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基于理论的干预措施,以减少大学生中超过指南限制的饮酒量。

A theory-based intervention to reduce alcohol drinking in excess of guideline limits among undergraduate students.

机构信息

School of Psychology and Speech Pathology, Curtin University, Australia.

出版信息

Br J Health Psychol. 2012 Feb;17(1):18-43. doi: 10.1111/j.2044-8287.2010.02011.x. Epub 2011 Jan 7.

Abstract

OBJECTIVES

Undergraduate students frequently exceed guideline limits for alcohol intake in a single session and are highly susceptible to associated health, social, and economic problems. Psychological theory suggests that interventions aimed at reducing alcohol consumption should target both motivational and volitional phases of action to be effective. This study reports an integrated theory-based intervention aimed at reducing undergraduates' alcohol consumption in excess of guideline limits.

DESIGN

The study adopted a 2 (motivation: mental simulation vs. no mental simulation) × 2 (volitional: implementation intention vs. no implementation intention) randomized controlled design presented in an online format.

METHODS

Undergraduate students (N= 238; females, n= 133, M age = 20.11, SD= 2.09; males, n= 105, M age = 20.38, SD= 1.35) completed baseline psychological measures and self-reported alcohol consumption as units consumed and heavy episodic drinking occasions followed by the intervention manipulation (if any). One month later participants completed follow-up measures of the psychological variables and alcohol consumption.

RESULTS

Significant reductions in alcohol consumption were observed at follow-up. Participants receiving a mental simulation intervention reported significantly fewer units of alcohol consumed and heavy episodic drinking occasions. Among participants with high baseline alcohol consumption, participants in the combined mental simulation and implementation intention intervention group consumed significantly fewer units than other groups.

CONCLUSION

Results support the use of these theory-based strategies to reduce alcohol drinking in excess of guideline limits among undergraduates. There was preliminary support for the interaction between the two strategies among heavier drinkers. Targeting both motivational and implemental phases of action poses a high probability for success in changing alcohol-related behaviour in this population.

摘要

目的

大学生单次饮酒量经常超过指南限量,且极易受到相关健康、社交和经济问题的影响。心理学理论表明,旨在减少饮酒量的干预措施应该针对行动的动机和意志阶段才能有效。本研究报告了一项基于理论的综合干预措施,旨在减少大学生超过指南限量的饮酒量。

设计

该研究采用了 2(动机:心理模拟与无心理模拟)×2(意志:实施意向与无实施意向)随机对照设计,并以在线形式呈现。

方法

大学生(N=238;女性,n=133,M 年龄=20.11,SD=2.09;男性,n=105,M 年龄=20.38,SD=1.35)完成基线心理测量和自我报告的饮酒量(以单位计)和重度饮酒事件,然后接受干预措施(如果有)。一个月后,参与者完成了心理变量和饮酒量的随访测量。

结果

在随访时观察到饮酒量显著减少。接受心理模拟干预的参与者报告的饮酒量和重度饮酒事件明显减少。在基线饮酒量较高的参与者中,同时接受心理模拟和实施意向干预的参与者比其他组的饮酒量明显减少。

结论

结果支持在大学生中使用这些基于理论的策略来减少超过指南限量的饮酒量。在较重饮酒者中,两种策略之间存在交互作用的初步支持。针对行动的动机和意志阶段都有可能成功改变这一人群的与饮酒相关的行为。

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