Center for Alcohol and Addiction Studies, Brown University, Providence, RI 02912, USA.
Psychol Addict Behav. 2011 Dec;25(4):616-24. doi: 10.1037/a0024508. Epub 2011 Jul 18.
Brief Motivational Interventions (BMI) and Computer-delivered interventions (CDI) have been successful in reducing drinking behaviors with mandated college students. However, research examining moderators of intervention effects have found mixed results. The current study sought to replicate and extend the research on moderators of intervention efficacy with mandated students. Baseline alcohol-related problems, readiness to change, gender, incident consequences, and participant responses to the event (personal attributions about the incident, aversiveness of the incident) were examined as moderators of intervention and booster condition efficacy on alcohol use and problems. Mandated students (N = 225) were randomized to complete either a BMI or CDI (Alcohol 101; Century Council, 1998), with or without a 1-month booster session, following a campus alcohol sanction. Outcomes were measured three months after baseline. Attributions moderated intervention condition such that participants low in personal attributions for their incident showed significantly less drinking following a CDI than a BMI. Men and individuals who reported low incident aversiveness showed higher drinks per occasion after receiving a booster, while individuals high in alcohol-related problems reported fewer heavy drinking days after completing a booster session. Findings suggest that identifying specific characteristics related to the precipitating event may inform intervention approaches in this high-risk population; however, additional research is needed to offer concrete guidance to practitioners in the field.
简短的动机干预(BMI)和计算机提供的干预(CDI)已成功减少了被强制要求参加的大学生的饮酒行为。然而,研究检验干预效果的调节因素的结果喜忧参半。本研究旨在复制和扩展对被强制学生干预效果的调节因素的研究。将基线酒精相关问题、改变的意愿、性别、事件后果以及参与者对事件的反应(对事件的个人归因、事件的令人不快程度)作为干预和增强条件对酒精使用和问题的效果的调节因素进行了检验。被强制的学生(N=225)被随机分配完成 BMI 或 CDI(酒精 101;世纪理事会,1998 年),或不进行为期一个月的增强疗程,随后是校园酒精制裁。结果在基线后三个月进行测量。归因调节了干预条件,即对于他们的事件归因低的参与者在接受 CDI 后饮酒显著减少,而接受增强疗程的男性和报告事件不愉快程度低的参与者在每次饮酒时的饮酒量更高,而完成增强疗程的参与者报告的重度饮酒天数更少。研究结果表明,确定与引发事件相关的特定特征可能为该高风险人群的干预方法提供信息;然而,需要进一步的研究为该领域的从业者提供具体的指导。