Personalized mailed feedback for college drinking prevention: A randomized clinical trial
Personalized mailed feedback for college drinking prevention: A randomized clinical trial
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DOI：
10.1037/0022-006x.75.2.285
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发表时间：
2007-04-01
影响因子：
5.9
通讯作者：
Neighbors, Clayton
中科院分区：
文献类型：
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作者：
Larimer, Mary E.;Lee, Christine M.;Neighbors, Clayton
目前的研究旨在评估邮寄反馈和提示干预作为一种普遍的大学饮酒预防策略的有效性。参与者(N=1,488)被随机分配到反馈或仅评估的控制条件下。结果表明，邮寄反馈干预总体上对饮酒率具有预防作用，与对照组相比，处于反馈状态的参与者在随访时饮酒量较少。此外，与对照组参与者相比，处于反馈条件下的戒酒者在随访中保持戒酒的可能性是对照组的两倍(优势比=2.02)，并且反馈参与者明显更有可能避免大量发作饮酒(优势比=1.43)。在这些分析中，性别和基线饮酒的严重程度都不会影响干预的效果，但利用最后观察结果进行的更保守的分析表明，女性和戒酒者从这种预防方法中受益更多。保护性行为调节了干预效果，接受干预的参与者更有可能使用设置限制和将酒精与非酒精饮料交替饮用等策略。讨论了这些发现对普遍预防大学饮酒的影响。
The current study was designed to evaluate the efficacy of a mailed feedback and tips intervention as a universal prevention strategy for college drinking. Participants (N = 1,488) were randomly assigned to feedback or assessment-only control conditions. Results indicated that the mailed feedback intervention had a preventive effect on drinking rates overall, with participants in the feedback condition consuming less alcohol at follow-up in comparison with controls. In addition, abstainers in the feedback condition were twice as likely to remain abstinent from alcohol at follow-up in comparison with control participants (odds ratio = 2.02), and feedback participants were significantly more likely to refrain from heavy episodic drinking (odds ratio = 1.43). Neither gender nor severity of baseline drinking moderated the efficacy of the intervention in these analyses, but more conservative analyses utilizing last-observation carryforward suggested women and abstainers benefited more from this prevention approach. Protective behaviors mediated intervention efficacy, with participants who received the intervention being more likely to use strategies such as setting limits and alternating alcohol with nonalcoholic beverages. Implications of these findings for universal prevention of college drinking are discussed.