Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2016 Feb;84(2):103-12.
doi: 10.1037/a0039800. Epub 2015 Oct 12.

Mandated college students' response to sequentially administered alcohol interventions in a randomized clinical trial using stepped care

Brian Borsari  1 , Molly Magill  2 , Nadine R Mastroleo  3 , John T P Hustad  4 , Tracy O'Leary Tevyaw  1 , Nancy P Barnett  2 , Christopher W Kahler  2 , Erica Eaton  2 , Peter M Monti  2
Affiliations
Randomized Controlled Trial

Mandated college students' response to sequentially administered alcohol interventions in a randomized clinical trial using stepped care

Brian Borsari et al. J Consult Clin Psychol. 2016 Feb.

Abstract

Objective: Students referred to school administration for alcohol policies violations currently receive a wide variety of interventions. This study examined predictors of response to 2 interventions delivered to mandated college students (N = 598) using a stepped care approach incorporating a peer-delivered 15-min brief advice (BA) session (Step 1) and a 60- to 90-min brief motivational intervention (BMI) delivered by trained interventionists (Step 2).

Method: Analyses were completed in 2 stages. First, 3 types of variables (screening variables, alcohol-related cognitions, mandated student profile) were examined in a logistic regression model as putative predictors of lower risk drinking (defined as 3 or fewer heavy episodic drinking [HED] episodes and/or 4 or fewer alcohol-related consequences in the past month) 6 weeks following the BA session. Second, we used generalized estimating equations to examine putative moderators of BMI effects on HED and peak blood alcohol content compared with assessment only (AO) control over the 3-, 6-, and 9-month follow-ups.

Results: Participants reporting lower scores on the Alcohol Use Disorders Identification Test, more benefits to changing alcohol use, and those who fit the "Bad Incident" profile at baseline were more likely to report lower risk drinking 6 weeks after the BA session. Moderation analyses revealed that Bad Incident students who received the BMI reported more HED at 9-month follow-up than those who received AO.

Conclusion: Current alcohol use as well as personal reaction to the referral event may have clinical utility in identifying which mandated students benefit from treatments of varying content and intensity.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Randomized Clinical Trial Implementing Stepped Care for Mandated College Students
Figure 2
Figure 2
Difference between Brief Motivational Intervention (BMI) and Assessment Only (AO) groups on 9-month heavy episodic drinking (HED) episodes by mandated student profile.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Aiken LS, West SG. Multiple Regression: Testing and Interpreting Interactions. Newbury Park, CA: Sage Publications; 1991.
    1. Apodaca TR, Borsari B, Jackson KM, Magill M, Longabaugh R, Mastroleo NR, Barnett NP. Sustain Talk Predicts Poorer Outcomes among Mandated College Student Drinkers Receiving a Brief Motivational Intervention. Psychology of Addictive Behaviors. 2014;28:631–636. doi: 10.1037/a0037296. - DOI - PMC - PubMed
    1. Apodaca TR, Longabaugh R. Mechanisms of change in motivational interviewing: A review and preliminary evaluation of the evidence. Addiction. 2009;104(5):705–715. doi: 10.1111/j.1360-0443.2009.02527.x. - DOI - PMC - PubMed
    1. Baer JS, Stacy A, Larimer ME. Biases in the perception of drinking norms among college students. Journal of Studies on Alcohol. 1991;52(6):580–586. - PubMed
    1. Barnett NP, Borsari B, Hustad JTP, Tevyaw TO, Colby SM, Kahler CW, Monti PM. Profiles of college students mandated to alcohol intervention. Journal of Studies on Alcohol and Drugs. 2008;69(5):684–694. - PMC - PubMed

Publication types