Weighing the Pros and Cons of Using Alcohol Protective Behavioral Strategies: A Qualitative Examination among College Students
Weighing the Pros and Cons of Using Alcohol Protective Behavioral Strategies: A Qualitative Examination among College Students
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DOI：
10.1080/10826084.2018.1464026
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发表时间：
2018-01-01
影响因子：
2
通讯作者：
Henson, James M.
中科院分区：
文献类型：
--
作者：
Bravo, Adrian J.;Pearson, Matthew R.;Henson, James M.
背景资料：酒精保护行为策略（英语：Alcohol protective behaviour strategies，PBS）是指在饮酒之前、期间、之后或代替饮酒的行为，其明确目标是减少酒精使用、中毒和/或与酒精相关的伤害。尽管定量支持酒精PBS作为大学生饮酒者的保护因素，我们知道没有定性研究，旨在确定大学生饮酒者的看法，使用PBS的优点和缺点。目的：在决策平衡练习的风格，我们要求大学生饮酒者（分析n = 113），以确定5个原因，他们不会使用PBS（缺点）和5个原因，他们会使用PBS（优点）。方法：参与者（大多数女性，77.0%）是从美国东南部一所大型大学的心理学系参与者库中招募的。在我们的分析样本中，参与者平均每周饮酒6.38杯（SD = 8.16），在过去30天内平均饮酒7.5天（SD = 5.83）。结果如下：使用描述性现象学的方法，我们确定了2个主题的优点（预防特定的负面酒精相关的后果和一般安全）和4个主题的缺点（目标冲突，无效性，执行困难，和负面的同行/社会反响）。总体而言，参与者报告的优点多于缺点，这种差异（即，PBS优点的数量减去PBS缺点的数量）与自我报告的PBS使用频率呈正相关。结论/重要性：总之，我们希望临床医生/研究人员将探讨个人的原因，选择使用（或不使用）PBS，以定制或改善现有的PBS为基础的干预措施。
Background: Alcohol protective behavioral strategies (PBS) are behaviors engaged in immediately prior to, during, after, or instead of drinking with the explicit goal of reducing alcohol use, intoxication, and/or alcohol-related harms. Despite the quantitative support for alcohol PBS as a protective factor among college student drinkers, we know of no qualitative research aimed at determining college student drinkers' perceptions regarding the advantages and disadvantages of using PBS. Objectives: In the style of a decisional balance exercise, we asked college student drinkers (analytic n = 113) to identify 5 reasons they would not use PBS (cons) and 5 reasons they would use PBS (pros). Method: Participants (majority female, 77.0%) were recruited from a psychology department participant pool at a large, southeastern university in the United States. Within our analytic sample, participants on average consumed 6.38 (SD = 8.16) drinks per typical week of drinking and reported consuming alcohol on average 7.5days (SD = 5.83) in the last 30days. Results: Using a descriptive phenomenological approach, we identified 2 themes for pros (prevention of specific negative alcohol-related consequences and general safety) and 4 themes for cons (goal conflict, ineffectiveness, difficulty of implementation, and negative peer/social repercussions). Overall, participants reported more pros than cons and this discrepancy (i.e., number of PBS pros minus number of PBS cons) was positively related to self-reported frequency of PBS use. Conclusions/Importance: Taken together, we hope that clinicians/researchers will probe individual's reasons for choosing to use (or not use) PBS in order to tailor or improve existing PBS-based interventions.