Using counterattitudinal advocacy to change drinking: A pilot study.
Using counterattitudinal advocacy to change drinking: A pilot study.
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DOI：
10.1037/adb0000334
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发表时间：
2018-03
期刊：
影响因子：
--
通讯作者：
Cushing V
中科院分区：
文献类型：
--
作者：
DiBello AM;Carey KB;Cushing V
大学年轻人中危险饮酒的持续存在要求继续努力防止与酒精有关的伤害。这项研究测试了一种新的预防策略，针对一个特定的变化机制：创造态度行为失调。通过大量的文献资料显示，酒精态度和饮酒行为之间存在强烈而一致的关联，我们采用了简短的反态度宣传（CAA）操纵酒精预防背景。我们对49名重度饮酒的学生进行了一项小型RCT，这些学生报告在一次会议上喝了4/5杯酒（分别为女性/男性），并在上个月认可了≥2次酒精相关后果。参与者被随机分配到两个条件之一（CAA或对照）。我们检查了响应提示的单词数量，评估了CAA中使用的核心理论原则的遵守情况，并计算了初步结果（饮酒意图和酒精消费）的组内和组间效应量。我们发现CAA条件下的参与者写得更多，并且这种经历被认为与CAA理论一致。对于CAA条件下的受试者，饮酒意向和每次饮酒量的组间效应量分别为d = .36和d = .27，每周饮酒量的组内效应量为d = .83。总体而言，这项试点研究的结果支持CAA为基础的酒精使用干预的可行性和可接受性。这项研究是一个有希望的第一步，适应CAA为基础的干预措施，用于酒精使用领域。
The persistence of risky drinking among young adults in college calls for continued efforts to prevent alcohol-related harms. This study tested a novel prevention strategy targeting a specific mechanism of change: creating attitude-behavior dissonance. Informed by an extensive literature showing strong and consistent associations between alcohol attitudes and drinking behavior, we adapted a brief counter-attitudinal advocacy (CAA) manipulation to the alcohol prevention context. We conducted a small RCT with 49 heavy drinking students who reported drinking 4/5 drinks in one sitting (female/male respectively) and endorsed ≥2 alcohol-related consequences in the previous month. Participants were randomly assigned to one of two conditions (CAA or Control). We examined the number of words written in response to the prompts, evaluated adherence to the core theoretical principles used in CAA, and calculated between- and within-group effect sizes on preliminary outcomes (drinking intentions and alcohol consumption). We found that participants in the CAA condition wrote more, and the experience was perceived as consistent with CAA theory. The between group effect sizes on drinking intentions and drinks per were d = .36 and d = .27 respectively and the within group effect size for drinks per week was d = .83 for those in the CAA condition. Overall, the results of this pilot study supports the feasibility and acceptability of CAA based alcohol use interventions. This study represents a promising first step in adapting CAA-based interventions for use in the alcohol-use domain.
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