Criterion Validity of Protective Behavioral Strategies for Alcohol Consumption among College Students: Comparison across Two Measures.

Criterion Validity of Protective Behavioral Strategies for Alcohol Consumption among College Students: Comparison across Two Measures.
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大学生饮酒保护行为策略的标准有效性:两种措施的比较。

DOI:
10.1080/10826084.2022.2125275
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发表时间:
2023
影响因子:
2
通讯作者:
Carey,KateB
Carey,KateB
中科院分区:
医学4区
文献类型:
--
作者:
Braitman,AbbyL;Stamates,Amy;Colangelo,Melissa;Ehlke,SarahJ;Ortman,Jordan;Heron,KristinE;Carey,KateB

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背景资料:保护性行为策略(PBS),或用于减少与酒精使用相关的伤害的行为,通常与较低的酒精消费水平,较低的高风险饮酒行为,以及较少的酒精相关后果有关。虽然大多数研究发现PBS使用量增加与消费量减少或后果减少之间存在显着关联,但一些研究发现了不显着甚至是积极的关联。一个解释性的假设是,混合调查结果是由于不同的内容在PBS的措施。目的:本研究探讨了两个广泛使用的PBS措施,PBSS和SQ的效标效度。在一项评估酒精结果的多机构在线研究中,大学饮酒者被随机分配完成一项PBS测量。这两项措施都有相同的应对方案,以标准化评估和注重内容。结果如下:研究结果表明,PBS的这两种测量方法在多个亚群(即,关联强度不受性别、种族或饮酒水平的影响)。结论/重要性:一些PBS分量表比其他分量表更有影响力,这表明研究人员可能希望根据感兴趣的结果选择使用哪种PBS量表,或者在确定饮酒的替代品是否是PBS研究问题的重要方面之后。此外,分量表的差异结果表明,纳入PBS的预防和干预计划应侧重于避免高风险情景的策略(例如,避免射击或饮酒游戏),而不是自我调节的一般策略。
Background: Protective behavioral strategies (PBS), or behaviors used to reduce harm associated with alcohol use, are often associated with lower levels of alcohol consumption, lower engagement in high-risk drinking behaviors, and fewer alcohol-related consequences. Although the majority of studies have found significant associations between higher PBS use and lower consumption or consequences, some studies have found nonsignificant or even positive associations. One explanatory hypothesis is that the mixed findings are due to differential content in PBS measures. Objectives: The current study examined the criterion validity of two widely-used PBS measures, the PBSS and the SQ. In a multi-institution online study assessing alcohol outcomes, college drinkers were randomly assigned to complete one PBS measure. Both measures had the same response options to standardize assessment and focus on content. Results: Findings suggest both measures of PBS are consistently predictive of alcohol outcomes among college drinkers, across multiple subpopulations (i.e., strength of association was not moderated by sex, race, or drinking level). Conclusions/Importance: Some PBS subscales were more impactful than others, suggesting researchers may want to choose which PBS scale to use based on outcomes of interest, or after determining if alternatives to drinking is an important facet of PBS for the research questions being examined. Moreover, the differential findings for subscales suggest that prevention and intervention programs incorporating PBS should focus on strategies that avoid high-risk scenarios (e.g., avoiding shots or drinking games), rather than general strategies of self-pacing.
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