Disorders - Alcohol Use
Clark, Heddy Kovach, Ringwalt, Chris L., Shamblen, Stephen R., Hanley, Sean M., Flewelling, Robert L.
This exploratory study sought to determine if a popular school-based drug prevention program might be effective in schools that are making adequate yearly progress (AYP). Thirty-four schools with grades 6 through 8 in 11 states were randomly assigned either to receive Project ALERT (n = 17) or to a control group (n = 17); of these, 10 intervention and nine control schools failed to make AYP. Students completed three self-report surveys. For lifetime cigarette use and 30-day alcohol use, Project ALERT was more effective in schools that made AYP. However, in these schools, Project ALERT negatively affected students' lifetime marijuana use. This study provided some preliminary evidence that prevention programming may not work as well in poorer performing schools; however, further exploration is needed.;
Journal of Drug Education, 41(3) : 271-288
- Year: 2011
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions (any)
, Psychoeducation
Cleveland, M., Lanza, S., Ray, A., Turrisi, R., Mallett, K.
Purpose. This study used Latent Transition Analysis (LTA) to examine patterns of alcohol use during the transition to the first semester of college among a sample of matriculating college students. We examined whether transitions in drinking class membership varied across four treatment conditions and whether high school drinking class moderated these effects. Methods. The students (n = 1275) were participants in a multisite randomized prevention trial that evaluated the efficacy of a parenting handbook intervention and a Brief Alcohol Screening and Intervention for College Students (BASICS), alone and in combination, in reducing alcohol use. Students were randomized to one of four conditions: parent only, BASICS only, combined parent and BASICS, and assessment-only control. Measures of alcohol use were collected via Web-administered surveys during the summer before entering college and followup during the fall semester of college. Dichotomous indicators of alcohol use were used in the LTA model: any alcohol use in the past 30 days, reported drunkenness in the past 30 days, peak blood alcohol content greater than 0.08 on last drinking occasion, and binge drank in the past two weeks. The Daily Drinking Questionnaire was used to create dichotomous indicators of weekday (Sunday, Monday, Tuesday, Wednesday), Thursday, and weekend (Friday and Saturday) drinking. Effect-coded covariates were added to the LTA model to examine the main effects and interaction of the parent and BASICS intervention conditions. Results. Four latent classes of drinking patterns were identified: (i) nondrinkers (42% at baseline, 30% at fall follow-up); (ii) weekend nonbingers (20%, 19%); (iii) weekend bingers (30%, 22%); and (iv) heavy drinkers (characterized by regular binging on Thursdays as well as weekends; 8%, 28%). Results indicated that the probability of transitioning to the heavy drinkers class differed significantly across treatment conditions. Participants in the combined condition were least likely to remain in the heavy drinkers class at fall follow-up, or transition from the weekend nonbingers to the heavy drinkers class. Participants in the BASICS condition were least likely to transition from the nondrinkers to the heavy drinkers class. Conclusion. The results underscore the value of a subgroup-based approach to college alcohol prevention. Differential treatment effects were found across high school drinking class, suggesting the need for tailored intervention programs.
Alcoholism: Clinical & Experimental Research, 35 : 78A
- Year: 2011
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy, Other Psychological Interventions, Personalised feedback, normative feedback
Bodin, Maria C., Strandberg, Anna K.
Aims: This study aimed to assess the effectiveness of the Örebro prevention programme (ÖPP), an alcohol misuse prevention programme that aims to reduce youth drinking by changing parental behaviour. Design: Cluster‐randomized trial, with schools assigned randomly to the ÖPP or no intervention. Setting: Forty municipal schools in 13 counties in Sweden. Participants: A total of 1752 students in the 7th grade and 1314 parents were assessed at baseline. Students' follow‐up rates in the 8th and 9th grades were 92.1% and 88.4%, respectively. Measurements: Classroom questionnaires to students and postal questionnaires to parents were administered before randomization and 12 and 30 months post‐baseline. Findings: Two‐level logistic regression models, under four different methods of addressing the problem of loss to follow‐up, revealed a statistically significant programme effect for only one of three drinking outcomes under one loss‐to‐follow‐up method, and that effect was observed only at the 12‐month follow‐up. Conclusions: The Örebro prevention programme as currently delivered in Sweden does not appear to reduce or delay youth drunkenness. (PsycINFO Database Record (c) 2012 APA, all rights reserved) (journal abstract)
Addiction, 106(12) : 2134-2143
- Year: 2011
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions (any)
, Psychoeducation
Broome, K. M., Bennett, J. B.
Objective: Restaurant employees often have high rates of heavy drinking and problems with alcohol. This study evaluates reductions in drinking and associated problems at work, in connection with a new program for prevention and early intervention. The program, called Team Resilience, is designed for young restaurant workers. Method: A cluster-randomized trial design was used, with 28 stores from a national casual-dining restaurant chain and 235 of their employees (54% male, 46% female). Fourteen stores received the Team Resilience training workshop, consisting of three 2-hour sessions held on 3 consecutive days. Sessions included group discussion, role-play and practice activities, and a learning game. Results: Workers in trained stores reported significantly greater decreases in recurring heavy drinking (i.e., having five or more drinks on the same occasion, on 5 or more days in the past month) and work-related problems with alcohol than workers in control stores. In the intervention group, the odds of recurring heavy drinking declined by about one half and the number of work-related problem areas declined by one third following training. In addition, drinking behaviors and problems were tied to age and were most common among employees in their middle 20s. Conclusions: Findings support Team Resilience as an effective intervention for reducing drinking and associated problems among young restaurant workers, a population with substantial needs.
Journal of Studies on Alcohol & Drugs, 72(1) : 117-124
- Year: 2011
- Problem: Alcohol Use
- Type: Controlled clinical trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions
Bagnardi, Vincenzo, Sorini, Emanuele, Disalvatore, Davide, Assi, Valentina, Corrao, Giovanni, De-Stefani, Renzo
Aims: To evaluate differences in the individual alcohol consumption after a community‐based prevention programme. Design settings and participants: 'Alcohol, less is better' is a controlled intervention trial. The intervention adopted a community approach, based on the active involvement of community leaders and institutional or volunteer organizations. Between 1999 and 2006, 2.5 years of activities aiming at informing and sensitizing the community on the harmful effects of alcohol on social life and health were carried out in 10 selected small Italian communities, involving a total of 123 235 individuals. Eight communities were chosen as control group. Measurements: Changes in self‐reported individual alcohol consumption before and after the intervention were assessed on a random sample of intervention (n = 3382) and control (n = 2644) populations, using telephone and mailed surveys. Linear and log‐linear models for repeated measures were used to evaluate differences between intervention and control samples. Findings: Overall, a significant reduction (P < 0.001) of individual self‐reported alcohol consumption was observed in the intervention sample (−1.1 drinks/week) relative to control sample (+ 0.3 drinks/week). The reduction was significantly greater in males than in females (P for heterogeneity = 0.016). In the young (15 - 24‐year‐olds) intervention and control samples showed opposite trends (−0.4 drinks/week and + 1.7 drinks/week, respectively). Conclusions: A coordinated community‐based intervention can reduce alcohol consumption in the general population. (PsycINFO Database Record (c) 2012 APA, all rights reserved) (journal abstract)
Addiction, 106(1) : 102-110
- Year: 2011
- Problem: Alcohol Use
- Type: Controlled clinical trials
-
Stage: Universal prevention
-
Treatment and intervention: Service Delivery & Improvement, Other service delivery and improvement interventions
Ames, Steven C., Werch, Chudley E., Ames, Gretchen E., Lange, Lori J., Schroeder, Darrell R., Hanson, Andrew C., Patten, Christi A.
Background: Purpose: Methods: Results: Conclusions: Alcohol consumption is strongly associated with cigarette smoking in young adults.The aim of this study was to evaluate the acceptability and estimate the magnitude of the effect of a novel-integrated smoking cessation and binge-drinking intervention for young adults compared with standard treatment control.Participants were 41 young adult smokers (>= 10 cigarettes per day) who regularly (>= 2 times per month) binge drank who were randomly assigned to standard treatment (n = 19) involving eight individual treatment visits plus 8 weeks of nicotine patch therapy or the identical smoking cessation treatment integrated with a binge-drinking intervention (integrated intervention; n = 22).Participants rated integrated intervention as highly acceptable as indicated by 100% of participants rating helpfulness as 5 on 5-point scale. Using an intent-to-treat analysis for tobacco abstinence, at both week 12 end of treatment and week 24 follow-up, more participants who received integrated intervention were biochemically confirmed abstinent from tobacco than those who received standard treatment (36% vs. 21% at week 12; 23% vs. 11% at week 24). At week 24, change from baseline in binge-drinking episodes, drinks consumed, and drinking days between treatment groups were similar (intent-to-treat analysis was not used for alcohol data).Preliminary data support the intriguing possibility that integrated intervention may enhance smoking cessation and reduce binge drinking.
Annals of Behavioral Medicine, 40(3) : 343-349
- Year: 2010
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions
Bernstein, Judith, Heeren, Timothy, Edward, Erika, Dorfman, David, Bliss, Caleb, Winter, Michael, Bernstein, Edward
Objectives: Methods: Results: Conclusions: Adolescents in their late teens and early 20s have the highest alcohol consumption in the United States; binge drinking peaks at age 21-25 years. Underage drinking is associated with many negative consequences, including academic problems and risk of intentional and unintentional injuries. This study tested the effectiveness of pediatric emergency department (PED) screening and brief intervention to reduce alcohol consumption and associated risks.A three-group randomized assignment trial was structured to test differences between intervention (I) and standard assessed control (AC) groups in alcohol consumption and alcohol-related behaviors from baseline to 12 months and to compare the AC group with a minimally assessed control (MAC) group to adjust for the effect of assessment reactivity on control group behavior. Patients aged 14-21 years were eligible if they screened positive on the Alcohol Use Disorders Identification Test (AUDIT) or for binge drinking or high-risk behaviors. The MAC group received a resource handout, written advice about alcohol-related risks, and a 12-month follow-up appointment. Patients in the AC group were assessed using standardized instruments in addition to the MAC protocol. The I group received a peer-conducted motivational intervention, referral to community resources and treatment if indicated, and a 10-day booster in addition to assessment. Measurements included 30-day self-report of alcohol consumption and alcohol-related behaviors, screens for depression and posttraumatic stress disorder, and self-report of attempts to quit, cut back, or change conditions of use, all repeated at follow-up. Motor vehicle records and medical records were also analyzed for changes from baseline to 1-year follow-up.Among 7,807 PED patients screened, 1,202 were eligible; 853 enrolled (I, n = 283; AC, n = 284; MAC, n = 286), with a 12-month follow-up rate of 72%. At 12 months, more than half of enrollees in Reaching Adolescents for Prevention (RAP) attempted to cut back on drinking, and over a third tried to quit. A significantly larger proportion of the I group made efforts to quit drinking and to be careful about situations when drinking compared to AC enrollees, and there was a numerically but not significantly greater likelihood (p = 0.065) among the I group for efforts to cut back on drinking. At 3 months, the likelihood of the I group making attempts to cut back was almost triple that of ACs. For efforts to quit, it was double, and for trying to be careful about situations when drinking, there was a 72% increase in the odds ratio (OR) for the I group. Three-month results for attempts were sustained at 12 months for quit attempts and efforts to be careful. Consumption declined in both groups from baseline to 3 months to 12 months, but there were no significant between-group differences in alcohol-related consequences at 12 months or in alcohol-related risk behaviors. We found a pattern suggestive of assessment reactivity in only one variable at 12 months: the attempt to cut back (73.3% for the I group vs. 64.9% among the AC group and 54.8% among the MAC group).Brief motivational intervention resulted in significant efforts to change behavior (quit drinking and be careful about situations while drinking) but did not alter between-group consumption or consequences.
Academic Emergency Medicine, 17(8) : 890-902
- Year: 2010
- 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, Other Psychological Interventions
Brody, Gene H., Chen, Yi-Fu, Kogan, Steven M., Murry-McBride, Velma, Brown, Anita C.
Objective:This report extends earlier accounts by addressing the effects of the Strong African American Families (SAAF) program across 65 months. Two hypotheses were tested: (a) Rural African American youths randomly assigned to participate in SAAF would demonstrate lower rates of alcohol use than would control youths more than 5 years later, and (b) SAAF’s effects on deterring the onset of alcohol use in early adolescence would carry forward to mediate the program’s long-term effects. Method: African American youths in rural Georgia (mean age at pretest = 10.8 years) were assigned randomly to the SAAF group (n = 369) or to a control group (n = 298). Past-month alcohol use was assessed at pretest and at 9, 18, 29, 53, and 65 months after pretest. Results: SAAF participants increased their alcohol use at a slower rate than did adolescents in the control condition across the follow-up assessments. At the 65-month assessment, SAAF participants reported having drunk alcohol half as often as did youths in the control group. Consistent with the second hypothesis, SAAF’s effects on deterring initiation carried forward to account for its effects on alcohol use across time. Conclusions: Training in protective parenting processes and self-regulatory skills during preadolescence may contribute to a self-sustaining trajectory of disinterest in and avoidance of alcohol use during adolescence when peers begin to model and sanction it. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
Journal of Consulting & Clinical Psychology, 78(2) : 281-285
- Year: 2010
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions (any)
, Skills training, Other Psychological Interventions
Bewick, B. M., West, R., Gill, J., O'May, F., Mulhern, B., Barkham, M., Hill, A. J.
Unhealthy alcohol use among university students is cause for concern, yet the level of help seeking behavior for alcohol use is low within the student population. Electronic brief interventions delivered via the Internet present an alternative to traditional treatments and could enable the delivery of interventions on a population basis. Further evidence is needed of the effectiveness of Internet-delivered interventions and of their generalizability across educational institutions. Our objective was to evaluate the effectiveness across 4 UK universities of a Web-based intervention for student alcohol use. In total, 1112 participants took part. Participants were stratified by educational institution, gender, age group, year of study, and self-reported weekly consumption of alcohol and randomly assigned to either the control arm or to the immediate or delayed intervention arms. Intervention participants gained access to the intervention between weeks 1 to 7 or weeks 8 to 15, respectively. The intervention provided electronic personalized feedback and social norms information on drinking behavior accessed by logging on to a website. Participants registered interest by completing a brief screening questionnaire and were then asked to complete 4 further assessments across the 24 weeks of the study. Assessments included a retrospective weekly drinking diary, the Alcohol Use Disorders Identification Test (AUDIT), and a readiness-to-change algorithm. The outcome variable was the number of units of alcohol consumed in the last week. The effect of treatment arm and time on units consumed last week and average units consumed per drinking occasion were investigated using repeated measures multivariate analysis of covariance (MANCOVA). In addition, the data were modeled using a longitudinal regression with time points clustered within students. MANCOVA revealed a main effect of time on units of alcohol consumed over the last week. A longitudinal regression model showed an effect of assessment across time predicting that participants who completed at least 2 assessments reduced their drinking. The model predicted an additional effect of being assigned to an intervention arm, an effect that increased across time. Regression analysis predicted that being male or being assigned to an intervention arm increased the odds of not completing all assessments. The number of units of alcohol consumed over the last week at registration, age, university educational institution, and readiness to change were not predictive of completion. Delivering an electronic personalized feedback intervention to students via the Internet can be effective in reducing weekly alcohol consumption. The effect does not appear to differ by educational institution. Our model suggested that monitoring alone is likely to reduce weekly consumption over 24 weeks but that consumption could be further reduced by providing access to a Web-based intervention. Further research is needed to understand the apparent therapeutic effect of monitoring and how this can be utilized to enhance the effectiveness of brief Web-based interventions.
Journal of Medical Internet Research, 12(5) : e59
- Year: 2010
- 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)
Bingham, C. R., Barretto, A. I., Walton, M. A., Bryant, C. M., Shope, J. T., Raghunathan, T. E.
Objective: Reduce college student at-risk drinking (ARD) using a Web-based brief motivational alcohol prevention/intervention called Michigan Prevention and Alcohol Safety for Students (M-PASS). Participants: Participants included 1,137 randomly sampled first-year college students, including 59% female, 80% white, and averaged age 18.1 years. Methods: Intervention group participants (n = 616) attended 4 online M-PASS sessions, receiving feedback tailored to individual drinking patterns and concepts from 4 behavior change theories. Control group participants (n = 521) completed a mid-phase survey, and both groups were surveyed at baseline and posttest. Results: Evidence of M-PASS's efficacy was found. The intervention was associated with advanced stage of change, lower tolerance of drinking and drink/driving, fewer reasons to drink, and use of more strategies to avoid ARD. Preliminary evidence of behavioral change was also found. Efficacy was greater for women than men. Conclusions: Web-based programs may be useful in reducing alcohol-related risk among college students. Further evaluation is needed. (copyright) 2010 Taylor & Francis Group, LLC.
Journal of American College Health, 58(4) : 349-356
- Year: 2010
- 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, interventions delivered using technology (e.g. online, SMS)
Collins, R. L., Vincent, P., Dermen, K., Vetter, C., Wilson, S., Smith, J.
We compared 3 interventions, based on motivational-interviewing principles, designed to reduce the alcohol intake of young adults. The brief (2 session) interventions involved either cognitivebehavioral (CB), mood regulation (MR) or a combination of CB + MR strategies. During a 1-week baseline, 2-week intervention, and each of 3 (1-, 3-, and 6-month) follow-ups, participants used cell-phones and interactive voice-response (IVR) technology to report multiple times per day on moods, cognitions, activities, and alcohol use (e.g., number of drinks). Intensive selfmonitoring provided detailed and valid self-reports in real time and in the natural environment. These data allow us to examine the daily processes involved in reducing alcohol intake, from pre-intervention through follow-ups. Participants (N = 88; 43% female; 76% European American; M age = 22 years) were randomly assigned to 1 of the 3 interventions: CB (n = 29), MR (n = 29), CB + MR (n = 30). Preliminary analyses of drinking outcomes were based on data from the S-TLFB. A repeated measures ANOVA with simple contrasts indicated that regardless of intervention, participants reported significantly more drinking days (DDs) pre-intervention (M = 13.68 DDs) than during the follow-ups: Month 1 = 10.68 DDs; Month 3 = 10.42 DDs; Month 6 = 10.08 DDs; F(3,56) = 6.02, p <.001. Drinking varied by condition: the CB + MR group reported a greater reduction in alcohol use from pre-intervention (M = 16.00 DDs) to postintervention (M = 10.04 DDs) than did the MR group (M = 12.72 DDs pre-intervention; M = 11.46 DDs post-intervention) or the CB group (M = 12.24 DDs pre-intervention; M = 9.42 DDs post-intervention). Analyses of IVR data allow us to examine potential (pre-intervention) moderators of drinking outcomes, including the role of drinking restraint, expectancies and motives for drinking. Discussion will focus on advantages and challenges of collecting daily process data in an intervention program. Advantages include enhanced ecological validity, ability to examine internal states (e.g., moods) and behavior prospectively, low reactivity, and a novel means of assessing the use of intervention strategies in drinking situations. Challenges include compliance with the data-collection protocol, participant burden of intensive selfmonitoring, and possible self-selection of participants, all of which could affect generalizability of findings and implementation of this approach in clinical settings.
Alcoholism: Clinical & Experimental Research, 34(6) : 293A
- Year: 2010
- Problem: Alcohol Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Cognitive & behavioural therapies (CBT)
, Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)
Branscum, P., Sharma, M.
This article reviews motivational interviewing (MI) -based interventions targeting heavy drinking college students published between 2003 and 2008. A total of 11 MI-based interventions were included in this study. Students receiving the interventions were generally heavy drinkers or adjudicated students. Based on this review MI-based interventions appear to be consistently effective at reducing alcohol use and drinking problems. Most of the interventions focused on enhancing motivation for decreasing alcohol consumption. Many studies did not explicitly identify a behavioral theory, and antecedents of behaviors were rarely reported. Very few studies utilized randomized controlled design. Recommendations for future interventions are presented.
Alcoholism Treatment Quarterly, 28(1) : 63-77
- Year: 2010
- 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