Main outcomes of M-bridge: A sequential multiple assignment randomized trial (SMART) for developing an adaptive preventive intervention for college drinking.
Main outcomes of M-bridge: A sequential multiple assignment randomized trial (SMART) for developing an adaptive preventive intervention for college drinking.
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DOI：
10.1037/ccp0000663
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发表时间：
2021-07
影响因子：
5.9
通讯作者：
Vock DM
中科院分区：
文献类型：
--
作者：
Patrick ME;Lyden GR;Morrell N;Mehus CJ;Gunlicks-Stoessel M;Lee CM;King CA;Bonar EE;Nahum-Shani I;Almirall D;Larimer ME;Vock DM
目标是为即将入学的一年级学生开发一种通用且资源高效的适应性预防干预措施（API），作为解决酒精相关风险的指示干预措施的桥梁。目的是检查：(1) API 与仅评估对照，(2) 研究设计中嵌入的不同 API（即四种干预序列），以及 (3) 对酗酒干预效果的调节因素。一项序贯多重分配随机试验 (SMART) 包括两种随机化：通用个性化规范反馈的时间安排（前夏与第一学期）和每两周一次的自我监测，以及针对酗酒者的过渡策略（资源电子邮件与健康指导邀请）。参与者（N=891，其中 62.4% 为女性，76.8% 为白人）在第一和第二学期末接受了调查。主要结果是酗酒频率（女性/男性饮酒 4+/5+）；次要结果是酒精后果和卫生服务利用。 API（与对照相比）与结果没有显着相关。嵌入式 API 之间没有差异。在酗酒者中，资源电子邮件（相对于健康教练邀请）导致了更高的健康服务利用率。主持人分析表明，打算进入希腊生活的学生从任何 API 中受益更多（与对照相比；与大学前相比，酗酒频率的增幅减少了 42%）。尽管总体效果并不显着，但高风险学生（即进入兄弟会/姐妹会）确实从干预中受益更多。此外，资源电子邮件对于酗酒者也很有效。基于技术的策略为酗酒者提供有针对性的轻资源干预措施可能会有效减少大学过渡期间的酗酒。
The goal was to develop a universal and resource-efficient adaptive preventive intervention (API) for incoming first-year students as a bridge to indicated interventions to address alcohol-related risks. The aims were to examine: (1) API vs. assessment-only control, (2) the different APIs (i.e., four intervention sequences) embedded in the study design, and (3) moderators of intervention effects on binge drinking. A sequential multiple assignment randomized trial (SMART) included two randomizations: timing (summer before vs. first semester) of universal personalized normative feedback and biweekly self-monitoring and, for heavy drinkers, bridging strategy (resource email vs. health coaching invitation). Participants (N=891, 62.4% female, 76.8% White) were surveyed at the end of first and second semester. The primary outcome was binge drinking frequency (4+/5+ drinks for females/males); secondary outcomes were alcohol consequences and health services utilization. API (vs. control) was not significantly associated with outcomes. There were no differences between embedded APIs. Among heavy drinkers, the resource email (vs. health coach invitation) led to greater health services utilization. Moderator analyses suggested students intending to pledge into Greek life benefited more from any API (vs. control; 42% smaller increase from pre-college in binge drinking frequency). Although overall effects were not significant, students at high risk (i.e., entering fraternities/sororities) did benefit more from the intervention. Furthermore, the resource email was effective for heavier drinkers. A technology-based strategy to deliver targeted resource-light interventions for heavy drinkers may be effective for reducing binge drinking during the transition to college.
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影响因子：
22.4
作者：
Harkin, Benjamin;Webb, Thomas L.;Sheeran, Paschal
通讯作者：
Sheeran, Paschal
影响因子：
5.9
作者：
KANFER, FH
通讯作者：
KANFER, FH
影响因子：
2.4
作者：
Amaro, Hortensia;Reed, Elizabeth;Prado, Guillermo
通讯作者：
Prado, Guillermo
影响因子：
3.4
作者：
Grazioli, Veronique S.;Dillworth, Tiara;Larimer, Mary E.
通讯作者：
Larimer, Mary E.
DOI：
10.1111/acer.12714
发表时间：
2015-05
期刊：
Alcoholism, clinical and experimental research
影响因子：
--
作者：
Huh D;Mun EY;Larimer ME;White HR;Ray AE;Rhew IC;Kim SY;Jiao Y;Atkins DC
通讯作者：
Atkins DC