Examining engagement effects in an adaptive preventive intervention for college student drinking.

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL Journal of consulting and clinical psychology Pub Date : 2023-11-01 Epub Date: 2023-08-31 DOI:10.1037/ccp0000845

Megan E Patrick, Aparajita Sur, Brooke Arterberry, Sarah Peterson, Nicole Morrell, David M Vock

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Abstract

Objective: This study determined the characteristics of engagement and whether engagement in an adaptive preventive intervention (API) was associated with reduced binge drinking and alcohol-related consequences.

Method: Incoming students were recruited for a sequential multiple assignment randomized trial (SMART; N = 891, 62.4% female, 76.8% non-Hispanic White) with an assessment-only control group. The API occurred during the first semester of college, with outcomes assessed at the end of the semester. The API involved two stages. Stage 1 included universal intervention components (personalized normative feedback [PNF] and self-monitoring). Stage 2 bridged heavy drinkers to access additional resources. We estimated the effect of engagement in Stage 1 only and in the whole API (Stages 1 and 2) among the intervention group, and the effect of the API versus control had all students assigned an API engaged, on alcohol-related outcomes.

Results: Precollege binge drinking, intention to pledge a fraternity/sorority, and higher conformity motives were most associated with lower odds of Stage 1 engagement. Action (readiness to change) and PNF engagement were associated with Stage 2 engagement. API engagement was associated with significant reductions in alcohol-related consequences among heavy drinkers. Compared to the control, we estimated the API would reduce the relative increase in alcohol-related consequences from baseline to follow-up by 25%, had all API students engaged.

Conclusions: Even partial engagement in each component of the "light-touch" API rendered benefits. Analyses suggested that had all students in the intervention group engaged, the API would significantly reduce the change in alcohol-related consequences over the first semester in college. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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研究大学生饮酒适应性预防干预的参与效果。

目的：本研究确定了参与的特征，以及参与自适应预防干预（API）是否与酗酒和酒精相关后果的减少有关。方法：招募来校学生参加一项连续的多任务随机试验（SMART；N=891，62.4%为女性，76.8%为非西班牙裔白人），对照组仅进行评估。API发生在大学第一学期，在学期末评估结果。API涉及两个阶段。第1阶段包括普遍干预部分（个性化规范性反馈[PNF]和自我监测）。第二阶段为重度饮酒者提供额外资源。我们估计了干预组中仅参与第1阶段和整个API（第1和第2阶段）对酒精相关结果的影响，以及API与对照组的影响，即所有被分配API参与的学生对酒精相关结果的影响。结果：大学前酗酒、承诺加入兄弟会/女生联谊会的意图以及较高的从众动机与第一阶段参与的几率较低最相关。行动（准备改变）和PNF参与与第2阶段参与相关。在重度饮酒者中，API的参与与酒精相关后果的显著降低相关。与对照组相比，我们估计，如果所有API学生都参与，API将使从基线到随访的酒精相关后果的相对增加减少25%。结论：即使部分参与“轻接触”API的每个组成部分也会带来好处。分析表明，如果干预组的所有学生都参与，API将显著减少大学第一学期与酒精相关的后果的变化。（PsycInfo数据库记录（c）2023 APA，保留所有权利）。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.