Readiness to Change Drinking Behavior in Female College Students
Readiness to Change Drinking Behavior in Female College Students
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DOI：
10.15288/jsads.2009.s16.106
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发表时间：
2009-07-01
影响因子：
3.4
通讯作者：
Tollison, Sean J.
中科院分区：
文献类型：
--
作者：
Kaysen, Debra L.;Lee, Christine M.;Tollison, Sean J.
目的：动机访谈（MI）疗法在减少大学人群饮酒高危人群中是有效的。尽管研究支持心肌梗死预防策略在减少酒精使用方面的有效性，但很少有数据检验改变意愿（RTC），即心肌梗死干预的潜在理论模型。本研究的目的是探讨RTC变异性和饮酒行为，以及与对照组相比，干预组的m1是否会增加RTC。方法：以285名女大学生为研究对象。目前的分析集中在研究前一个月饮酒的学生（n = 182）。RTC是用准备改变标尺测量的。结果：采用层次线性模型进行分析。RTC差异显著：71.86%的RTC差异为人间差异，28.14%为人内差异。较高的RTC与较低的饮酒意图和未来的饮酒行为有关。然而，在学生喝得更多的几周内，他们的RTC减少了。基于显著的跨水平交互作用，干预组的RTC显著高于对照组。结论：这些结果为我们的假设提供了部分支持，RTC的整体理论结构在个体之间和个体内部都存在差异。这些结果也为基于mi的预防策略在增加个体RTC方面的效用提供了支持。然而，我们并没有一致地发现这些变化与饮酒变化有关。研究结果支持RTC的构建和MI干预在改变女大学生这些信念方面的效用。（《酒精药物学杂志》，补编第16号：106-114,2009年）
Objective: Motivational interviewing (MI) therapies are effective in reducing high-risk drinking in college populations. Although research supports efficacy of MI prevention strategies in reducing alcohol use, there are little data examining readiness to change (RTC), the underlying theoretical model of MI interventions. The purpose of the present study was to explore RTC variability and drinking behavior and whether M I increases RTC in an intervention group compared with controls. Method: Two-hundred eighty-five first-year female college students participated in the study. Present analyses focused on those students who consumed alcohol in the month before the study (n = 182). RTC was measured using the Readiness to Change Ruler. Results: Analyses were conducted using hierarchical linear modeling. There was significant variability in RTC: 71.86% of variance in RTC was between-person differences, and 28.14% was within-person differences. Higher RTC was associated with lower intentions to drink and future drinking behavior. However, in weeks in which students drank more, they experienced a decrease in RTC. Based on the significant cross-level interaction, the intervention group had significantly higher RTC than controls. Conclusions: These results provided partial support for our hypotheses, The overall theoretical construct of RTC varies both across and within individuals. These results also offer support for the utility of MI-based prevention strategies in increasing RTC within individuals. However, we did not consistently find that these changes related to drinking changes. Findings provide support for both the construct of RTC and utility of MI interventions in changing these beliefs in female college students. (J Stud Alcohol Drugs, Supplement No. 16: 106-114, 2009)