Addressing alcohol use and problems in mandated college students: A randomized clinical trial using stepped care

Autor: Christopher W. Kahler, Erica Eaton Short, Brian Borsari, Nadine R. Mastroleo, Tracy O.Leary Tevyaw, John T.P. Hustad, Peter M. Monti, Nancy P. Barnett
Rok vydání: 2012
Předmět:
Cost effectiveness
college
Motivational interviewing
Alcohol abuse
Poison control
Alcohol education
Underage Drinking
Mandatory Programs
Cardiovascular
stepped care
Oral and gastrointestinal
law.invention
Substance Misuse
Alcohol Use and Health
mandated students
Randomized controlled trial
law
Psychology
intervention
Cancer
Pediatric
alcohol
Stroke
Alcoholism
Psychiatry and Mental health
Clinical Psychology
Treatment Outcome
Brief
Alcohol-Related Disorders
medicine.medical_specialty
Adolescent
Universities
Referral
Clinical Trials and Supportive Activities
education
Motivational Interviewing
Article
Young Adult
Screening And Brief Intervention For Substance Abuse
Patient Education as Topic
Clinical Research
Intervention (counseling)
medicine
Humans
Students
business.industry
Prevention
medicine.disease
Psychotherapy
Good Health and Well Being
Family medicine
Physical therapy
Psychotherapy
Brief
business
Zdroj: Journal of consulting and clinical psychology, vol 80, iss 6
ISSN: 1939-2117
0022-006X
DOI: 10.1037/a0029902
Popis: Objective: Over the past 2 decades, colleges and universities have seen a large increase in the number of students referred to the administration for alcohol policies violations. However, a substantial portion of mandated students may not require extensive treatment. Stepped care may maximize treatment efficiency and greatly reduce the demands on campus alcohol programs. Method: Participants in the study (N = 598) were college students mandated to attend an alcohol program following a campus-based alcohol citation. All participants received Step 1: a 15-min brief advice session that included the provision of a booklet containing advice to reduce drinking. Participants were assessed 6 weeks after receiving the brief advice, and those who continued to exhibit risky alcohol use (n = 405) were randomized to Step 2, a 60- to 90-min brief motivational intervention (n = 211), or an assessment-only control (n = 194). Follow-up assessments were conducted 3, 6, and 9 months after Step 2. Results: Results indicated that the participants who received a brief motivational intervention showed a significantly reduced number of alcohol-related problems compared to those who received assessment only, despite no significant group differences in alcohol use. In addition, low-risk drinkers (n = 102; who reported low alcohol use and related harms at 6-week follow-up and were not randomized to stepped care) showed a stable alcohol use pattern throughout the follow-up period, indicating they required no additional intervention. Conclusion: Stepped care is an efficient and cost-effective method to reduce harms associated with alcohol use by mandated students. (PsycINFO Database Record (c) 2012 APA, all rights reserved). Language: en
Databáze: OpenAIRE
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