A text message intervention for alcohol risk reduction among community college students: TMAP.

A text message intervention for alcohol risk reduction among community college students: TMAP.
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DOI:
10.1016/j.addbeh.2016.07.012
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发表时间:
2016-12
影响因子:
4.4
通讯作者:
Scott-Sheldon LA
Scott-Sheldon LA
中科院分区:
医学2区
文献类型:
--
作者:
Bock BC;Barnett NP;Thind H;Rosen R;Walaska K;Traficante R;Foster R;Deutsch C;Fava JL;Scott-Sheldon LA

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社区大学的学生几乎占美国所有大学生的一半,与四年制大学的学生相比,社区大学的学生酗酒和相关后果的风险更高,但目前还没有针对这一人群的酒精安全计划。目的:探讨社区大学(CC)学生通过短信方式降低酒精风险项目的可行性、可接受性和初步效果。大量饮酒的CC成年学生(N = 60)被招募并随机分配到为期六周的积极干预(短信酒精计划:TMAP)或一般动机(与酒精无关)短信的控制条件。TMAP短信包括酒精事实、限制酒精使用和相关风险的策略以及激励信息。在基线、第6周(治疗结束)和第12周(随访)进行评估。大多数参与者(87%)完成了所有随访评估。干预信息的平均评分为6.8 (SD = 1.5),满分为10分。在第六周,TMAP参与者报告大量饮酒和负面酒精后果的可能性低于对照组。从基线到第六周,TMAP组在高风险情况下抵抗饮酒的自我效能也有显著提高,而对照组没有这种提高。结果维持到第12周的随访。TMAP酒精风险降低计划是可行的,并且通过最终的随访评估和对短信内容的良好评价显示出较高的保留率,这表明TMAP酒精风险降低计划是高度可接受的。多项结果的降低提供了干预效果的积极迹象。
Students at community colleges comprise nearly half of all U.S. college students and show higher risk of heavy drinking and related consequences compared to students at 4-year colleges, but no alcohol safety programs currently target this population. To examine the feasibility, acceptability, and preliminary efficacy of an alcohol risk-reduction program delivered through text messaging designed for community college (CC) students. Heavy drinking adult CC students (N = 60) were enrolled and randomly assigned to the six-week active intervention (Text Message Alcohol Program: TMAP) or a control condition of general motivational (not alcohol related) text messages. TMAP text messages consisted of alcohol facts, strategies to limit alcohol use and related risks, and motivational messages. Assessments were conducted at baseline, week 6 (end of treatment) and week 12 (follow up). Most participants (87%) completed all follow up assessments. Intervention messages received an average rating of 6.8 (SD = 1.5) on a 10-point scale. At week six, TMAP participants were less likely than controls to report heavy drinking and negative alcohol consequences. The TMAP group also showed significant increases in self-efficacy to resist drinking in high risk situations between baseline and week six, with no such increase among controls. Results were maintained through the week 12 follow up. The TMAP alcohol risk reduction program was feasible and highly acceptable indicated by high retention rates through the final follow up assessment and good ratings for the text message content. Reductions in multiple outcomes provide positive indications of intervention efficacy.
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