greater reductions in alcohol use and dependence compared to education youth from baseline to 6 months post-intervention. Behavior change was primarily driven by improved self-efficacy (indirect effect p = .025) and increased motivation (indirect effect p = .011) to reduce alcohol use. Results highlight the importance of unraveling the construct of "motivation" in this age group, which would help inform and guide clinicians' efforts to improve youth treatment outcomes, particularly among underrepresented Hispanic youth.
Alcoholism: Clinical and Experimental Research, 43 (Supplement 1) : 262A
- Year: 2019
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy, Psychoeducation
Midford, R., Cahill, H., Lester, L., Ramsden, R., Foxcroft, D., Venning, L.
Aims: The Drug Education in Victorian Schools (DEVS) programme taught about licit and illicit drugs over two years (2010-2011), with follow up in the third year (2012). It focussed on minimising harm and employed participatory, critical-thinking and skill-focussed pedagogy. This study evaluated the programme's residual effectiveness at follow up in reducing alcohol-related risk and harm. Methods: A cluster-randomised, controlled trial was conducted with a student cohort during years eight (13-14 years old), nine (14-15 years old) and 10 (15-16 years old). Schools were randomly allocated to the DEVS programme (14 schools, n = 1163), or their usual drug education (7 schools, n = 589). Multi-level models were fitted to the data, which were analysed on an intent-to-treat basis. Statistically significant findings: Over the 3 years, there was a greater increase in intervention students' knowledge about drugs, including alcohol. Their alcohol consumption did not increase as much as controls. Their alcohol-related harms decreased, while increasing for controls. There were fewer intervention group risky drinkers, and they reduced their consumption compared to controls. Similarly, harms decreased for intervention group risky drinkers, while increasing for controls. Conclusions: Skill-focussed, harm minimisation drug education can remain effective, subsequent to programme completion, in reducing students' alcohol consumption and harm, even with risky drinkers. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
Drugs: Education, Prevention & Policy, 25(1) : 88-96
- Year: 2018
- Problem: Alcohol Use
- Type: Randomised controlled trials
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Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions (any)
, Psychoeducation, Skills training, Other Psychological Interventions
Colby, S. M., Orchowski, L., Magill, M., Murphy, J. G., Brazil, L. A., Apodaca, T. R., Kahler, C. W., Barnett, N. P.
Background: While there is a substantial literature on the efficacy of brief motivational intervention (BMI) for college student drinkers, research has focused less on young adults who do not attend a 4-year college, despite their elevated risk for excessive alcohol use and associated harmful consequences. Method(s): This randomized controlled trial (NCT01546025) compared the efficacy of BMI to a time-matched attention control intervention (relaxation training [REL]) for reducing alcohol consumption and related negative consequences in an underage young adult sample. BMI was tailored to the developmental transition out of high school for young adults who were not immediately planning to enroll in a 4-year college. Non-treatment-seeking underage drinkers who reported past-month heavy drinking (N = 167; ages 17 to 20; 42% female; 59% non-Hispanic White) were randomly assigned to receive a single session of BMI or REL. Outcomes were evaluated 6 weeks and 3 months postintervention via in-person assessments. Result(s): Generalized estimating equation models provided strong support for the efficacy of BMI for reducing harmful drinking in these young adults. Compared to REL, and after controlling for baseline covariates including gender, those who received BMI subsequently reported significantly fewer average drinks per week, percent drinking days, percent heavy drinking days, lower peak and typical estimated blood alcohol concentration on drinking days, and fewer adverse consequences of drinking (all ps < 0.05). These between-group effects did not weaken over the course of the 3-month follow-up period. Conclusion(s): These findings demonstrate an efficacious approach to tailoring BMI for non-college-attending young adults. Future research should replicate and extend these findings over a longer follow-up period. Copyright © 2018 by the Research Society on Alcoholism
Alcoholism: Clinical and Experimental Research, 42(7) : 1342-1351
- Year: 2018
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Complementary & Alternative Interventions (CAM)
, Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy, Relaxation
D'Amico, E.J., Parast, L., Shadel, W.G., Meredith, L.S., Seelam, R., Stein, B.D.
Objective: The primary care (PC) setting provides a unique opportunity to address adolescent alcohol and other drug (AOD) use. Method: We conducted a randomized controlled trial in 4 PC clinics from April 2013 to November 2015 to determine whether a 15-min brief motivational interviewing (MI) AOD intervention, delivered in PC, reduced alcohol and marijuana use and consequences. Adolescents ages 12-18 who came for an appointment during the 2.5-year study period were asked to be in the study and screened using the National Institute of Alcohol Abuse and Alcoholism Screening Guide. Those identified as at risk were randomized to the CHAT intervention or usual care (UC). Adolescents completed 4 web-based surveys at baseline and 3, 6, and 12 months postbaseline. Results: The sample (n = 294) was 58% female and 66% Hispanic, 17% Black, 12% White, 5% multiethnic or other, with an average age of 16 years. Compared to UC adolescents, CHAT adolescents reported significantly less perceived peer use of alcohol and marijuana at 3 months (alcohol: p < .0001; marijuana p = .01) and 6 months (alcohol: p = .04; marijuana p = .04). 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 = .04) and marijuana (p < .01) use and fewer negative consequences from alcohol (p = .03) and marijuana (p = .04) use. Conclusions: A brief MI intervention delivered in PC reduced negative consequences from alcohol and marijuana use 1 year later. Findings emphasize that adolescents can benefit from PC interventions that briefly and effectively address both alcohol and marijuana use. (PsycINFO Database Record (c) 2018 APA, all rights reserved) Impact Statement What is the public health significance of this article?-This study suggests that a brief motivational intervention in the primary care setting is an effective way to reduce adolescents' perceptions of alcohol and marijuana use and consequences experienced one year later. Findings emphasize that adolescents can benefit from interventions that briefly and effectively address both alcohol and marijuana use. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
Journal of Consulting and Clinical Psychology, 86(9) : 775-786
- Year: 2018
- 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: Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy
Scott, S., Beyer, F., Parkinson, K., Muir, C., Graye, A., Kaner, E., Stead, M., Power, C., Fitzgerald, N., Bradley, J., Wrieden, W., Adamson, A.
Alcohol use peaks in early adulthood and can contribute both directly and indirectly to unhealthy weight gain. This review aimed to systematically evaluate the effectiveness of preventative targeted interventions focused on reducing unhealthy eating behavior and linked alcohol use in 18-25-year-olds. Twelve electronic databases were searched from inception to June 2018 for trials or experimental studies, of any duration or follow-up. Eight studies (seven with student populations) met the inclusion criteria. Pooled estimates demonstrated inconclusive evidence that receiving an intervention resulted in changes to self-reported fruit and vegetable consumption (mean change/daily servings: 0.33; 95% CI -0.22 to 0.87) and alcohol consumption (mean reduction of 0.6 units/week; CI -1.35 to 0.19). There was also little difference in the number of binge drinking episodes per week between intervention and control groups (-0.01 sessions; CI -0.07 to 0.04). This review identified only a small number of relevant studies. Importantly, included studies did not assess whether (and how) unhealthy eating behaviors and alcohol use link together. Further exploratory work is needed to inform the development of appropriate interventions, with outcome measures that have the capacity to link food and alcohol consumption, in order to establish behavior change in this population group. Copyright © 2018 by the authors. Licensee MDPI, Basel, Switzerland.
Nutrients, 10 (10) (no pagination)(1538) :
- Year: 2018
- Problem: Alcohol Use
- Type: Systematic reviews
-
Stage: Universal prevention
, At risk (indicated or selected prevention)
-
Treatment and intervention: Complementary & Alternative Interventions (CAM)
, Psychological Interventions (any)
, Other Psychological Interventions, Other complementary & alternative interventions
Boyle, S.C., Earle, A.M., McCabe, N., LaBrie, J.W.
Objective: Despite its prominence in the health communication literature, psychological reactance has rarely been considered as a factor that may undermine web-based Personalized Normative Feedback (PNF) alcohol interventions for college students. This study built on recent gamification work to examine how chance-based uncertainty, a popular game mechanic associated with motivation and attention in digital games for learning, might be leveraged to reduce the psychological reactance experienced by heavy drinking students receiving alcohol PNF, thereby leading to larger reductions in their alcohol consumption. Method: Psychological reactance, perceptions of norms, and drinking behaviors were assessed during a 3-week period following random assignment of binge drinking students (N = 141, 51% female) into one of four web-based PNF conditions. These conditions asked the same questions about drinking and delivered identical PNF on alcohol use but differed in whether animated slot-machine spinners appeared to select participants' question and feedback topics as well as the number of additional topics (beyond alcohol) on which questions were asked and PNF was delivered. Results: All conditions similarly reduced drinking norms but differed in the degree to which they aroused cognitive reactance and reduced drinking. Relative to a no-spinner alcohol-only condition, increasing chance-based uncertainty by giving question and feedback topics the appearance of being selected by gamelike spinners substantially reduced cognitive reactance, which, in turn, reduced drinking 20 days later. Overall, participants experienced the least cognitive reactance when spinners first selected three question topics and later selected two of these topics to deliver feedback on. Conclusions: Findings suggest that introducing chance-based uncertainty through gamelike spinners, asking questions about multiple topics, and delivering feedback on additional topics unrelated to alcohol together work to reduce the degree to which the task feels like an alcohol intervention overtly aimed at reducing consumption, thereby making the alcohol PNF more effective among heavy drinking students. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
Journal of Studies on Alcohol and Drugs, 79(4) : 601-610
- Year: 2018
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Other Psychological Interventions, Biofeedback, neurofeedback, audio/video feedback, Personalised feedback, normative feedback
, Technology, interventions delivered using technology (e.g. online, SMS), Other service delivery and improvement interventions
Stein, M. D., Caviness, C. M., Morse, E. F., Grimone, K. R., Audet, D., Herman, D. S., Moitra, E., Anderson, B. J.
AIMS: To test the hypothesis that among non-treatment-seeking emerging adults (EA) who both use marijuana and have alcohol binges, a brief, longitudinally delivered, developmentally based motivational intervention would show greater reductions in the use of these two substances compared with a health education control condition. DESIGN: Parallel, two-group, randomized controlled trial with follow-up interventions conducted at 1, 3, 6 and 9 months and final assessments at 12 and 15 months. SETTING: Hospital-based research unit in the United States. PARTICIPANTS: Community-based 18-25-year-olds who reported at least monthly binge drinking and at least weekly marijuana use. INTERVENTION: Motivational intervention (EA-MI) focused primarily on themes of emerging adulthood (identity exploration, instability, self-focus, feeling in-between, a sense of possibilities) and the subjects' relationship to substance use (n = 110) compared with an attention-matched health education control condition (n = 116). MEASUREMENTS: The primary outcomes were days of binge alcohol, marijuana and dual use day as measured using the timeline follow-back method analysing the treatment by time interaction to determine relative differences in the rate of change between intervention arms. FINDINGS: At baseline, the mean rate (days/30) of binge drinking was 5.23 (+/- 4.31) of marijuana use was 19.4 (+/- 10.0) and of dual (same day) use was 4.11 (+/- 4.13). Relative to baseline, there were reductions in the rate of binge alcohol use, marijuana use and days of combined binge alcohol and marijuana use (P < 0.001) at all follow-up assessments. However, the treatment x time interaction was not statistically significant for alcohol (P = 0.37), for marijuana (P = 0.07) or for dual use (P = 0.55). Averaged over all follow-ups, mean reductions in binge, marijuana and dual use days were 1.16, 1.45 and 1.08, respectively, in the health education arm, and 1.06, 1.69 and 0.96 in EA-MI. Bayes factors were < 0.01 for frequency of binge alcohol use and frequency of dual binge alcohol and marijuana and 0.016 for marijuana use. CONCLUSION(S): A brief, longitudinally delivered, developmentally based motivational intervention for young adults did not produce reductions in binge alcohol, marijuana use or dual use days relative to a control condition. Copyright © 2017 Society for the Study of Addiction.
Addiction (Abingdon, England), 113(3) : 440-453
- Year: 2018
- Problem: Alcohol Use, Cannabis Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy, Psychoeducation
Kilwein, T.M., Bernhardt, K.A., Stryker, M.L., Looby, A.
Prior research indicates that repeatedly pairing a stopping response with alcohol-related stimuli using a modified Go/No-Go (GNG) task decreases self-reported drinking by modifying implicit alcohol-related attitudes. The current study replicated and expanded upon this work to better clarify the intervention's lasting effects and pilot ideas for potential mechanisms of action for future research. Forty-four heavy drinking young adult males were randomly assigned to inhibit responses to alcohol (alcohol/No-Go [NG]; n = 23) or water (water/NG; n = 21). At baseline and 2-week post-intervention, participants completed measures of alcohol use, implicit attitudes, alcohol expectancies, response inhibition, and alcohol approach/avoidance. At 2-weeks post-intervention, they participated in an ad-lib drinking session to directly measure drinking behavior. Alcohol/NG participants self-reported lower levels of alcohol use at post-intervention than baseline and took longer to start drinking during the ad lib drinking session in comparison to water/NG participants. In contrast to prior research, the intervention appeared to increase avoidance of alcohol and not significantly alter implicit attitudes. Results indicate that alcohol use measured 2 weeks post-intervention was lower than baseline levels for alcohol/NG participants. The GNG training may offer one path to reducing alcohol use among heavy drinking young adult males for at least 2 weeks. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
Journal of Substance Use, 23(2) : 154-161
- Year: 2018
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Attention/cognitive bias modification