A pilot study of two supervision approaches for peer-led alcohol interventions with mandated college students.
OBJECTIVE
Despite the increasing need to identify and implement effective interventions to reduce drinking with mandated college students, peer-led brief alcohol interventions have received minimal research attention. The current pilot study tested whether enhanced supervision (evidence-based application approach [EAA; group plus individual]) would improve peer counseling skills beyond those acquired by a common practice approach (CPA; group only).


METHODS
Following initial peer counselor skill evaluation, drinking outcomes after intervention were compared between supervision groups with a mandated college student sample (N = 82; 65 men). The relationship between acquired motivational interviewing skills and subsequent drinking behaviors was also assessed.


RESULTS
EAA peer counselors showed higher motivational interviewing skill acquisition than CPA peer counselors. Despite differences in counselor skill demonstration, mandated clients in both intervention groups significantly reduced drinking behaviors. Further, higher reflection-to-question ratio and motivational interviewing spirit demonstrated by peer counselors were significantly related to poorer follow-up drinking outcomes.


CONCLUSIONS
Findings identify supervision practices that may result in optimal peer counselor learning and brief intervention implementation while also offering initial data about the way in which peer counseling session implementation may relate to drinking outcomes. Future research is needed to identify the within-session processes of peer-led interventions that predict drinking outcomes, which may offer additional direction for training approaches.
Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island.
Nadine R
NR
Mastroleo
Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island.
Molly
M
Magill
Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island.
Nancy P
NP
Barnett
Mental Health and Behavioral Sciences Service, Department of Veterans Affairs Medical Center, Providence, Rhode Island, Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island.
Brian
B
Borsari
D000428:Alcohol Drinking / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D003376:Counseling / Q000379:methods*; D061345:Early Medical Intervention / Q000379:methods*; D019317:Evidence-Based Medicine / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D037141:Mandatory Programs; D010379:Peer Group; D010865:Pilot Projects; D013334:Students / Q000523:psychology; D014495:Universities; D055815:Young Adult