Randomized controlled trial of a Spring Break intervention to reduce high-risk drinking.

Randomized controlled trial of a Spring Break intervention to reduce high-risk drinking.
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DOI:
10.1037/a0035743
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发表时间:
2014-04
影响因子:
5.9
通讯作者:
Larimer ME
Larimer ME
中科院分区:
心理学1区
文献类型:
--
作者:
Lee CM;Neighbors C;Lewis MA;Kaysen D;Mittmann A;Geisner IM;Atkins DC;Zheng C;Garberson LA;Kilmer JR;Larimer ME

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虽然最近的研究记录了春假期间饮酒的高危人群,特别是与朋友一起出游时,但发表的干预研究很少。本研究评估了事件特异性预防(ESP)策略在减少大学生SB饮酒方面的效果,与一般预防策略和仅评估对照组相比,并评估了同伴参与干预和干预交付模式(面对面与网络)。参与者包括783名本科生(56.1%为女性,平均年龄20.5岁),他们打算和朋友一起去SB旅行,并且至少在SB旅行的一天内大量饮酒。参与者在SB之前完成了评估,并被随机分配到五种干预条件中的一种:SB面对面基础、SB网络基础、SB与朋友面对面基础、SB与朋友网络基础、一般基础或注意力控制条件。随访评估在SB后一周完成。虽然SB网络基础(有朋友和没有朋友)和一般基础干预在减少SB饮酒方面没有效果,但结果表明SB面对面基础干预在减少SB饮酒方面有显著效果,特别是在旅行期间。随访分析表明,描述性规范的改变介导了治疗效果和饮酒减少,而SB饮酒意图和积极期望则没有。总的来说,结果表明,针对SB的亲自干预对减少SB饮酒是有效的,尤其是在旅行期间。相比之下,包含非SB相关内容、基于网络或寻求朋友参与的干预措施在减少SB饮酒方面可能效果较差。
While recent studies have documented high-risk drinking occurring during Spring Break (SB), particularly on SB trips with friends, published intervention studies are few. The present study evaluated the efficacy of Event Specific Prevention (ESP) strategies for reducing SB drinking among college students, compared to general prevention strategies and an assessment-only control group, as well as evaluated inclusion of peers in interventions and mode of intervention delivery (in-person vs. web). Participants included 783 undergraduates (56.1% women, average age 20.5) intending to go on a SB trip with friends as well as to drink heavily on at least one day of SB. Participants completed assessments prior to SB and were randomized to one of five intervention conditions: SB in-person BASICS, SB web BASICS, SB in-person BASICS with friend, SB web BASICS with friend, general BASICS, or an attention control condition. Follow-up assessment was completed one week after SB. While the SB web BASICS (with and without friends) and general BASICS interventions were not effective at reducing SB drinking, results indicated significant intervention effects for SB in-person BASICS in reducing SB drinking, particularly on trip days. Follow-up analyses indicated change in descriptive norms mediated treatment effect and reductions in drinking, while SB drinking intentions and positive expectancies did not. Overall, results suggest an in-person SB-specific intervention is effective at reducing SB drinking, especially during trips. In contrast, interventions that contain non-SB related content, are web-based, or seek to involve friends may be less effective at reducing SB drinking.
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