Efficacy of counselor vs. computer-delivered intervention with mandated college students.
The purpose of this study was to evaluate the efficacy of two brief interventions and the inclusion of a 1-month booster session with college students who were referred to attend alcohol education following an alcohol-related incident. Participants (N=225; 48.9% male) were randomly assigned to receive one session of a Brief Motivational Interview (BMI) or computer-delivered intervention (CDI) with the Alcohol 101 CD-ROM. Participants were also randomly assigned to booster/no booster. At 3-month follow up, participants in BMI reported greater help seeking and use of behavioral strategies to moderate drinking. At 12-month follow up, BMI participants were drinking more frequently and CDI participants were consuming a greater number of drinks per occasion than at baseline. Mediation analyses showed that the use of specific behavioral strategies mediated the effect of the BMI condition on drinking volume. There was no intervention effect on alcohol problems, and the booster condition did not significantly affect outcomes. Promoting specific behaviors in the context of in-person brief interventions may be a promising approach to reducing drinking volume among identified at-risk students.
Barnett
Nancy P
NP
Brown University, Center for Alcohol and Addiction Studies, Providence, RI 02912, USA. Nancy_Barnett@brown.edu
Murphy
James G
JG
Colby
Suzanne M
SM
Monti
Peter M
PM
D000428:Alcohol Drinking / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D003194:Computer-Assisted Instruction / Q000379:methods; D037001:Directive Counseling / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D037141:Mandatory Programs; D009042:Motivation; D011614:Psychotherapy, Brief; D013334:Students; D016896:Treatment Outcome
Addiction. 1993 Jun;88(6):791-804
8329970
J Am Coll Health. 1992 Sep;41(2):49-58
1460173
Am J Public Health. 1996 Jul;86(7):948-55
8669518
Arch Pediatr Adolesc Med. 1996 Jul;150(7):699-702
8673193
Health Educ Q. 1996 Feb;23(1):98-114
8822404
J Consult Clin Psychol. 1998 Aug;66(4):604-15
9735576
Addict Behav. 1999 Jan-Feb;24(1):17-35
10189970
J Consult Clin Psychol. 2004 Dec;72(6):1038-49
15612850
Psychol Addict Behav. 2004 Dec;18(4):390-3
15631613
Alcohol Clin Exp Res. 2005 Feb;29(2):235-47
15714046
Alcohol Clin Exp Res. 2005 Feb;29(2):270-7
15714050
J Subst Abuse Treat. 2005 Jan;28(1):19-26
15723728
Annu Rev Public Health. 2005;26:259-79
15760289
Br J Gen Pract. 2005 Apr;55(513):305-12
15826439
Addict Behav. 2005 Jul;30(6):1168-82
15925126
J Subst Abuse Treat. 2005 Sep;29(2):139-45
16135342
J Subst Abuse Treat. 2005 Sep;29(2):147-58
16135343
Psychol Addict Behav. 2005 Sep;19(3):296-302
16187809
J Stud Alcohol. 2006 Mar;67(2):309-17
16562414
Addiction. 2006 Jun;101(6):824-34
16696626
J Stud Alcohol. 2006 Sep;67(5):754-63
16847545
J Am Coll Health. 2006 Sep-Oct;55(2):69-75
17017302
J Consult Clin Psychol. 2006 Oct;74(5):943-54
17032098
Annu Rev Psychol. 2007;58:593-614
16968208
Prev Sci. 2007 Mar;8(1):83-8
17136461
Psychol Addict Behav. 2007 Mar;21(1):114-9
17385961
Am J Addict. 2007 Mar-Apr;16(2):131-7
17453615
J Consult Clin Psychol. 2007 Apr;75(2):285-93
17469886
Alcohol Res Health. 2004-2005;28(2):94-104
19006997
J Consult Clin Psychol. 2000 Aug;68(4):728-33
10965648
J Drug Educ. 2000;30(4):399-421
11221575
Eval Health Prof. 2001 Sep;24(3):336-57
11523322
Psychol Addict Behav. 2001 Dec;15(4):373-9
11767271
J Stud Alcohol. 2001 Nov;62(6):806-16
11838918
J Consult Clin Psychol. 2002 Oct;70(5):1161-9
12362966
J Drug Educ. 2003;33(2):159-76
12929707
Am J Drug Alcohol Abuse. 2003 Aug;29(3):671-90
14510046
J Consult Clin Psychol. 2003 Oct;71(5):843-61
14516234
J Child Psychol Psychiatry. 2003 Nov;44(8):1116-29
14626454
J Stud Alcohol. 2004 Jan;65(1):115-21
15000510
J Stud Alcohol. 2004 Mar;65(2):200-3
15151350
J Consult Clin Psychol. 2004 Jun;72(3):434-47
15279527
J Consult Clin Psychol. 1986 Feb;54(1):95-105
3958306
J Pers Soc Psychol. 1986 Dec;51(6):1173-82
3806354
Psychol Rep. 1986 Dec;59(3):1207-13
3823321
J Stud Alcohol. 1991 Nov;52(6):580-6
1758185
J Consult Clin Psychol. 1992 Dec;60(6):974-9
1460160
JAMA. 1994 Dec 7;272(21):1672-7
7966895