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J Consult Clin Psychol. 2016 Feb;84(2):103-12. doi: 10.1037/a0039800. Epub 2015 Oct 12.

Mandated college students' response to sequentially administered alcohol interventions in a randomized clinical trial using stepped care.

Author information

1
Mental Health and Behavioral Sciences Service, Department of Veterans Affairs Medical Center.
2
Center for Alcohol and Addiction Studies, Brown University School of Public Health.
3
College of Community and Public Affairs, Binghamton University.
4
Department of Medicine and Public Health Sciences, Pennsylvania State College of Medicine.

Abstract

OBJECTIVE:

Students referred to school administration for alcohol policies violations currently receive a wide variety of interventions. This study examined predictors of response to 2 interventions delivered to mandated college students (N = 598) using a stepped care approach incorporating a peer-delivered 15-min brief advice (BA) session (Step 1) and a 60- to 90-min brief motivational intervention (BMI) delivered by trained interventionists (Step 2).

METHOD:

Analyses were completed in 2 stages. First, 3 types of variables (screening variables, alcohol-related cognitions, mandated student profile) were examined in a logistic regression model as putative predictors of lower risk drinking (defined as 3 or fewer heavy episodic drinking [HED] episodes and/or 4 or fewer alcohol-related consequences in the past month) 6 weeks following the BA session. Second, we used generalized estimating equations to examine putative moderators of BMI effects on HED and peak blood alcohol content compared with assessment only (AO) control over the 3-, 6-, and 9-month follow-ups.

RESULTS:

Participants reporting lower scores on the Alcohol Use Disorders Identification Test, more benefits to changing alcohol use, and those who fit the "Bad Incident" profile at baseline were more likely to report lower risk drinking 6 weeks after the BA session. Moderation analyses revealed that Bad Incident students who received the BMI reported more HED at 9-month follow-up than those who received AO.

CONCLUSION:

Current alcohol use as well as personal reaction to the referral event may have clinical utility in identifying which mandated students benefit from treatments of varying content and intensity.

PMID:
26460571
PMCID:
PMC4738020
DOI:
10.1037/a0039800
[Indexed for MEDLINE]
Free PMC Article

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