Motivational interviewing for alcohol misuse in young adults

Foxcroft, David; Coombes, Lindsey; Wood, Sarah; Allen, Deborah; Santimano, Nerissa M L Almeida

doi:10.1002/14651858.cd007025.pub3

Cited by 19 publications

(58 citation statements)

References 103 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…With the exception of peak blood alcohol concentration immediately postintervention ( d = 0.36), the average effect size ranged from d = 0.11 to 0.22 across all outcomes. In addition, a recent meta‐analysis (Foxcroft et al., ), which focused on MI versus no MI for alcohol misuse among adolescents and emerging adults between the ages of 15 and 25, similarly concluded that the effect sizes were quite small. Thus, these existing meta‐analyses and narrative reviews collectively suggest that if effects of college alcohol interventions are statistically significant, they are generally small, even in the short term.…”

Section: Meta‐analysis Using Individual Participant‐level Datamentioning

confidence: 99%

Brief Motivational Interventions for College Student Drinking May Not Be as Powerful as We Think: An Individual Participant‐Level Data Meta‐Analysis

Huh

Mun

Larimer

et al. 2015

Alcoholism Clin & Exp Res

126

128

View full text Add to dashboard Cite

Background For over two decades, brief motivational interventions (BMIs) have been implemented on college campuses to reduce heavy drinking and related negative consequences. Such interventions include in-person motivational interviews (MIs), often incorporating personalized feedback (PF), and stand-alone PF interventions delivered via mail, computer, or the Web. Both narrative and meta-analytic reviews using aggregate data from published studies suggest at least short-term efficacy of BMIs, although overall effect sizes have been small. Method The present study was an individual participant-level data (IPD) meta-analysis of 17 randomized clinical trials evaluating BMIs. Unlike typical meta-analysis based on summary data, IPD meta-analysis allows for an analysis that correctly accommodates the sampling, sample characteristics, and distributions of the pooled data. In particular, highly skewed distributions with many zeroes are typical for drinking outcomes, but have not been adequately accounted for in existing studies. Data are from Project INTEGRATE, one of the largest IPD meta-analysis projects to date in alcohol intervention research, representing 6,713 individuals each with two to five repeated measures up to 12 months post-baseline. Results We used Bayesian multilevel over-dispersed Poisson hurdle models to estimate intervention effects on drinks per week and peak drinking, and Gaussian models for alcohol problems. Estimates of overall intervention effects were very small and not statistically significant for any of the outcomes. We further conducted post hoc comparisons of three intervention types (Individual MI with PF, PF only, and Group MI) vs. control. There was a small, statistically significant reduction in alcohol problems among participants who received an individual MI with PF. Short-term and long-term results were similar. Conclusions The present study questions the efficacy and magnitude of effects of BMIs for college drinking prevention and intervention and suggests a need for the development of more effective intervention strategies.

show abstract

Section: Meta‐analysis Using Individual Participant‐level Datamentioning

confidence: 99%

Brief Motivational Interventions for College Student Drinking May Not Be as Powerful as We Think: An Individual Participant‐Level Data Meta‐Analysis

Huh

Mun

Larimer

et al. 2015

Alcoholism Clin & Exp Res

126

128

View full text Add to dashboard Cite

show abstract

“…This time frame was used to capture information between each assessment to provide a more continuous measure of use across time. Four-month windows for substance use have been used in other studies to capture a broader window of use (Donohue, Holland, Lopez, Urgelles, & Allen, 2014; Foxcraft et al, 2014; Halkitis, Palamar, & Mukherjee, 2007). Analyses conducted in this article with four-month vs. 30-day windows yielded highly similar findings.…”

Section: Methodsmentioning

confidence: 99%

Social Influences on College Student Use of Tobacco Products, Alcohol, and Marijuana

Windle

Haardörfer

Lloyd

et al. 2017

Substance Use & Misuse

View full text Add to dashboard Cite

Objective This study investigated associations between the use of alternative tobacco products (e.g., cigarettes, little cigars/cigarillos, hookah, e-cigarettes), alcohol, and marijuana among college students and use by their parents, siblings, and friends. A large literature exists for social influences on adolescent substance use, but few studies have focused on college samples. Participants 3,418 college students from seven universities in the state of Georgia participated in this study. Methods Web-based surveys were completed by students (45–60 minutes) during the fall semester, 2014. Results Findings largely indicated specificity of associations between college student use and use by social influences for similar tobacco products and other substances. For each tobacco product or substance, the highest associations were for friends'use. Structural equation analyses further supported the specificity of associations and highlighted the relative strength of friends' use on student use. Conclusion Similar to findings with adolescents, the use of alternative tobacco products, alcohol, and marijuana by parents, siblings, and friends is associated with higher levels of use among college students, and friends' use was the most potent correlate for this phase of the lifespan.

show abstract

“…1 The Cochrane review authors agree with prior reviews that there are statistically significant effects in reducing alcohol misuse, but interpret the effects as “too small …to be of relevance to policy and practice.” 1 In this issue of Addiction , Grant and colleagues question that conclusion. They point out that single-touch, low-cost brief motivational interviewing-based interventions (BIs)—if widely implemented—can have “modest yet beneficial and potentially meaningful” population-level effects.…”

mentioning

confidence: 87%

“…3 Of the 66 trials included in the Cochrane review, 49 consisted of a single session and only 5 included more than 2 contacts. 1 In contrast to the 1 in 9 adult patients with alcohol misuse who respond to a single BI, 1 in 4 respond to four sessions of BI. 7 Repeated BIs have been found effective in several studies of adult patients with AUDs, 8–10 including a large BI trial, which demonstrated changes in patient-report of hospital utilization.…”

mentioning

confidence: 98%

See 1 more Smart Citation

Is it time for a more ambitious research agenda for decreasing alcohol-related harm among young adults?

Bradley

Lapham

2016

Addiction

View full text Add to dashboard Cite

Motivational interviewing for alcohol misuse in young adults

Abstract: The editorial group responsible for this previously published document have withdrawn it from publication.

Cited by 19 publications

References 103 publications

Brief Motivational Interventions for College Student Drinking May Not Be as Powerful as We Think: An Individual Participant‐Level Data Meta‐Analysis

Brief Motivational Interventions for College Student Drinking May Not Be as Powerful as We Think: An Individual Participant‐Level Data Meta‐Analysis

Social Influences on College Student Use of Tobacco Products, Alcohol, and Marijuana

Is it time for a more ambitious research agenda for decreasing alcohol-related harm among young adults?

Contact Info

Product

Resources

About