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单一组分简短动机干预在有风险的大学生饮酒者中的效果。

The efficacy of single-component brief motivational interventions among at-risk college drinkers.

机构信息

Department of Educational, School, and Counseling Psychology, University of Missouri, Columbia, MO 65211, USA.

出版信息

J Consult Clin Psychol. 2013 Aug;81(4):691-701. doi: 10.1037/a0032235. Epub 2013 Mar 18.

DOI:10.1037/a0032235
PMID:23506464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6186293/
Abstract

OBJECTIVE

College students are an at-risk population for heavy drinking and negative alcohol-related outcomes. Research has established that brief, multicomponent motivational interviewing-based interventions can be effective at reducing alcohol use or related problems, but less is known about the efficacy of individual components within these interventions. The purpose of this study was to test the efficacy of 2 single-component, in-person, brief (15-20 min) alcohol interventions: personalized normative feedback (PNF) and protective behavioral strategies feedback (PBSF).

METHOD

Data were collected on 365 undergraduate students from a large Midwestern university (65% women; 89% White) who were randomly assigned to 1 of 3 conditions: PNF, PBSF, or alcohol education (AE). Participants completed measures of alcohol use, alcohol-related problems, social norms, and protective behavioral strategies.

RESULTS

Results indicated that the PNF intervention was efficacious relative to the other conditions at reducing alcohol use and that its effects at 6-month follow-up were mediated by changes in perceived norms at the 1-month follow-up. The PBSF intervention was not efficacious at reducing alcohol use or alcohol-related problems.

CONCLUSIONS

These findings provide support for the efficacy of an in-person PNF intervention and theoretical support for the hypothesized mechanisms of change in the intervention. Implications for researchers and clinicians are discussed.

摘要

目的

大学生是重度饮酒和负面酒精相关后果的高危人群。研究已经证实,简短的、多成分的基于动机访谈的干预措施可以有效地减少饮酒或相关问题,但对于这些干预措施中各个成分的效果知之甚少。本研究旨在测试两种单一成分的、面对面的、简短(15-20 分钟)的酒精干预措施的有效性:个性化规范反馈(PNF)和保护性行为策略反馈(PBSF)。

方法

从一所大型中西部大学的 365 名本科生(65%为女性;89%为白人)中收集数据,他们被随机分配到以下 3 个条件之一:PNF、PBSF 或酒精教育(AE)。参与者完成了酒精使用、与酒精相关的问题、社会规范和保护性行为策略的测量。

结果

结果表明,PNF 干预措施相对于其他条件在减少饮酒方面更有效,其在 6 个月随访时的效果是通过在 1 个月随访时的感知规范变化来介导的。PBSF 干预措施在减少饮酒或与酒精相关的问题方面没有效果。

结论

这些发现为面对面的 PNF 干预措施的有效性提供了支持,并为干预措施中假设的变化机制提供了理论支持。讨论了对研究人员和临床医生的影响。

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