预防大学一年级女生危险饮酒:女性特定动机增强组干预的进一步验证。

Joseph W LaBrie, Karen K Huchting, Andrew Lac, Summer Tawalbeh, Alysha D Thompson, Mary E Larimer
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引用次数: 49

摘要

目的:女大学生饮酒率上升。目前的研究试图复制针对女性的动机增强小组干预的有效性,并通过增加6个月的随访来扩展先前的工作。干预包括在小组环境中提供的几个动机增强组件,包括对女性饮酒特定原因的小组讨论。方法:研究对象为285名大学一年级女生。数据收集包括在线干预前问卷,10周的在线随访评估和6个月的在线随访。采用随机设计,参与者选择了一个小组会议,对治疗状况一无所知。在第一学期的第一周,159名参与者接受了干预,126名参与者接受了仅评估的控制。结果:通过重复测量协方差分析,在10周的随访中,干预参与者每周饮酒量(F = 11.86, 1/252 df, p < .001)、最大饮酒量(F = 11.90, 1/252 df, p < .001)和重度间歇性饮酒事件(F = 20.14, 1/252 df, p < .001)显著低于对照组。然而,这些影响在6个月的随访中并未持续。社会动机对所有饮酒变量都有调节作用,因此对那些饮酒的社会动机较高的妇女干预最有效。结论:女性特定动机组干预在一年级女性,特别是有社会饮酒动机的女性中创造低风险饮酒模式的效果被发现。这种效果在第二学期就消失了,这表明需要进行维护或加强治疗。
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Preventing risky drinking in first-year college women: further validation of a female-specific motivational-enhancement group intervention.

Objective: Female college students have increased their alcohol consumption rates. The current study sought to replicate the effectiveness of a female-specific motivational-enhancement group intervention and extended previous work by adding a 6-month follow-up. The intervention included several motivational-enhancement components delivered in a group setting and included a group discussion of female-specific reasons for drinking.

Method: Participants were 285 first-year college women. Data collection consisted of an online pre-intervention questionnaire, 10 weeks of online follow-up assessment, and a 6-month online follow-up. Using a randomized design, participants chose a group session, blind to treatment status. Held during the first weeks of the first semester, 159 participants received the intervention and 126 participants received an assessment-only control.

Results: Using a repeated-measures analysis of covariance, intervention participants consumed significantly less than control participants on drinks per week (F = 11.86, 1/252 df, p < .001), maximum drinks (F = 11.90, 1/252 df, p < .001), and heavy episodic drinking events (F = 20.14, 1/252 df, p < .001) across 10 weeks of follow-up. However, these effects did not persist at the 6-month follow-up. Moderation effects were found for social motives on all drinking variables, such that the intervention was most effective for those women with higher social motives for drinking.

Conclusions: Efficacy was found for a female-specific motivational group intervention in creating less risky drinking patterns among first-year women, especially women with social motives for drinking. The effect dissipated by the second semester, suggesting the need for maintenance or booster sessions.

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