1
|
Richards DK, Morera OF, Schwebel FJ, Pearson MR, Field CA. Measurement Invariance of the Readiness to Change Questionnaire Among Injured Patients Who Received a Brief Intervention for Alcohol Use. Assessment 2022; 29:1942-1953. [PMID: 34404273 PMCID: PMC9290311 DOI: 10.1177/10731911211040106] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We tested measurement invariance of the Readiness to Change Questionnaire (RCQ) to evaluate its utility in assessing the stages of change in the context of brief intervention for alcohol use in opportunistic settings. Participants (N = 596) were patients admitted from three Level I trauma centers who were randomly assigned to one of three brief alcohol interventions. The RCQ was administered at baseline and 3-month follow-up. The RCQ was scalar invariant across biological sex and partially scalar invariant across race/ethnicity and alcohol use severity. Hispanic participants were higher on contemplation and action and Black participants were higher on action than White participants. Hazardous drinkers were lower in precontemplation and higher in contemplation and action than nonhazardous drinkers. The RCQ was scalar invariant across intervention conditions and time. Brief motivational intervention with a booster increased action from baseline to 3 month. These findings provide further support for the use of the RCQ.
Collapse
Affiliation(s)
- Dylan K. Richards
- Center on Alcohol, Substance use, And Addictions (CASAA), University of New Mexico
| | | | - Frank J. Schwebel
- Center on Alcohol, Substance use, And Addictions (CASAA), University of New Mexico
| | - Matthew R. Pearson
- Center on Alcohol, Substance use, And Addictions (CASAA), University of New Mexico
| | - Craig A. Field
- Department of Psychology, University of Texas at El Paso
- Latino Alcohol and Health Disparities Research and Training (LAHDR) Center, University of Texas at El Paso
| |
Collapse
|
2
|
Gex KS, Acuff SF, Campbell KW, Mun EY, Dennhardt AA, Borsari B, Martens MP, Murphy JG. Change in alcohol demand following a brief intervention predicts change in alcohol use: A latent growth curve analysis. Alcohol Clin Exp Res 2022; 46:1525-1538. [PMID: 35707989 PMCID: PMC9427684 DOI: 10.1111/acer.14887] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 05/12/2022] [Accepted: 06/09/2022] [Indexed: 01/31/2023]
Abstract
BACKGROUND The association between behavioral economic demand and various alcohol use outcomes is well established. However, few studies have examined whether changes in demand occur following a brief alcohol intervention (BAI), and whether this change predicts alcohol outcomes over the long term. METHODS Parallel process piecewise latent growth curve models were examined in a sample of 393 heavy drinking emerging adults (60.8% women; 85.2% white; Mage = 18.77). In these models, two linear slopes represented rates of change in alcohol use, heavy drinking episodes, alcohol-related problems, and demand (intensity and highest expenditure across all price points or Omax ) from baseline to 1 month (slope 1) and 1 month to 16 months (slope 2). Mediation analyses were conducted to estimate the effect of a BAI on 16-month alcohol outcomes through slope 1 demand. RESULTS A two-session BAI predicted significant reductions in all five outcomes from baseline to 1-month follow-up. Although no further reduction was observed from the 1-month to the 16-month follow-up, there was no regression to baseline levels. Slope 1 demand intensity, but not Omax , significantly mediated the association between BAI and both outcomes-heavy drinking episodes (Est. = -0.23, SE = 0.08, p < 0.01) and alcohol-related problems (Est. = -0.15, SE = 0.07, p < 0.05)-at the 16-month follow-up. CONCLUSIONS Reducing high valuation of alcohol among heavy drinking emerging adults within the first month following BAI is critical for the long-term efficacy of the intervention. A two-session BAI was associated with enduring reductions in alcohol demand, and the change in demand intensity, but not Omax , was associated with sustained reductions in heavy drinking and alcohol-related problems.
Collapse
Affiliation(s)
- Kathryn S. Gex
- Department of Psychiatry and Behavioral Sciences, Addiction Sciences Division, Medical University of South Carolina, 67 President St. MSC 864, Charleston, SC 29425,Corresponding Author and Phone: (843) 876-2084
| | - Samuel F. Acuff
- Department of Psychology, The University of Memphis, 400 Innovation Drive, Memphis, TN 38152
| | - Kevin W. Campbell
- Department of Psychology, The University of Memphis, 400 Innovation Drive, Memphis, TN 38152
| | - Eun-Young Mun
- Department of Health Behavior and Health Systems, School of Public Health, University of North Texas Health Science Center, 3500 Camp Bowie Blvd., Fort Worth, TX 76107
| | - Ashley A. Dennhardt
- Department of Psychology, The University of Memphis, 400 Innovation Drive, Memphis, TN 38152
| | - Brian Borsari
- San Francisco Veterans Affairs Health Care System, 4150 Clement St., San Francisco, CA 94121,University of California – San Francisco, Department of Psychiatry and Behavioral Sciences, 982 Mission St., San Francisco, CA 94103
| | - Matthew P. Martens
- The University of Missouri, Department of Educational, School, and Counseling Psychology, 118D Hill Hall, Columbia, MO 65211
| | - James G. Murphy
- Department of Psychology, The University of Memphis, 400 Innovation Drive, Memphis, TN 38152
| |
Collapse
|
3
|
Morris SL, Langwerden RJ, Wagner EF, Hospital MM. Implementation of a brief motivational intervention for alcohol and other drug using Latinx college students. J Am Coll Health 2022:1-11. [PMID: 35816752 PMCID: PMC9873229 DOI: 10.1080/07448481.2022.2090258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 05/11/2022] [Accepted: 06/09/2022] [Indexed: 06/15/2023]
Abstract
Alcohol and other drug (AOD) use problems among college students continue to represent a public health epidemic. In 2019, historically high rates of binge-drinking and marijuana use were reported among college-age adults, and the detrimental effects of excessive AOD use in college, such as poorer academic performance, sexual assault, injury or overdoses, and a range of other negative consequences, have been well-documented. Thus, there is a continued need for effective implementation of evidence-based, cost-effective interventions aimed at reducing risks associated with collegiate AOD use. Guided Self Change (GSC) is a brief intervention involving motivational enhancement and cognitive-behavioral strategies and has demonstrated effectiveness in reducing AOD use problems. Its brevity, client-driven style, and concrete here-and-now focus are appealing to individuals struggling with mild to moderate AOD use problems. In order to successfully intervene with collegians with AOD use problems attending minority-serving institutions, GSC requires developmental and cultural tailoring. The current report describes the developmental and cultural tailoring of GSC for emerging adult Latinx collegians, as well as our consumer-driven addition of mindfulness content. Key components of our GSC program are documented through qualitative feedback, quantitative results, and case vignettes.
Collapse
Affiliation(s)
- Staci L Morris
- Community-Based Research Institute (CBRI), Florida International University, Miami, FL, USA
- Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, USA
| | - Robbert J Langwerden
- Community-Based Research Institute (CBRI), Florida International University, Miami, FL, USA
| | - Eric F Wagner
- Community-Based Research Institute (CBRI), Florida International University, Miami, FL, USA
- Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, USA
| | - Michelle M Hospital
- Community-Based Research Institute (CBRI), Florida International University, Miami, FL, USA
- Department of Biostatistics, Florida International University, Miami, FL, USA
| |
Collapse
|
4
|
Buckner JD, Ecker AH, Walukevich-Dienst K, Lewis EM, Pugh E, Abarno CN. Brief Motivation-Based Interventions for Students Sanctioned for Violating Campus Cannabis Use Policies. J Cogn Psychother 2021; 35:JCPSY-D-20-00026. [PMID: 33833089 DOI: 10.1891/jcpsy-d-20-00026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
College cannabis use continues to rise, yet few students voluntarily seek treatment for cannabis use, despite use-related problems. Thus, the campus judicial system may be one way to identify high-risk cannabis users and intervene with them. Despite research indicating that brief motivational interventions (BMIs) decrease risky alcohol use among students sanctioned for psychological services following campus alcohol policies violations, extant data do not support BMI for students who violate cannabis polices. Thus, the aims of this review paper are to (a) review the extant literature of BMI for cannabis use among sanctioned students, (b) discuss some unique issues concerning BMI for cannabis use, and (c) provide case examples of promising novel ways BMI may be used to address unique needs of these students. Given the wide range of cannabis use and related problems experienced by these students, personalized approaches to BMI-based interventions may improve outcomes for these students.
Collapse
Affiliation(s)
| | | | | | | | - Erika Pugh
- Louisiana State University, Baton Rouge, LA
| | - Cristina N Abarno
- Louisiana State University, Baton Rouge, LA
- Baylor College of Medicine, Houston, TX
- Louisiana State University, Baton Rouge, LA
- Louisiana State University, Baton Rouge, LA
- Louisiana State University, Baton Rouge, LA
| |
Collapse
|
5
|
Catterall I, Mitchell SM, Dhingra K, Conner KR, Swogger MT. BRIEF MOTIVATIONAL INTERVENTION FOR SUBSTANCE USE MAY DECREASE VIOLENCE AMONG HEAVY ALCOHOL USERS IN A JAIL DIVERSION PROGRAM. Crim Justice Behav 2021; 48:274-292. [PMID: 34305196 PMCID: PMC8300488 DOI: 10.1177/0093854820958747] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Rates of harmful alcohol use are high among justice-involved individuals and may contribute to violent recidivism. Robust treatments for alcohol-related violence in criminal justice systems are thus a public health priority. In this analysis of existing randomized controlled trial data (N = 105), we examined the impact of a brief motivational intervention (BMI) for harmful substance use on violent recidivism among individuals in a pretrial jail diversion program. Results indicated that, after controlling for violence history, the intervention's impact on violent recidivism was moderated by baseline harmful alcohol use. Specifically, among people with severe alcohol problems at baseline, the BMI + standard care group had less violent recidivism at a 1-year follow-up than participants randomized to standard care alone. This finding was unchanged when we accounted for psychopathic traits. Our study provides preliminary evidence that a BMI may be useful for decreasing violent recidivism among heavy drinkers in criminal justice systems.
Collapse
|
6
|
Ramos R, Cherpitel CJ, Alvarez J, Beltran O, Woolard R, Villalobos S, Bernstein J, Bernstein E. Preparing Mexican-Origin Community Health Advocates (Promotores) to Conduct SBIRT for Problem Drinking in the Emergency Room. Pedagogy Health Promot 2018; 4:247-253. [PMID: 30923744 PMCID: PMC6432642 DOI: 10.1177/2373379918756425] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Community Health Advocates (CHAs), known as Promotores in Spanish-speaking communities, are an important resource for the mobilization, empowerment, and the delivery of health education messages in Hispanic/Latino communities. This article focuses on understanding cultural, didactic, and logistical aspects of preparing CHAs to become competent to perform a brief intervention and referral to treatment (SBIRT) in the emergency room (ER). The CHAs training emphasizes making connections with Mexican-origin young adults aged 18-30, and capitalizing on a teachable moment to effect change in alcohol consumption and negative outcomes associated with alcohol use. We outline a CHA recruitment, content/methods training, and the analysis of advantages and challenges presented by the delivery of an intervention by CHAs.
Collapse
Affiliation(s)
- Rebeca Ramos
- Executive Director, Alliance of Border Collaboratives
| | - Cheryl J Cherpitel
- Senior Scientist, Public Health Institute, Alcohol Research Group, Emeryville, CA
| | - Jose Alvarez
- Lead Community Health Advocate Alliance of Border Collaboratives, El Paso Texas
| | - Oscar Beltran
- Research Associate, Alliance of Border Collaboratives, El Paso Texas
| | - Robert Woolard
- Professor, Emergency Medicine. Texas Tech University Health Sciences Center
| | - Susana Villalobos
- Project Coordinator, Emergency Medicine. Texas Tech University Health Sciences Center
| | - Judith Bernstein
- Professor, Community Health Sciences, University School of Medicine, Boston, MA
| | - Edward Bernstein
- Professor, Emergency Medicine. Boston, University School of Medicine, Boston, MA
| |
Collapse
|
7
|
Weckbecker K. [Alcohol addiction: Do not hesitate to adress this topic!]. MMW Fortschr Med 2018; 160:44-48. [PMID: 30259434 DOI: 10.1007/s15006-018-0938-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- Klaus Weckbecker
- Inst. für Hausarztmedizin der Univ. Bonn, Sigmund-Freud-Straße 25, D-53127, Bonn, Deutschland.
| |
Collapse
|
8
|
Bernstein MH, Baird GL, Yusufov M, Mastroleo NR, Carey KB, Graney DD, Wood MD. A Novel Approach for Streamlining Delivery of Brief Motivational Interventions to Mandated College Students: Using Group and Individual Sessions Matched to Level of Risk. Subst Use Misuse 2017; 52:1883-1891. [PMID: 28812420 PMCID: PMC5727910 DOI: 10.1080/10826084.2017.1318148] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND Mandated college students (those in violation of a campus alcohol policy) are heterogenous with respect to alcohol consumption. Thus, when universities consider required treatment for mandated students, one promising option is to match treatment intensity according to level of alcohol involvement. The present study evaluates such an approach with minimal resources. METHODS Mandated students (N = 285) were required to complete a baseline assessment. Participants identified as high-risk (5+ past month alcohol problems AND 2+ past month heavy drinking episodes) received a one session individual Brief Motivational Intervention (I-BMI) whereas those identified as low-risk (all others) received a one session group Brief Motivational Intervention (G-BMI). I-BMI and G-BMI sessions were delivered by doctoral students in Clinical Psychology. Follow-up assessments were collected 1 month post-intervention (response rate = 73%). RESULTS The vast majority of students complied with their requirement. Participants assigned to I-BMI reported an 82% reduction in drinks per week, a 58% reduction in heavy episodic drinking, and a 74% reduction in alcohol-related problems at a 1 month follow-up. Participants assigned to G-BMI reported a 61% reduction in drinks per week and a 42% reduction in alcohol-related problems at follow-up relative to baseline. Conclusion/Importance: We demonstrate that matching intervention intensity on baseline alcohol involvement with mandated students is feasible and associated with short-term reductions in alcohol use and consequences. Universities may wish to consider the procedure outlined here as a way of allocating more resources to those who drink at problematic levels.
Collapse
Affiliation(s)
- Michael H Bernstein
- a Department of Psychology , University of Rhode Island , Kingston , Rhode Island , USA.,f Brown University, Center for Alcohol and Addiction Studies , Brown University School of Public Health , Providence , RI , USA
| | - Grayson L Baird
- b Lifespan Biostatistics Core , Rhode Island Hospital , Providence , Rhode Island , USA
| | - Miryam Yusufov
- a Department of Psychology , University of Rhode Island , Kingston , Rhode Island , USA
| | - Nadine R Mastroleo
- c College of Community and Public Affairs , Binghamton University , Binghamton , NY , USA
| | - Kate B Carey
- d Department of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies , Brown University School of Public Health , Providence , RI , USA
| | - Daniel D Graney
- e Dean of Students Office , University of Rhode Island , Kingston , RI , USA
| | - Mark D Wood
- a Department of Psychology , University of Rhode Island , Kingston , Rhode Island , USA
| |
Collapse
|
9
|
Diestelkamp S, Wartberg L, Arnaud N, Thomasius R. [Influence of Counsellor- and Intervention Variables on Motivation to Change Following a Brief Motivational Intervention to Reduce Risky Alcohol Use]. Prax Kinderpsychol Kinderpsychiatr 2016; 65:534-49. [PMID: 27595811 DOI: 10.13109/prkk.2016.65.7.534] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Influence of Counsellor- and Intervention Variables on Motivation to Change Following a Brief Motivational Intervention to Reduce Risky Alcohol Use Brief interventions are recommended for prevention and early intervention of risky alcohol use. However, evidence of their effectiveness, in particular for children and adolescents, is heterogeneous. Analysis of counsellor and intervention variables may provide insights into mechanisms of action in brief interventions and thereby contribute to an enhanced effectiveness. We analyzed data of N = 141 children and adolescents who were treated for acute alcohol intoxication in the emergency department. Study participants received a brief motivational intervention to reduce risky alcohol use during hospitalization. We applied multiple regression analysis to examine counsellor variables (empathy, affirmation, competence, congruence) and intervention variables (readiness and confidence ruler, decisional balance, goal agreement) as predictors of motivation to change. Higher scores on the basic therapeutic skill "positive affirmation" (R2 = 7.1 %; p < .01), finishing the intervention with a written goal agreement (R2 = 2.9 %; p < .05) and younger age were associated with greater readiness to change (R2 = 10.2 %; p < .01). Therefore, a special focus should be put on the counsellor skill "positive affirmation" when training new counsellors. Results also indicate that younger patients respond stronger to a brief intervention in this context.
Collapse
|
10
|
Linowski SA, DiFulvio GT, Fedorchak D, Puleo E. Effectiveness of an Electronic Booster Session Delivered to Mandated Students. Int Q Community Health Educ 2016; 36:123-9. [PMID: 26857563 DOI: 10.1177/0272684x16628726] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
College student drinking continues to be a problem in the United States. Students who have violated campus alcohol policy are at particularly high risk for dangerous drinking. While Brief Alcohol Screening and Intervention for College Students (BASICS) has been found to be an effective strategy in reducing high-risk drinking and associated consequences, questions remain about ways to further reduce risk or sustain changes associated with a face-to face intervention. The purpose of this study was to assess the effectiveness of a computer-delivered personalized feedback (electronic booster) delivered to policy violators who completed a mandated BASICS program. At 3-month post-intervention, 346 participants (60.4% male and 39.6% female) were randomized to one of two conditions: assessment only (n = 171) or electronic booster feedback (n = 175). Follow-up assessments were given to all participants at 3, 6, and 12-month post-initial intervention. Both groups showed reductions in drinking after the in-person BASICS intervention, but no additional reductions were seen with the addition of an electronic booster session. Findings suggest that although brief motivational interventions delivered in person to mandated students have been shown to be effective with mandated students, there is no additional benefit from an electronic booster session delivered 3-month post-intervention for this population.
Collapse
Affiliation(s)
| | - Gloria T DiFulvio
- Department of Health Promotion and Policy, University of Massachusetts Amherst, MA, USA
| | - Diane Fedorchak
- Center for Health Promotion, University of Massachusetts Amherst, MA, USA
| | - Elaine Puleo
- Department of Biostatistics and Epidemiology, University of Massachusetts Amherst, MA, USA
| |
Collapse
|
11
|
Graham HL, Birchwood M, Griffith E, Freemantle N, McCrone P, Stefanidou CA, Walsh K, Clarke L, Rana A, Copello A. A pilot study to assess the feasibility and impact of a brief motivational intervention on problem drug and alcohol use in adult mental health inpatient units: study protocol for a randomized controlled trial. Trials 2014; 15:308. [PMID: 25085539 PMCID: PMC4124140 DOI: 10.1186/1745-6215-15-308] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2014] [Accepted: 07/14/2014] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Substance misuse in those with severe mental health problems is common and associated with poor engagement in treatment and treatment outcomes. Up to 44% of those admitted into psychiatric inpatient facilities have coexisting substance-misuse problems. However, this is not routinely addressed as part of their treatment plan. A mental health admission may present a window of opportunity for inpatients to reevaluate the impact of their substance use. This study will aim to evaluate the effectiveness of a targeted brief motivational intervention in improving engagement in treatment and to assess how feasible and acceptable this intervention is to inpatients and staff as a routine intervention. METHODS/DESIGN This randomized controlled trial will use concealed randomization; blind, independent assessment of outcome at 3 months; characterization of refusers and dropouts; and be analyzed according to the intention-to-treat principle. After baseline assessments, eligible participants will be randomized either to the Brief Integrated Motivational Intervention plus Treatment As Usual, or Treatment as Usual alone. Eligible participants will be those who are new admissions; >18 years; ICD-10 diagnosis of -schizophrenia or related disorder, bipolar affective disorder, recurrent depressive disorder, and DSM-IV diagnosis of substance abuse or dependence over the last 3 months. The primary outcome is engagement in treatment for substance misuse, and secondary outcomes include readiness to change substance misuse together with a cost-effectiveness analysis. Qualitative interviews with staff and participants will assess the acceptability of the intervention. DISCUSSION This pilot randomized trial will provide the first robust evidence base for inpatient care of people with severe mental health problems and co-morbid substance misuse and provide the groundwork for confirmatory trials to evaluate a potentially feasible, cost-effective, and easy-to-implement treatment option that may be readily integrated into standard inpatient and community-based care. TRIAL REGISTRATION ISRCTN43548483 Date of ISRCTN assignation: 4/17/2014.
Collapse
Affiliation(s)
| | - Max Birchwood
- />Division of Mental Health and Wellbeing, Warwick Medical School, University of Warwick, CV4 7AL Coventry, UK
| | - Emma Griffith
- />University of Bath, Claverton Down Bath, BA2 7AY UK
| | - Nick Freemantle
- />Department of Primary Care and Population Health, Upper Third Floor, UCL Medical School (Royal Free Campus), Rowland Hill Street, London, NW3 2PF UK
| | - Paul McCrone
- />Health Service and Population Research Department, Institute of Psychiatry, Kings College London, London, UK
| | | | - Kathryn Walsh
- />University of Birmingham, Edgbaston, Birmingham B15 2TT UK
| | - Latoya Clarke
- />University of Birmingham, Edgbaston, B15 2TT Birmingham UK
| | - Arsal Rana
- />University of Birmingham, Edgbaston, Birmingham B15 2TT UK
| | - Alex Copello
- />University of Birmingham, Edgbaston, Birmingham B15 2TT UK
| |
Collapse
|
12
|
Field CA, Cochran G, Caetano R. Ethnic differences in the effect of drug use and drug dependence on brief motivational interventions targeting alcohol use. Drug Alcohol Depend 2012; 126:21-6. [PMID: 22578530 PMCID: PMC3477497 DOI: 10.1016/j.drugalcdep.2012.04.009] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2011] [Revised: 03/12/2012] [Accepted: 04/14/2012] [Indexed: 11/15/2022]
Abstract
BACKGROUND We examined the effects of baseline drug use and dependence on alcohol use outcomes following brief motivational intervention for at-risk drinking (BMI-ETOH). METHODS HLM models were developed to test the interaction of drug use and dependence with BMI-ETOH for alcohol use among Hispanic (n=539), Caucasian (n=667), and black (n=287) patients admitted to a Level-1 trauma center who screened positive for alcohol misuse. RESULTS Analyses of an interaction of drug dependence and BMI-ETOH at baseline showed significant positive effects among Hispanics but not Caucasians or Blacks at six- and 12-months for percent days abstinent (6-month: B=0.27, SE=0.10, p=0.006; 12-month: B=0.41, SE=0.11, p<0.001), volume per week (6-month: B=-1.91, SE=0.77, p=0.01; 12-month: B = -2.71, SE=0.86, p=0.002), and maximum amount consumed (6-month: B = -1.08, SE=0.46, p=0.02; 12-month: B = -1.62, SE=0.52, p=0.002). CONCLUSIONS Baseline drug dependence did not negatively impact drinking outcomes. Among Hispanics, those with drug dependence at baseline who received a BMI-ETOH demonstrated consistent improvements across drinking outcomes. While the effects of drug use at baseline on drinking outcomes following BMI-ETOH varied by type of drug used and ethnicity, additional research is required.
Collapse
Affiliation(s)
- Craig A Field
- University of Texas at Austin, School of Social Work, Center for Social Work Research, Health Behavior Research and Training Institute, 78703, USA.
| | | | | |
Collapse
|
13
|
Abstract
BACKGROUND Despite many activities to prevent risky alcohol consumption among adolescents and young adults there is an increase of alcohol intoxications in the group of ten to twenty year old juveniles. OBJECTIVES This report gives an overview about the recent literature as well as the German federal prevention system regarding activities concerning behavioral and policy prevention of risky alcohol consumption among children, adolescents and young adults. Furthermore, effective components of prevention activities are identified and the efficiency and efficacy of ongoing prevention programs is evaluated. METHODS A systematic literature review is done in 34 databases using Bool'sche combinations of the key words alcohol, prevention, treatment, children, adolescents and young adults. RESULTS 401 studies were found and 59 studies were selected for the health technology assessment (HTA). Most of the studies are done in USA, nine in Germany. A family strengthening program, personalized computer based intervention at schools, colleges and universities, brief motivational interventions and policy elements like increase of prices and taxes proved effective. DISCUSSION Among the 59 studies there are three meta-analyses, 15 reviews, 17 randomized controlled trials (RCT) and 18 cohort studies. Despite the overall high quality of the study design, many of them have methodological weaknesses (missing randomization, missing or too short follow-ups, not clearly defined measurement parameters). The transferability of US-results to the German context is problematic. Only a few prevention activities reach a sustainable reduction of frequency and/or amount of alcohol consumption. CONCLUSION The HTA-report shows the need to develop specific and target group focused prevention activities for the German situation. Essential for that is the definition of target goals (reduction of consumption, change of behaviour) as well as the definition and empirical validation of risky alcohol consumption. The efficacy of prevention activities should be proven before they are launched. At present activities for the reduction or prevention of risky alcohol consumption are not sufficiently evaluated in Germany concerning their sustainable efficacy.
Collapse
Affiliation(s)
- Dieter Korczak
- GP Forschungsgruppe, Institut für Grundlagen- und Programmforschung, Munich, Germany
| | | | | |
Collapse
|
14
|
Cronce JM, Larimer ME. Individual-focused approaches to the prevention of college student drinking. Alcohol Res Health 2011; 34:210-21. [PMID: 22330220 PMCID: PMC3342066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
Alcohol consumption is prevalent among college students and can become problematic for some. Numerous randomized controlled trials have evaluated the efficacy of individual preventive interventions in reducing alcohol use and alcohol-related problems in college student populations. Consistent with earlier reviews, the balance of the evidence from studies conducted during the past 3 years strongly supports the efficacy of brief motivational interventions combined with personalized feedback interventions (PFIs) and personalized normative feedback (PNF), as well as of stand-alone PFI/PNF interventions. Recent analyses also continue to support the efficacy of alcohol expectancy challenge interventions, although the findings are less consistent. In addition, recent analyses offer mixed support for feedback-based interventions focused solely on blood alcohol concentration and for multicomponent, alcohol education-focused interventions that include elements of PFI/PNF. No evidence of efficacy was found for programs that only included alcohol education.
Collapse
|