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Randomized Controlled Trial
. 2012 Dec;80(6):1062-74.
doi: 10.1037/a0029902. Epub 2012 Aug 27.

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

Brian Borsari  1 , John T P Hustad, Nadine R Mastroleo, Tracy O'Leary Tevyaw, Nancy P Barnett, Christopher W Kahler, Erica Eaton Short, Peter M Monti
Affiliations
Randomized Controlled Trial

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

Brian Borsari et al. J Consult Clin Psychol. 2012 Dec.

Abstract

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.

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Figures

Figure 1
Figure 1
Participant flow
Figure 2
Figure 2
Number of heavy drinking days over time
Figure 3
Figure 3
Estimated peak blood alcohol concentration over time
Figure 4
Figure 4
Number of alcohol-related consequences over time
See this image and copyright information in PMC

References

    1. Babor TF. Avoiding the Horrid and Beastly Sin of Drunkenness - Does Dissuasion Make a Difference. Journal of Consulting and Clinical Psychology. 1994;62(6):1127–1140. - PubMed
    1. Baer JS, Ball SA, Campbell BK, Miele GM, Schoener EP, Tracy K. Training and fidelity monitoring of behavioral interventions in multi-site addictions research. Drug and Alcohol Dependence. 2007;87(2–3):107–118. doi: 10.1016/j.drugalcdep.2006.08.028. - DOI - PMC - PubMed
    1. Baer JS, Kivlahan DR, Blume AW, McKnight P, Marlatt GA. Brief intervention for heavy-drinking college students: 4-year follow-up and natural history. American Journal of Public Health. 2001;91(8):1310. - PMC - PubMed
    1. Barnett NP, Borsari B, Hustad JTP, O’Leary Tevyaw T, Colby SM, Kahler CW, Monti PM. Profiles of college students mandated to alcohol interventions. Journal of Studies on Alcohol and Drugs. 2008;69:684–694. - PMC - PubMed
    1. Barnett NP, Borsari B, Hustad JTP, Tevyaw TOL, Colby SM, Kahler CW, Monti PM. Profiles of college students mandated to alcohol interventions. Journal of Studies on Alcohol and Drugs. 2008;69:684–694. - PMC - PubMed

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