Alcohol expectancy challenges for college students: A narrative review

Labbe, Allison K.; Maisto, Stephen A.

doi:10.1016/j.cpr.2011.02.007

Cited by 63 publications

(55 citation statements)

References 52 publications

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“…Several literature reviews have summarized the evidence on alcohol interventions' effectiveness for college students (e.g., Branscum & Sharma, 2010;Carey et al, 2007Carey et al, , 2009Cronce & Larimer, 2011;Elliott et al, 2008;Fachini et al, 2012;Labbe & Maisto, 2011;Larimer & Cronce, 2002Moreira et al, 2009). In one of the most comprehensive reviews to date, Carey and colleagues (2007) meta-analyzed findings from 62 randomized controlled trials, many of which involved single-session brief interventions.…”

Section: Effectiveness Of Brief Alcohol Interventionsmentioning

confidence: 99%

Single-Session Alcohol Interventions for Heavy Drinking College Students: A Systematic Review and Meta-Analysis

Samson

Tanner‐Smith

2015

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: The purpose of this study was to conduct a meta-analysis summarizing the effectiveness of brief, single-session interventions to reduce alcohol use among heavy drinking college students. Method: A comprehensive literature search identified 73 studies comparing the effects of single-session brief alcohol intervention with treatment-as-usual or no-treatment control conditions on alcohol use among heavy drinking college students. Random-effects meta-analyses with robust variance estimates were used to synthesize 662 effect sizes, estimating the average overall effect of the interventions and the variability in effects across a range of moderators. Results: An overall mean effect size of g\ = 0.18, 95% CI [0.12, 0.24] indicated that, on average, single-session brief alcohol interventions significantly reduced alcohol use among heavy drinking college students relative to comparison conditions. There was minimal variability in effects associated with study method and quality, general study characteristics, participant demographics, or outcome measure type. However, studies using motivational enhancement therapy/motivational interviewing (MET/MI) modalities reported larger effects than those using psychoeducational therapy (PET) interventions. Further investigation revealed that studies using MET/ MI and feedback-only interventions, but not those using cognitive-behavioral therapy or PET modalities, reported average effect sizes that differed significantly from zero. There was also evidence that long-term effects were weaker than short-term effects. Conclusions: Single-session brief alcohol interventions show modest effects for reducing alcohol consumption among heavy drinking college students and may be particularly effective when they incorporate MET/MI principles. More research is needed to directly compare intervention modalities, to develop more potent interventions, and to explore the persistence of long-term effects. (J. Stud. Alcohol Drugs, 76, 530-543, 2015)

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Section: Effectiveness Of Brief Alcohol Interventionsmentioning

confidence: 99%

Single-Session Alcohol Interventions for Heavy Drinking College Students: A Systematic Review and Meta-Analysis

Samson

Tanner‐Smith

2015

J. Stud. Alcohol Drugs

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“…Implementing psychometrically validated measurement tools in research and clinical practice can enhance our understanding of how alcohol expectancies affect HIV care among people living with HIV in this region. For example, "expectancy challenge" interventions, which have been shown to be efficacious for reducing alcohol consumption among heavy drinking men in the United States (Labbe and Maisto, 2011), may provide one avenue for reducing both alcohol use and other associated behaviors (e.g., nonadherence, sexual risk behavior) that increase the likelihood of onward transmission. Such behavioral interventions are an important component of HIV prevention efforts and have the capacity to augment biomedical HIV "treatment as prevention.…”

Section: Discussionmentioning

confidence: 99%

Development and Validation of the East Africa Alcohol Expectancy Scale (AFEXS)

Woolf‐King

Fatch

Emenyonu

et al. 2015

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: The purpose of this study was to develop and validate the East Africa Alcohol Expectancy Scale (AFEXS), a measure of alcohol expectancies for use with HIV-positive adults in East Africa. Method: The study was conducted in several phases. The first involved development of the scale and an exploratory factor analysis (EFA) with a total of 209 HIV-positive, Ugandan men (n = 120) and women (n = 89). The second phase involved a confirmatory factor analysis (CFA) as well as validity analyses with a second, demographically similar, sample of 181 HIV-positive Ugandan men (n = 109) and women (n = 72). All participants were recruited from two ongoing cohort studies taking place at an HIV clinic in rural southwestern Uganda. Results: The EFA resulted in a 13-item, three-factor scale that explained 67% of the variance and showed excellent internal consistency (α = .89). The CFA showed good model fit with a final 11-item scale, χ 2 (41) = 68.60, p = .004; comparative fit index = .97; root mean square error of approximation = .06, 90% CI [.03, .09], that again showed excellent internal consistency and yielded the following three factors: sex-related (α = .94), release of inhibition (α = .61), and negative expectancies (α = .73). Conclusions: The AFEXS is the first psychometrically validated alcohol expectancy scale available for use in Africa. The extent to which the AFEXS can be used with other populations and with adults from countries outside of East Africa requires ongoing validation. (J. Stud. Alcohol Drugs, 76, 336-343, 2015)

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“…The focus on changing expectancies of intoxication could not be justified in the light of meta-analyses demonstrating the tiny, short-term effects of resource-intensive expectancy challenge interventions [38,39]. In contrast, evidence points toward regulatory approaches, such as those implemented between 2008 and 2012 in New South Wales, Australia.…”

Section: The Role Of Restricted Trading Hours and Other Regulatory Apmentioning

confidence: 99%

A critique of Fox's industry‐funded report into the drivers of anti‐social behaviour in the night‐time economies of Australia and New Zealand

Jackson

Kypri

2016

Addiction

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Alcohol expectancy challenges for college students: A narrative review

Cited by 63 publications

References 52 publications

Single-Session Alcohol Interventions for Heavy Drinking College Students: A Systematic Review and Meta-Analysis

Single-Session Alcohol Interventions for Heavy Drinking College Students: A Systematic Review and Meta-Analysis

Development and Validation of the East Africa Alcohol Expectancy Scale (AFEXS)

A critique of Fox's industry‐funded report into the drivers of anti‐social behaviour in the night‐time economies of Australia and New Zealand

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