Effects of a brief motivational intervention with college student drinkers.

Borsari, Brian; Carey, Kate B.

doi:10.1037/0022-006x.68.4.728

Cited by 495 publications

(487 citation statements)

References 23 publications

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“…These improvements exceeded the reductions associated with the TLFB/control condition. Our findings add to the growing literature documenting the efficacy of individually-administered BMIs for at-risk college drinkers (Baer, Kivlahan, Blume, McKnight, & Marlatt, 2001;Borsari & Carey, 2000;Murphy et al, 2004;Murphy et al, 2001). Importantly, this study demonstrated differential improvement compared to two comparison conditions, a standard assessment control and an active TLFB/control condition.…”

Section: Discussionsupporting

confidence: 64%

Brief motivational interventions for heavy college drinkers: A randomized controlled trial.

Carey¹,

Carey²,

Maisto³

et al. 2006

Journal of Consulting and Clinical Psychology

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218

217

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In this randomized controlled trial, the authors evaluated brief motivational interventions (BMIs) for at-risk college drinkers. Heavy drinking students (N = 509; 65% women, 35% men) were randomized into 1 of 6 intervention conditions formed by crossing baseline timeline followback (TLFB) interview (present versus absent) and intervention type (basic BMI, BMI enhanced with a decisional balance module, or none). Assessments completed at baseline, 1, 6, and 12 months measured typical and risky drinking as well as drinking-related problems. Relative to controls, the TLFB interview reduced consumption but not problems at 1 month. The basic BMI improved all drinking outcomes beyond the effects of the TLFB at 1 month, whereas the enhanced BMI did not. Risk reduction achieved by brief interventions maintained throughout the follow-up year.Keywords brief intervention; college drinking; alcohol abuse prevention; decisional balance; timeline assessment Many college students engage in dangerous patterns of alcohol use. Although most have not yet achieved the legal drinking age, about 70% of college students report drinking alcohol in the last month (O'Malley & Johnston, 2002). Their drinking patterns are often characterized by episodic but heavy drinking; as many as 44% of college students report recent heavy drinking (5 or more drinks an occasion for men, 4 or more drinks for women), and 42% of women and 55% of men report that "getting drunk" is an important reason for drinking .Heavy drinking among college students can result in an array of negative consequences. College drinkers frequently reported doing something they regretted (35%), missing a class (30%), driving after drinking (29%), and forgetting where they were or what they did (27%) after drinking . Some also report more severe consequences, such as getting hurt or injured (13%), damaging property (11%), or engaging in unprotected sex because of alcohol use (10%). Tragically, 1,400 college students die each year from injuries related to alcohol use (Hingson, Heeren, Zakocs, Kopstein, & Wechsler, 2002). Other students are also affected by having their sleep or studies disrupted, being insulted or humiliated, and receiving unwanted sexual advances from intoxicated students . Consequences of excessive drinking interfere with the academic and social missions of colleges and universities.Correspondence concerning this article should be addressed to Kate B. Carey, Center for Health and Behavior, Syracuse University, Syracuse, NY 13244-2340. Electronic mail may be sent to kbcarey@syr.edu. NIH Public AccessAuthor Manuscript J Consult Clin Psychol. Author manuscript; available in PMC 2008 July 3. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author ManuscriptNumerous interventions have been developed to reduce heavy college drinking (Larimer & Cronce, 2002). Purely educational programs often increase students' knowledge about the effects of alcohol but tend not to affect drinking attitudes and behaviors (e.g., Robinson, Roth, Gloria, Keim, & Sattler, 1...

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Section: Discussionsupporting

confidence: 64%

Brief motivational interventions for heavy college drinkers: A randomized controlled trial.

Carey¹,

Carey²,

Maisto³

et al. 2006

Journal of Consulting and Clinical Psychology

Self Cite

218

217

View full text Add to dashboard Cite

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“…Participants were also asked to estimate the number of drinks consumed by the typical student on a given occasion (e.g., "How many drinks on average do you think a typical student at your college consumes on a given occasion?"). This measure has previously demonstrated good convergent validity with measures of drinking (Baer et al, 1991;Borsari & Carey, 2000;Neighbors, Larimer, & Lewis, 2004).…”

Section: Methodsmentioning

confidence: 98%

Being controlled by normative influences: Self-determination as a moderator of a normative feedback alcohol intervention.

et al. 2006

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The objectives of this research were to evaluate the efficacy of computer-delivered personalized normative feedback among heavy drinking college students and to evaluate controlled orientation as a moderator of intervention efficacy. Participants (N = 217) included primarily freshman and sophomore, heavy drinking students who were randomly assigned to receive or not to receive personalized normative feedback immediately following baseline assessment. Perceived norms, number of drinks per week, and alcohol-related problems were the main outcome measures. Controlled orientation was specified as a moderator. At 2-month follow-up, students who received normative feedback reported drinking fewer drinks per week than did students who did not receive feedback, and this reduction was mediated by changes in perceived norms. The intervention also reduced alcohol-related negative consequences among students who were higher in controlled orientation. These results provide further support for computer-delivered personalized normative feedback as an empirically supported brief intervention for heavy drinking college students, and they enhance the understanding of why and for whom normative feedback is effective.

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“…Although brief feedback interventions for alcohol use have traditionally been delivered by more conventional face-to-face (e.g., Humpreys and Klaw, 2001;Borsari and Carey, 2000) and postal mail methods (e.g., Collins et al, 2002; Walters et al, 2000;Agostinelli et al, 1995), they have more recently been delivered electronically via computer programs (e.g. Neighbors et al, 2004; Matano et al, 2000) and the internet (e.g., Davies-Kirsch and Lewis, 2004; Saitz et al, 2004; Kypri et al, 2003;Cunningham et al, 2000).…”

Section: Accepted M Manuscript 3 Inmentioning

confidence: 99%

“…Studies suggest that incorporating social norms information into feedback interventions can help decrease alcohol consumption, encouraging participants to become more aware of the level and consequences of their drinking and how their drinking behaviors compare to others of a similar social or demographic group (White 2006; Walters and Neighbors, 2005; Neighbors et al, 2004;Collins et al, 2002;). Although brief feedback interventions for alcohol use have traditionally been delivered by more conventional face-to-face (e.g., Humpreys and Klaw, 2001;Borsari and Carey, 2000) and postal mail methods (e.g., Collins et al, 2002; Walters et al, 2000;Agostinelli et al, 1995), they have more recently been delivered electronically via computer programs (e.g. Neighbors et al, 2004; Matano et al, 2000) and the internet (e.g., Davies-Kirsch and Lewis, 2004; Saitz et al, 2004; Kypri et al, 2003;Cunningham et al, 2000).…”

mentioning

confidence: 99%

The effectiveness of web-based interventions designed to decrease alcohol consumption — A systematic review

Bewick

Trusler

Barkham

et al. 2008

Preventive Medicine

207

174

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This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT 2 AbstractObjective: To review the published literature on the effectiveness of web-based interventions designed to decrease consumption of alcohol and/or prevent alcohol abuse.Method: Relevant articles published up to, and including, May 2006 were identified through electronic searches of Medline, PsycInfo, Embase, Cochrane Library, ASSIA, Web of Science and Science Direct. Reference lists of all articles identified for inclusion were checked for articles of relevance. An article was included if its stated or implied purpose was to evaluate a web-based intervention designed to decrease consumption of alcohol and/or to prevent alcohol abuse. Studies were reliably selected and quality-assessed, and data were independently extracted and interpreted by two authors.Results: Initial searches identified 191 articles of which 10 were eligible for inclusion. Of these, five provided a process evaluation only, with the remaining five providing some pre-to postintervention measure of effectiveness. In general the percentage quality criteria met was relatively low and only one of the 10 articles selected was a randomized control trial. Conclusion:The current review provides inconsistent evidence on the effectiveness of eIectronic screening and brief intervention (eSBI) for alcohol use. Process research suggests that web-based interventions are generally well received. However further controlled trials are needed to fully investigate their efficacy, to determine which elements are key to outcome and to understand if different elements are required in order to engage low and high risk drinkers.Key Words: Alcohol; Brief Interventions; Web-Based; Personalized Feedback; Systematic Review. A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT 3 IntroductionBrief interventions for health problems such as alcohol use disorders have been of growing interest over the last few decades (Moyer et al., 2002). Several reviews have been conducted on the effectiveness of face-to-face brief interventions in health care and treatment settings (Moyer et al., 2002;Bien et al., 1993). Results are consistent, showing that brief interventions are more effective than no counseling (Bien et al., 1993).Personalized feedback is often incorporated into brief interventions and aims to encourage behavior and/or attitude change. Studies suggest that incorporating social norms information into feedback interventions can help decrease alcohol consumption, encouraging participants to beco...

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Effects of a brief motivational intervention with college student drinkers.

Cited by 495 publications

References 23 publications

Brief motivational interventions for heavy college drinkers: A randomized controlled trial.

Brief motivational interventions for heavy college drinkers: A randomized controlled trial.

Being controlled by normative influences: Self-determination as a moderator of a normative feedback alcohol intervention.

The effectiveness of web-based interventions designed to decrease alcohol consumption — A systematic review

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