Terlecki Meredith A, Buckner Julia D, Larimer Mary E, Copeland Amy L
Department of Psychology, Louisiana State University.
Department of Psychiatry and Behavioral Sciences, University of Washington.
Psychol Addict Behav. 2015 Mar;29(1):2-16. doi: 10.1037/adb0000056.
This is the first randomized trial testing whether heavy-drinking undergraduates mandated to the Brief Alcohol Screening and Intervention for College Students (BASICS) program following a campus alcohol violation would benefit as much as heavy-drinking volunteers up to 1 year postintervention using control groups with high-risk drinkers to model disciplinary-related and naturalistic changes in drinking. Participants (61% male; 51% mandated; 84% Caucasian; M age = 20.14 years) were screened for heavy drinking and randomized to BASICS (n = 115) or assessment-only control (n = 110). Outcome measures (drinking, alcohol problems) were collected at baseline, 4 weeks, 3, 6, and 12 months postintervention. At 4 weeks postintervention, intent-to-treat multilevel longitudinal models showed that regardless of referral group (mandated or volunteer), BASICS significantly decreased weekly drinking, typical drinks, and peak drinks relative to controls (ds = .41-.92). BASICS had a large effect on decreases in alcohol problems (d = .87). At 12 months postintervention, BASICS participants (regardless of referral group) reported significantly fewer alcohol problems (d = .56) compared with controls. Significant long-term intervention gains for peak and typical drinks were sustained in both referral groups relative to controls (ds = .42; .11). Referral group had no significant main effect and did not interact with intervention condition to predict outcomes. Given that BASICS was associated with less drinking and fewer alcohol problems (even among heavier drinking mandated students up to 1 year postintervention), provision of BASICS-style programs within disciplinary settings may help reduce heavy and problematic drinking among at-risk students. (PsycINFO Database Record
这是第一项随机试验，旨在测试因违反校园饮酒规定而被强制参加大学生简短酒精筛查与干预（BASICS）项目的重度饮酒本科生，与重度饮酒志愿者相比，在干预后长达1年的时间里是否能获得同样多的益处，该试验使用高危饮酒者对照组来模拟与纪律处分相关的以及自然状态下饮酒行为的变化。参与者（61%为男性；51%是被强制要求参加的；84%为白种人；平均年龄 = 20.14岁）接受了重度饮酒筛查，并被随机分为BASICS组（n = 115）或仅进行评估的对照组（n = 110）。在干预前基线、干预后4周、3个月、6个月和12个月收集结果指标（饮酒情况、酒精相关问题）。干预后4周，意向性治疗多水平纵向模型显示，无论转诊组（被强制要求参加的还是自愿参加的）如何，与对照组相比，BASICS显著减少了每周饮酒量、典型饮酒量和峰值饮酒量（效应量d = 0.41 - 0.92）。BASICS对减少酒精相关问题有很大效果（效应量d = 0.87）。干预后12个月，与对照组相比，BASICS参与者（无论转诊组如何）报告的酒精相关问题显著更少（效应量d = 0.56）。相对于对照组，两个转诊组在峰值饮酒量和典型饮酒量方面的显著长期干预效果均得以维持（效应量d = 0.42；0.11）。转诊组没有显著的主效应，并且在预测结果方面与干预条件没有交互作用。鉴于BASICS与更少的饮酒量和更少的酒精相关问题相关（即使在干预后长达1年的重度饮酒被强制要求参加的学生中也是如此），在纪律处分环境中提供BASICS式项目可能有助于减少高危学生的重度饮酒和问题饮酒行为。（PsycINFO数据库记录
