title: Mandated college students' response to sequentially administered alcohol interventions in a randomized clinical trial using stepped care.
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).
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Mental Health and Behavioral Sciences Service, Department of Veterans Affairs Medical Center.
authors.forename: Brian
authors.initials: B
authors.lastname: Borsari
authors.affiliation: Center for Alcohol and Addiction Studies, Brown University School of Public Health.
authors.forename: Molly
authors.initials: M
authors.lastname: Magill
authors.affiliation: College of Community and Public Affairs, Binghamton University.
authors.forename: Nadine R
authors.initials: NR
authors.lastname: Mastroleo
authors.affiliation: Department of Medicine and Public Health Sciences, Pennsylvania State College of Medicine.
authors.forename: John T P
authors.initials: JT
authors.lastname: Hustad
authors.affiliation: Mental Health and Behavioral Sciences Service, Department of Veterans Affairs Medical Center.
authors.forename: Tracy O'Leary
authors.initials: TO
authors.lastname: Tevyaw
authors.affiliation: Center for Alcohol and Addiction Studies, Brown University School of Public Health.
authors.forename: Nancy P
authors.initials: NP
authors.lastname: Barnett
authors.affiliation: Center for Alcohol and Addiction Studies, Brown University School of Public Health.
authors.forename: Christopher W
authors.initials: CW
authors.lastname: Kahler
authors.affiliation: Center for Alcohol and Addiction Studies, Brown University School of Public Health.
authors.forename: Erica
authors.initials: E
authors.lastname: Eaton
authors.affiliation: Center for Alcohol and Addiction Studies, Brown University School of Public Health.
authors.forename: Peter M
authors.initials: PM
authors.lastname: Monti
mesh_terms: D000293:Adolescent; D000328:Adult; D000067292:Alcohol Drinking in College; D019973:Alcohol-Related Disorders / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D037141:Mandatory Programs; D017063:Outcome Assessment, Health Care; D010379:Peer Group; D011614:Psychotherapy, Brief / Q000379:methods*; D055815:Young Adult