Interventions to reduce college student drinking: State of the evidence for mechanisms of behavior change.
Interventions to reduce college student drinking: State of the evidence for mechanisms of behavior change.
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DOI：
10.1016/j.cpr.2015.06.006
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发表时间：
2015-08
影响因子：
12.8
通讯作者：
Carey KB
中科院分区：
文献类型：
--
作者：
Reid AE;Carey KB
减少大学生饮酒的干预措施虽然有效，但通常对行为改变的影响很小。检查变化机制可能有助于通过识别有效和无效的活性成分来提高干预效果的程度。通过建立改变机制的指导方针，我们对大学生的酒精干预进行了系统的回顾，以确定（a）哪些结构已被检查并作为调解人获得支持，（B）提高检测调解可能性的情况，以及（c）改变机制的证据范围。我们确定了61项试验，检查了22种干预疗效的潜在介质。描述性规范一致介导的规范性反馈干预。动机改变始终未能调解动机面试干预。多种活性成分干预措施并不比单一成分干预措施更有可能找到调解的证据。远程提供干预内容降低了找到调解支持的可能性。除了描述性的规范，有心理社会结构的证据不足，声称在大学饮酒文学的变化机制。机制的证据将通过未来的研究产生，这些研究将所有活性成分映射到有针对性的心理社会结果，并在干预后的适当时间间隔内早期、包容性地评估潜在的调解人。
Interventions to reduce college student drinking, although efficacious, generally yield only small effects on behavior change. Examining mechanisms of change may help to improve the magnitude of intervention effects by identifying effective and ineffective active ingredients. Informed by guidelines for establishing mechanisms of change, we conducted a systematic review of alcohol interventions for college students to identify (a) which constructs have been examined and received support as mediators, (b) circumstances that enhance the likelihood of detecting mediation, and (c) the extent of evidence for mechanisms of change. We identified 61 trials that examined 22 potential mediators of intervention efficacy. Descriptive norms consistently mediated normative feedback interventions. Motivation to change consistently failed to mediate motivational interviewing interventions. Multiple active ingredient interventions were not substantially more likely to find evidence of mediation than single ingredient interventions. Delivering intervention content remotely reduced likelihood of finding support for mediation. With the exception of descriptive norms, there is inadequate evidence for the psychosocial constructs purported as mechanisms of change in the college drinking literature. Evidence for mechanisms will be yielded by future studies that map all active ingredients to targeted psychosocial outcomes and that assess potential mediators early, inclusively, and at appropriate intervals following interventions.