Screening and brief intervention for high-risk college student drinkers: Results from a 2-year follow-up assessment.

Marlatt, G. Alan; Baer, John; Kivlahan, Daniel R.; Dimeff, Linda A.; Larimer, Mary E.; Quigley, Lori A.; Somers, Julian M.; Williams, Ellen D.

doi:10.1037/0022-006x.66.4.604

Cited by 705 publications

(723 citation statements)

References 27 publications

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“…Throughout a 2-year follow-up, the classroom and brief intervention conditions yielded statistically similar reductions over baseline (from 24.4 to 15.0 and 27.2 to 22.0 drinks per week (DPW), respectively). In a second study, Marlatt et al (1998) randomized a group of atrisk freshmen to receive an individual BASICS session or assessment only. After 1 year, BASICS students were mailed additional feedback on their current drinking patterns and, if deemed at high risk, were contacted by phone for a brief motivational session.…”

Section: In-person Feedback Applicationsmentioning

confidence: 99%

Feedback interventions for college alcohol misuse: What, why and for whom?

Walters¹,

Neighbors

2005

Addictive Behaviors

302

308

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In response to the persistent problem of college drinking, universities have instituted a range of alcohol intervention programs for students. Motivational feedback is one intervention that has garnered support in the literature and been adopted on college campuses. This article reviews published outcome studies that have utilized feedback as a major component of an alcohol intervention for college students. Overall, 11 of the 13 reviewed studies (77%) found a significant reduction in drinking as compared to a control or comparison group. While the studies varied widely in terms of population, follow-up period, and feedback content, it appears that feedback can be effective whether delivered by mail, the Internet, or via a face-to-face motivational interview. Feedback seems to change normative perceptions of drinking and may be more effective among students who drink for social reasons. The addition of a group or individual counseling session does not appear to increase the short-term impact of the feedback.

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Section: In-person Feedback Applicationsmentioning

confidence: 99%

Feedback interventions for college alcohol misuse: What, why and for whom?

Walters¹,

Neighbors

2005

Addictive Behaviors

302

308

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“…There have been many efforts to reduce problematic drinking among college students, with no published reports of interventions to improve contraception among college women. Heavy-drinking high school seniors who received a motivational intervention showed decreased drinking and lower levels of negative consequences of drinking 2 years later (Marlatt et al, 1998). Baer et al (1992) found that a single session of individualized feedback and professional advice using a motivational counseling style produced 40% reductions in drinking for 2 years among young adults.…”

Section: Introductionmentioning

confidence: 99%

Reducing alcohol-exposed pregnancy risk in college women: Initial outcomes of a clinical trial of a motivational intervention

Ingersoll

Ceperich

Nettleman

et al. 2005

Journal of Substance Abuse Treatment

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A significant number of college women are at risk for alcohol-exposed pregnancy (AEP) owing to binge drinking paired with using contraception ineffectively. This article describes a randomized controlled trial of a one-session motivational interviewing-based intervention to reduce AEP risk among college women and presents 1-month outcomes demonstrating the early impact of this intervention. There were 228 female students from a mid-Atlantic urban university enrolled in the trial. Eligibility criteria were being in the age range of 18-24 years and being at risk for AEP. Risk for AEP was defined as having sexual intercourse with a man in the past 90 days while using contraception ineffectively (no use, incorrect use of an effective method, or use of an ineffective method only); drinking at risky levels was defined as engaging in at least one binge in the past 90 days or consuming an average of eight standard drinks per week. One-month outcome data were available for 212 of the 228 enrolled women (a follow-up rate of 93%), with complete data available for 105 women assigned to the control condition and 94 assigned to the intervention condition. At 1-month follow-up, 15% of the control subjects and 25% of the intervention women reported no risk drinking, a significant difference favoring the intervention group. Significantly fewer control subjects (48%) used effective contraception at 1-month follow-up as compared with intervention women (64%), χ 2 (1) = 5.1, p < .03. Significantly more intervention women (74%) were no longer at risk for AEP at 1 month as compared with control subjects (54%), χ 2 (1) = 8.15, p < .005. Factors that were associated with continued AEP risk at 1-month follow-up were a higher number of standard drinks per day consumed in the month prior to baseline (odds ratio, 1.1) and assignment to the control condition (odds ratio, 2.9). The risks of unintended pregnancy and AEP among drinking women in college merit greater prevention efforts. The results of this study show the promise of one preventive intervention that warrants additional study.

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“…One interpretation of this consistent lack of effectiveness is that risky drinking represents not a lack of knowledge but rather a lack of motivation to change. Therefore, interventions that enhance motivation for risk reduction are needed to assist the students who are already drinking heavily.Several published studies indicate that in-person brief motivational interventions (BMIs) lead to reduced drinking in college students (Baer et al, 1992;Borsari & Carey, 2000;Larimer et al, 2001;Marlatt et al, 1998;Murphy et al, 2004;Murphy et al, 2001). These BMIs typically consist of one or two 45-min sessions that provide personalized feedback and incorporate motivational interviewing (Miller & Rollnick, 2002).…”

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confidence: 99%

Two brief alcohol interventions for mandated college students.

Borsari

Carey

2005

Psychology of Addictive Behaviors

201

225

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Encouraging but limited research indicates that brief motivational interventions may be an effective way to reduce heavy episodic drinking in college students. At 2 campuses, students (83% male) mandated to a substance use prevention program were randomly assigned to 1 of 2 individually administered conditions: (a) a brief motivational interview (BMI; n = 34) or (b) an alcohol education session (AE; n = 30). Students in the BMI condition reported fewer alcohol-related problems than the AE students at 3-and 6-month assessments. Trends toward reductions in number of binge drinking episodes and typical blood alcohol levels were seen in both groups. Process measures confirmed the integrity of both interventions. The findings demonstrate that mandated BMIs can reduce alcohol problems in students referred for alcohol violations. Keywords mandated; student; alcohol; college; brief interventionThe search continues for effective and innovative interventions to curtail heavy episodic (binge) drinking. Binge drinking is defined as having five or more drinks in a single occasion for men (four or more drinks for women; Wechsler et al., 2002). Roughly 4 out of 10 college students (including close to half of the men) binge drink at least once every 2 weeks (O'Malley & Johnston, 2002;Wechsler et al., 2002), and negative consequences frequently result from such drinking, including damage to self, others, and property (Perkins, 2002). Educational programs designed primarily to teach students about the risks associated with excessive drinking have frequently failed to achieve desired reductions in alcohol use (Hingson, Berson, & Dowley, 1997;Wechsler et al., 2002). One interpretation of this consistent lack of effectiveness is that risky drinking represents not a lack of knowledge but rather a lack of motivation to change. Therefore, interventions that enhance motivation for risk reduction are needed to assist the students who are already drinking heavily.Several published studies indicate that in-person brief motivational interventions (BMIs) lead to reduced drinking in college students (Baer et al., 1992;Borsari & Carey, 2000;Larimer et al., 2001;Marlatt et al., 1998;Murphy et al., 2004;Murphy et al., 2001). These BMIs typically consist of one or two 45-min sessions that provide personalized feedback and incorporate motivational interviewing (Miller & Rollnick, 2002). Personalized feedback is designed to engage students and heighten the self-relevance of the educational information; such feedback, when coupled with normative comparisons, develops a sense of discrepancy that can motivate risk reduction. The motivational interviewing style cultivates active collaboration and reinforces self-determination and freedom of choice as participants explore ambivalence regarding current drinking behavior. However, BMIs have yet to be compared with groups that receive sessions of similar length and format. Although the content of previous control Correspondence concerning this article should be addressed to Brian Borsari, who is no...

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Screening and brief intervention for high-risk college student drinkers: Results from a 2-year follow-up assessment.

Cited by 705 publications

References 27 publications

Feedback interventions for college alcohol misuse: What, why and for whom?

Feedback interventions for college alcohol misuse: What, why and for whom?

Reducing alcohol-exposed pregnancy risk in college women: Initial outcomes of a clinical trial of a motivational intervention

Two brief alcohol interventions for mandated college students.

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