DeJong William, Schneider Shari Kessel, Towvim Laura Gomberg, Murphy Melissa J, Doerr Emily E, Simonsen Neal R, Mason Karen E, Scribner Richard A
Boston University School of Public Health, Department of Social and Behavioral Sciences, and Youth Alcohol Prevention Center, Boston University School of Public Health, 715 Albany Street, Boston, Massachusetts 02118, USA.
J Stud Alcohol. 2006 Nov;67(6):868-79. doi: 10.15288/jsa.2006.67.868.
An 18-site randomized trial was conducted to determine the effectiveness of social norms marketing (SNM) campaigns in reducing college student drinking. The SNM campaigns are intended to correct misperceptions of subjective drinking norms and thereby drive down alcohol consumption.
Institutions of higher education were randomly assigned to treatment and control groups. At the treatment group institutions, SNM campaigns delivered school-specific, data-driven messages through a mix of campus media venues. Cross-sectional student surveys were conducted by mail at baseline (n = 2,771) and at posttest 3 years later (n = 2,939). Hierarchical linear modeling was applied to examine multiple drinking outcomes, taking intraclass correlation into account.
Controlling for other predictors, having an SNM campaign was significantly associated with lower perceptions of student drinking levels and lower alcohol consumption, as measured by a composite drinking scale, recent maximum consumption, blood alcohol concentration for recent maximum consumption, drinks consumed when partying, and drinks consumed per week. A moderate mediating effect of normative perceptions on student drinking was demonstrated by an attenuation of the Experimental Group x Time interaction, ranging from 16.4% to 39.5% across measures. Additional models that took into account the intensity of SNM campaign activity at the treatment institutions suggested that there was a dose-response relationship.
This study is the most rigorous evaluation of SNM campaigns conducted to date. Analysis revealed that students attending institutions that implemented an SNM campaign had a lower relative risk of alcohol consumption than students attending control group institutions.
开展一项有18个地点参与的随机试验,以确定社会规范营销(SNM)活动在减少大学生饮酒方面的有效性。SNM活动旨在纠正对主观饮酒规范的误解,从而降低酒精消费量。
高等教育机构被随机分配到治疗组和对照组。在治疗组机构中,SNM活动通过多种校园媒体渠道传递针对学校的、基于数据的信息。在基线时(n = 2771)和3年后的测试后(n = 2939)通过邮件进行横断面学生调查。应用分层线性模型来检查多种饮酒结果,并考虑组内相关性。
在控制其他预测因素的情况下,开展SNM活动与较低的学生饮酒水平认知以及较低的酒精消费量显著相关,这通过综合饮酒量表、近期最大饮酒量、近期最大饮酒量时的血液酒精浓度、聚会时饮用的饮料量以及每周饮用的饮料量来衡量。规范认知对学生饮酒的适度中介效应通过实验组x时间交互作用的减弱得以证明,各测量指标的中介效应范围为16.4%至39.5%。考虑治疗机构SNM活动强度的其他模型表明存在剂量反应关系。
本研究是迄今为止对SNM活动进行的最严格评估。分析显示,与就读于对照组机构的学生相比,就读于实施SNM活动机构的学生饮酒的相对风险更低。