Pregaming, the practice of consuming alcohol before attending a social function, has not received as much research attention as drinking games among college students. This study investigated the prevalence of both pregaming and drinking game participation in a sample of mandated students (N=334) who had been referred for an alcohol violation. Approximately one-third (31%) of the sample reported pregaming on the night of their referral event. Pregaming was associated with higher estimated blood alcohol content on that night, along with a greater history of pregaming and taking greater responsibility for the incident. A higher proportion of the students (49%) reported playing drinking games on the event night and reported the event to be less aversive than non-players. Neither drinking games nor pregaming was consistently related to recent alcohol consumption or problems, nor did they frequently occur together on the event night. Pregaming was a unique predictor of intoxication on the night of the referral, and drinking games were not. Therefore, pregaming and drinking games appear to be distinct activities. This research suggests methods of prevention for both activities as well as promising research directions for future research.

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Objective-The Brief Young Adult Alcohol Consequences Questionnaire (B-YAACQ; Kahler et al., 2005) was developed using item response modeling to provide a brief and readily interpretable measure of negative alcohol consequences over the past year among college students. The purpose of the present study was to extend evaluation of the B-YAACQ by examining its psychometric properties when administered to college students cited for a university alcohol violation using a past 30-day timeframe of assessment.Method-The B-YAACQ was administered at baseline and at a 6-week follow-up to 291 students cited for a university alcohol violation. Reliability and validity analyses, in addition to Rasch model (Rasch, 1960) analyses, were conducted using these data.Results-Results demonstrated that the B-YAACQ was internally consistent, showed strong unidimensionality and additive properties, showed minimal item redundancy and minimal floor or ceiling effects, was reliable over a 6-week time period, and was sensitive to change in drinking following an alcohol intervention. In addition, the relative severity of items was preserved over time and generally consistent with results from Kahler et al. (2005).Conclusions-The 30-day B-YAACQ appears valid for use with college students who have received an alcohol violation and for evaluating changes in alcohol consequences.

Objective Over the past two 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-minute Brief Advice session that included the provision of a booklet containing advice to reduce drinking. Participants were assessed six weeks after receiving the Brief Advice, and those who continued to exhibit risky alcohol use (n = 405) were randomized to Step 2, a 60–90 minute brief motivational intervention (BMI) (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 BMI significantly reduced the 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.