Enhanced Brief Motivational Intervention for College Student Drinkers With ADHD: Goal-Directed Activation as a Mechanism of Change

Oddo, Lauren E.; Meinzer, Michael C.; Tang, Alva; Murphy, James G.; Vasko, John M.; Lejuez, Carl W.; Chronis‐Tuscano, Andrea

doi:10.1016/j.beth.2021.01.007

Cited by 4 publications

(10 citation statements)

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“…The novel component for nine of the interventions involved increasing engagement in enjoyable and/or goal-directed substance-free behaviors (Bogg et al, 2019; Murphy et al, 2019; Yurasek et al, 2015), mental health/wellness (Blevins & Stephens, 2016; Colby et al, 2018; Geisner et al, 2015; Meinzer et al, 2021; Oddo et al, 2021), physical health (Weinstock et al, 2016), or some other aspect of psychosocial functioning (Pedersen et al, 2017; Stein et al, 2018), as a complement to the typical alcohol use/harm reduction goals of BMIs. A majority of these interventions ( n = 7) found significant effects for the novel approach on alcohol-related outcomes, in particular reductions in, or fewer, ARP, HDEs, and/or DPW compared to the comparison condition(s).…”

Section: Resultsmentioning

confidence: 99%

“…Of these, 13 were delivered via counselor or therapist and nine were single-session interventions lasting between 15 and 90 min. The other five interventions ranged between two and five sessions with one delivered as a group intervention (Meinzer et al, 2021; Oddo et al, 2021). Six studies were delivered via computer or web with two indicating a time-limited session length (Ellis et al, 2017; Young & Neighbors, 2019) and the remaining indicating a self-paced delivery.…”

Section: Resultsmentioning

confidence: 99%

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Beyond BASICS: A scoping review of novel intervention content to enhance the efficacy of brief alcohol interventions for emerging adults.

Murphy¹,

Gex²,

Dennhardt³

et al. 2022

Psychology of Addictive Behaviors

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Objective: Brief motivational interventions (BMIs) that include personalized drinking feedback delivered in a motivational interviewing (MI) style have demonstrated reductions in drinking across numerous clinical trials with emerging adults (EAs) ages 18-25. However, effect sizes for these BMIs are generally small to moderate and drinking reductions are often not maintained beyond short-term follow-ups. Additionally, EAs may be more interested in approaches that highlight wellness, mood enhancement, or goal pursuit rather than programs focused exclusively on reducing alcohol-related risk. Thus, there is a need to evaluate novel intervention content as an alternative or supplement to BMIs in this high-risk population. Method: This scoping review examined studies of novel intervention elements to reduce alcohol consumption among EAs. Eligible studies were published in peer-reviewed journals in English from January 2015 to September 2021 and evaluated novel brief interventions, operationalized as one to five sessions focused on alcoholrelated outcomes with key content beyond what has typically been included in alcohol BMIs. Results were categorized as additions to BMIs or stand-alone interventions and were synthesized within these categories by theoretical approach. Results: Although standard in-person BMIs have the greatest empirical support, there are a variety of alternative intervention approaches that might enhance health and wellness and that can be feasibly integrated with BMIs or offered as an appealing "gateway" to increase help-seeking among EAs who drink alcohol. Conclusions: More research is needed to empirically evaluate both the relative efficacy of supplements and stand-alone alternatives to BMI among higher risk EAs and their potential for widespread dissemination. Public Health Significance StatementEmerging adults (EAs; ages 18-25) report greater alcohol use than any other age group, yet very few voluntarily participate in existing intervention programs, and those that do generally report only small to moderate reductions in drinking. This study reviewed novel intervention elements for EAs that have the potential to augment existing evidence-based brief motivational intervention approaches.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Beyond BASICS: A scoping review of novel intervention content to enhance the efficacy of brief alcohol interventions for emerging adults.

Murphy¹,

Gex²,

Dennhardt³

et al. 2022

Psychology of Addictive Behaviors

Self Cite

View full text Add to dashboard Cite

show abstract

“…Future research should evaluate the magnitude and direction of these associations over time. Additionally, interventions for drinkers with ADHD may work to identify and scaffold substance-free experiences that are inherently rewarding and pleasurable or that increase the response cost associated with heavy drinking (Fazzino et al, 2019; Oddo, Meinzer, et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

“…This study also highlighted the unique association among ADHD and low reward probability, such that young adults with elevated ADHD symptoms reported fewer reinforcing experiences and perceived more impairments in their ability to acquire rewards. Moreover, a study of RCPR as a mechanism of change in alcohol intervention for college students with ADHD showed that engagement in more adaptive, goal-directed behaviors and less avoidance over treatment predicted reductions in alcohol-related negative consequences (Oddo, Meinzer, et al, 2021). This work is consistent with calls for treatments to go beyond a focus on eliminating alcohol use to enhance experiences that are enjoyable, inherently reinforcement, and/or contribute to a person’s goals (McKay, 2017).…”

Section: The Co-occurrence Of Attention-deficit/hyperactivity Disorde...mentioning

confidence: 99%

Attention-deficit/hyperactivity disorder is associated with more alcohol problems and less substance-free reinforcement: A behavioral economics daily diary study of college student drinkers.

Oddo,

Joyner,

Murphy

et al. 2024

Psychology of Addictive Behaviors

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Objective: Behavioral economic theory suggests that alcohol risk is related to elevated alcohol reinforcing efficacy (demand) combined with diminished availability of reinforcing substance-free activities, but little research has examined these reward-related processes at the daily level in association with comorbid conditions that might influence behavioral patterns and reward. Young people with attention-deficit/ hyperactivity disorder (ADHD) report high levels of risky drinking, and this risk may be due in part to elevated demand for alcohol and diminished engagement in enjoyable and valued substance-free activities. Method: College student drinkers (N = 101; 48.5% female; 68.3% White; 18-22 years old) with (n = 51) and without (n = 50) ADHD completed 14 consecutive daily diaries (diary entry n = 1,414). We conducted a series of multilevel path models to examine (a) the associations among ADHD and average daily alcohol demand, substance-free enjoyment, and response contingent positive reinforcement (RCPR) for goaldirected behaviors; (b) the associations among concurrent daily alcohol demand, substance-free reinforcement, and RCPR for goal-directed behaviors and daily alcohol use and alcohol-related negative consequences; and (c) the moderating effect of ADHD on these within-day associations. Results: ADHD was significantly associated with more daily alcohol-related negative consequences and less daily substance-free enjoyment and RCPR. Regardless of ADHD status, there were significant associations among behavioral economic risk factors and alcohol use and negative consequences, though effects differed within and between persons. There were no moderating effects of ADHD on within-person associations. Conclusions: Results expose areas of impairment specific to drinkers with ADHD and advance theory on ADHD and hazardous drinking. Public Health Significance StatementThis study indicates that college student drinkers with attention-deficit/hyperactivity disorder (ADHD) experience more alcohol-related negative consequences and higher rates of impairment in their daily substance-free lives, relative to their peers without ADHD. This study also highlighted significant daily effects of alcohol demand, substance-free reinforcement, and positive reinforcement for goal-directed behaviors on alcohol use and/or alcohol-related negative consequences, regardless of ADHD status.

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“…Fifty-four (62.8%) of the 86 included studies inaccurately used sex-specific terminology to describe participants' gender identities by stating that the participants' genders were male and female (rather than men and women) [34][35][36]40,42,[44][45][46][47]49,50,[52][53][54][55][56]58,59,[61][62][63]67,[69][70][71][72]74,75,[77][78][79][81][82][83]86,87,[89][90][91][94][95][96][97]101,105,[108][109][110][111][114]…”

Section: Sex and Gender In The Eligibility Criteria And Participant D...mentioning

confidence: 99%

A sex- and gender-based analysis of alcohol treatment intervention research involving youth: A methodological systematic review

Lowik,

Mniszak,

Pang

et al. 2024

PLoS Med

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Background While there is widespread consensus that sex- and gender-related factors are important for how interventions are designed, implemented, and evaluated, it is not currently known how alcohol treatment research accounts for sex characteristics and/or gender identities and modalities. This methodological systematic review documents and assesses how sex characteristics, gender identities, and gender modalities are operationalized in alcohol treatment intervention research involving youth. Methods and findings We searched MEDLINE, Embase, Cochrane Central Registry of Controlled Trials, PsycINFO, CINAHL, LGBT Life, Google Scholar, Web of Science, and grey literature from 2008 to 2023. We included articles that reported genders and/or sexes of participants 30 years of age and under and screened participants using AUDIT, AUDIT-C, or a structured interview using DSM-IV criteria. We limited the inclusion to studies that enrolled participants in alcohol treatment interventions and used a quantitative study design. We provide a narrative overview of the findings. Of 8,019 studies screened for inclusion, 86 articles were included in the review. None of the studies defined, measured, and reported both sex and gender variables accurately. Only 2 studies reported including trans participants. Most of the studies used gender or sex measures as a covariate to control for the effects of sex or gender on the intervention but did not discuss the rationale for or implications of this procedure. Conclusions Our findings identify that the majority of alcohol treatment intervention research with youth conflate sex and gender factors, including terminologically, conceptually, and methodologically. Based on these findings, we recommend future research in this area define and account for a spectrum of gender modalities, identities, and/or sex characteristics throughout the research life cycle, including during study design, data collection, data analysis, and reporting. It is also imperative that sex and gender variables are used expansively to ensure that intersex and trans youth are meaningfully integrated. Trial registration Registration: PROSPERO, registration number: CRD42019119408

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Enhanced Brief Motivational Intervention for College Student Drinkers With ADHD: Goal-Directed Activation as a Mechanism of Change

Cited by 4 publications

References 74 publications

Beyond BASICS: A scoping review of novel intervention content to enhance the efficacy of brief alcohol interventions for emerging adults.

Beyond BASICS: A scoping review of novel intervention content to enhance the efficacy of brief alcohol interventions for emerging adults.

Attention-deficit/hyperactivity disorder is associated with more alcohol problems and less substance-free reinforcement: A behavioral economics daily diary study of college student drinkers.

A sex- and gender-based analysis of alcohol treatment intervention research involving youth: A methodological systematic review

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