Episodic heavy drinking among college students: Methodological issues and longitudinal perspectives.

Weingardt, Kenneth R.; Baer, John; Kivlahan, Daniel R.; Roberts, Lisa J.; Miller, Elizabeth T.; Marlatt, G. Alan

doi:10.1037/0893-164x.12.3.155

Cited by 65 publications

(45 citation statements)

References 26 publications

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“…Students in the control condition drank less over the follow-up year, consistent with other longitudinal (Schulenberg, O'Malley, Bachman, Wadsworth, & Johnston, 1996;Weingardt et al, 1998) and brief intervention studies. In contrast, the BMI groups produced reductions much more quickly -within one month -with essentially flat slopes for the rest of the year.…”

Section: Discussionsupporting

confidence: 82%

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

Carey¹,

Carey²,

Maisto³

et al. 2006

Journal of Consulting and Clinical Psychology

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: 82%

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

Carey¹,

Carey²,

Maisto³

et al. 2006

Journal of Consulting and Clinical Psychology

218

217

View full text Add to dashboard Cite

show abstract

“…Excessive drinking among college students is associated with near-term events, including accidents and reduced academic performance, which have negative longterm effects (Perkins, 2002). Students have been shown to experience lasting harm from drinking, even though many who drink in excess eventually mature out of the behavior (Schulenberg et al, 1996;Weingardt et al, 1998).…”

mentioning

confidence: 99%

Cost-Effectiveness Analysis of Motivational Interviewing With Feedback to Reduce Drinking Among a Sample of College Students

Cowell

Brown

Mills

et al. 2012

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: This study evaluated the costs and costeffectiveness of combining motivational interviewing with feedback to address heavy drinking among university freshmen. Method: Microcosting methods were used in a prospective cost and cost-effectiveness study of a randomized trial of assessment only (AO), motivational interviewing (MI), feedback only (FB), and motivational interviewing with feedback (MIFB) at a large public university in the southeastern United States. Students were recruited and screened into the study during freshman classes based on recent heavy drinking. A total of 727 students (60% female) were randomized, and 656 had suffi cient data at 3-months' follow-up to be included in the cost-effectiveness analysis. Effectiveness outcomes were changes in average drinks per drinking occasion and number of heavy drinking occasions. Results: Mean intervention costs per student were $16.51 for MI, $17.33 for FB, and $36.03 for MIFB. Cost-effectiveness analysis showed two cost-effective interventions for both outcomes: AO ($0 per student) and MIFB ($36 per student). Conclusions: This is the fi rst prospective cost-effectiveness study to our knowledge to examine MI for heavy drinking among students in a university setting. Despite being the most expensive intervention, MIFB was the most effective intervention and may be a cost-effective intervention, depending on a university's willingness to pay for changes in the considered outcomes. (J. Stud. Alcohol Drugs, 73, 226-237, 2012)

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“…Dawson et al (2004) pointed out that the use of a 2-week reference period may underestimate the prevalence of infrequent binge drinking. Also, research by Weingardt et al (1998) suggested that the standard binge criteria have high sensitivity but low specificity. In addition, the standard definition of binge drinking has been criticized for failure to specify the duration of the drinking episode.…”

mentioning

confidence: 99%

A New Measure of Binge Drinking: Prevalence and Correlates in a Probability Sample of Undergraduates

Cranford

McCabe

Boyd

2006

Alcoholism Clin & Exp Res

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Background-A standard measure defines binge drinking as the consumption of 5 or more drinks in a row for men (4 or more drinks for women) on at least 1 occasion during the past 2 weeks. A revised operational definition of binge drinking was developed by the National Institute on Alcohol Abuse and Alcoholism in 2004 and incorporated the duration of the drinking episode in addition to the quantity of alcohol consumed. This study compares the standard and new binge measures for overall and subgroup prevalence rates; associations with gender, race/ethnicity, and age of drinking onset; and associations with negative drinking consequences.

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Episodic heavy drinking among college students: Methodological issues and longitudinal perspectives.

Cited by 65 publications

References 26 publications

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

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

Cost-Effectiveness Analysis of Motivational Interviewing With Feedback to Reduce Drinking Among a Sample of College Students

A New Measure of Binge Drinking: Prevalence and Correlates in a Probability Sample of Undergraduates

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