“No-Contact” Interventions for Unhealthy College Drinking

Zisserson, Rebecca N.; Palfai, Tibor P.; Saitz, Richard

doi:10.1300/j465v28n04_04

Cited by 20 publications

(9 citation statements)

References 57 publications

(51 reference statements)

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“…For researchers, web-based interventions provide cost efficiency, uniformity of delivery, and the potential for widespread dissemination that is not possible with more labor-intensive, in-person interventions (Portnoy, Scott-Sheldon, Johnson, & Carey, 2008; Zisserson, Palfai, & Saitz, 2007). For college students, web-based interventions allow for anonymity, economy of time, and convenience of access (Koski-Jannes & Cunningham, 2001; Kypri, Saunders, & Gallagher, 2003).…”

Section: Previous Research Using Pnfmentioning

confidence: 99%

Efficacy of web-based personalized normative feedback: A two-year randomized controlled trial.

Neighbors

Lewis

Atkins

et al. 2010

Journal of Consulting and Clinical Psychology

202

214

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Objective Web-based brief alcohol interventions have the potential to reach a large number of individuals at low cost; however, few controlled evaluations have been conducted to date. The present study was designed to evaluate the efficacy of gender-specific versus gender-nonspecific personalized normative feedback (PNF) with single versus biannual administration in a 2-year randomized controlled trial targeting a large sample of heavy-drinking college students. Method Participants included 818 freshmen (57.6% women; 42% non-Caucasian) who reported 1 or more heavy-drinking episodes in the previous month at baseline. Participants were randomly assigned in a 2 (gender-specific vs. gender-nonspecific PNF) × 2 (single vs. biannual administration of PNF) + 1 (attention control) design. Assessments occurred every 6 months for a 2-year period. Results Results from hierarchical generalized linear models provided modest effects on weekly drinking and alcohol-related problems but not on heavy episodic drinking. Relative to control, gender-specific biannual PNF was associated with reductions over time in weekly drinking (d = −0.16, 95% CI [−0.02, −0.31]), and this effect was partially mediated by changes in perceived norms. For women, but not men, gender-specific biannual PNF was associated with reductions over time in alcohol-related problems relative to control (d =−0.29, 95% CI [−0.15,−0.58]). Few other effects were evident. Conclusions The present research provides modest support for the use of biannually administered web-based gender-specific PNF as an alternative to more costly indicated prevention strategies.

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Section: Previous Research Using Pnfmentioning

confidence: 99%

Efficacy of web-based personalized normative feedback: A two-year randomized controlled trial.

Neighbors

Lewis

Atkins

et al. 2010

Journal of Consulting and Clinical Psychology

202

214

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“…Prevention approaches that are based on personalized feedback may have a number of advantages for addressing college drinking, including low participant burden, low training and supervision requirements, low cost and ease of dissemination, the potential for tailoring intervention content, and the ability to deliver content without face-to-face contact with an intervention specialist (Kypri et al, 2004; Larimer et al, 2007; Neighbors et al, 2004; Saitz et al, 2007; Walters et al, 2007; Zisserson, Palfai, & Saitz, 2007). Research that has examined the value of computerized feedback-based approaches for reducing hazardous drinking has yielded promising evidence of the efficacy of web-based interventions in health care settings (Kypri et al, 2004), judicial affairs (Barnett, Murphy, Colby, & Monti, 2007; Carey, Henson, Carey, & Maisto, 2009) and campus-wide interventions (Hustad et al, 2010; Neighbors et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

Personalized Feedback as a Universal Prevention Approach for College Drinking: A Randomized Trial of an e-Mail Linked Universal Web-Based Alcohol Intervention

Palfai

Winter

et al. 2014

J Primary Prevent

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Alcohol use among first-year university students continues to be a central health concern. Efforts to address drinking in this population have increasingly relied on web-based interventions, which have the capacity to reach large numbers of students through a convenient and highly utilized medium. Despite evidence for the utility of this approach for reducing hazardous drinking, recent studies that have examined the effectiveness of this approach as a universal prevention strategy in campus-wide studies have produced mixed results. We sought to test the effectiveness of a web-based alcohol intervention as a universal prevention strategy for first-year students. An e-mail invitation linked to a brief, web-based survey on health behaviors was sent to all first-year students during the fall semester. Those who completed the baseline assessment were randomized to receive either a feedback-based alcohol intervention (intervention condition) or feedback about other health-related behaviors such as sleep and nutrition (control condition). A second web-based survey was used to collect follow-up drinking data 5 months later. The number of heavy drinking episodes in the previous month and alcohol-related consequences in the previous 3 months served as the primary dependent variables. Negative binomial regression analyses did not indicate a significant effect of the intervention at follow-up on either heavy drinking episodes or alcohol-related consequences. Analyses of additional drinking outcomes among the subsample of students who reported that they did not drink at baseline showed that those who received the alcohol intervention were subsequently less likely to drink alcohol. These results suggest that web-based alcohol interventions may be a potentially useful method of maintaining abstinence among underage, non-drinking students. Overall, however, results indicate that an e-mail-linked, campus-wide, web-intervention approach to address alcohol use among first-year students may have limited effectiveness as an approach to minimize hazardous drinking over the course of the year.

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“…However, there is a scarcity of research exploring the efficacy of individual components of these interventions, and to date there has been limited research specifically exploring the effectiveness of normative feedback for parents of college students. Among college students, social norms interventions can provide an effective approach to reducing alcohol use and negative consequences (for reviews see Carey, Scott-Sheldon, Carey, & DeMartini, 2007; LaBrie, Hummer, Grant, & Lac, 2010; LaBrie, Hummer, Huchting, & Neighbors, 2009; LaBrie, Hummer, Neighbors, & Pedersen, 2008; Larimer & Cronce, 2007; Lewis & Neighbors, 2006; Walters & Neighbors, 2005; Zisserson, Palfai, & Saitz, 2007). The rationale underlying these interventions is that perceptions of what important others believe to be acceptable drinking behavior (perceived injunctive norms) and perceptions of others’ alcohol use (perceived descriptive norms) can directly influence an individuals’ own attitudes and behaviors.…”

Section: Introductionmentioning

confidence: 99%

Normative feedback for parents of college students: Piloting a parent based intervention to correct misperceptions of students' alcohol use and other parents' approval of drinking

LaBrie

Napper

Hummer

2014

Addictive Behaviors

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Objective Multi-component parent-based interventions (PBIs) provide a promising avenue for targeting alcohol use and related consequences in college students. Parents of college-aged children can have a significant influence on their children’s alcohol use decisions. However, parents tend to underestimate their own child’s alcohol use and overestimate other similar parents’ approval of student drinking. These misperceptions could have important implications for parents’ own attitudes and alcohol-related communication with their student. Targeting these misperceptions through normative feedback could help promote greater and more in-depth alcohol-related communication. The present study examines the potential efficacy of web-based alcohol-related normative feedback for parents of college students. Method A sample of 144 parents of college students received web-based normative feedback about students’ alcohol use and approval, as well as other same-college parents’ alcohol approval. Parents completed measures of perceived student alcohol use, student alcohol approval, other-parent alcohol approval, and intentions to discuss alcohol use both pre- and post-normative feedback. Results Post-feedback, parents reported stronger intentions to talk to their student about alcohol, were less confident in their knowledge of their students’ alcohol use, and believed that their student drank in greater quantity and more frequently than pre-feedback. Parents also perceived other parents to be less approving of alcohol use after viewing normative feedback. Conclusions These findings provide preliminary support for the use of web-based normative feedback for parents of college students. Given these promising results, further research developing and testing this approach merits attention.

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“No-Contact” Interventions for Unhealthy College Drinking

Cited by 20 publications

References 57 publications

Efficacy of web-based personalized normative feedback: A two-year randomized controlled trial.

Efficacy of web-based personalized normative feedback: A two-year randomized controlled trial.

Personalized Feedback as a Universal Prevention Approach for College Drinking: A Randomized Trial of an e-Mail Linked Universal Web-Based Alcohol Intervention

Normative feedback for parents of college students: Piloting a parent based intervention to correct misperceptions of students' alcohol use and other parents' approval of drinking

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