Hultgren Brittney A, Scaglione Nichole M, Cleveland Michael J, Turrisi Rob
Department of Biobehavioral Health, The Pennsylvania State University, University Park, Pennsylvania.
Bennett Pierce Prevention Research Center, The Pennsylvania State University, University Park, Pennsylvania.
Alcohol Clin Exp Res. 2015 Jun;39(6):1075-82. doi: 10.1111/acer.12731. Epub 2015 May 2.
Nearly 1 in 5 of the fatalities in alcohol-related crashes are passengers. Few studies have utilized theory to examine modifiable psychosocial predictors of individuals' tendencies to be a passenger in a vehicle operated by a driver who has consumed alcohol. This study used a prospective design to test a dual-process model featuring reasoned and reactive psychological influences and psychosocial constructs as predictors of riding with drinking drivers (RWDD) in a sample of individuals aged 18 to 21.
College students (N = 508) completed web-based questionnaires assessing RWDD, psychosocial constructs (attitudes, expectancies, and norms), and reasoned and reactive influences (intentions and willingness) at baseline (the middle of the spring semester) and again 1 and 6 months later. Regression was used to analyze reasoned and reactive influences as proximal predictors of RWDD at the 6-month follow-up. Subsequent analyses examined the relationship between the psychosocial constructs as distal predictors of RWDD and the mediation effects of reasoned and reactive influences.
Both reasoned and reactive influences predicted RWDD, while only the reactive influence had a significant unique effect. Reactive influences significantly mediated the effects of peer norms, attitudes, and drinking influences on RWDD. Nearly all effects were constant across gender except parental norms (significant for females).
Findings highlight that the important precursors of RWDD were reactive influences, attitudes, and peer and parent norms. These findings suggest several intervention methods, specifically normative feedback interventions, parent-based interventions, and brief motivational interviewing, may be particularly beneficial in reducing RWDD.
在与酒精相关的车祸死亡者中,近五分之一是乘客。很少有研究运用理论来检验个体在乘坐饮酒司机驾驶的车辆时的可改变心理社会预测因素。本研究采用前瞻性设计,在18至21岁的个体样本中,测试一个双过程模型,该模型以理性和反应性心理影响以及心理社会构念作为乘坐饮酒司机车辆(RWDD)的预测因素。
大学生(N = 508)在基线期(春季学期中期)、1个月后和6个月后完成基于网络的问卷调查,评估RWDD、心理社会构念(态度、预期和规范)以及理性和反应性影响(意图和意愿)。在6个月随访时,采用回归分析来分析理性和反应性影响作为RWDD的近端预测因素。随后的分析检验了心理社会构念作为RWDD的远端预测因素与理性和反应性影响的中介效应之间的关系。
理性和反应性影响均能预测RWDD,但只有反应性影响具有显著的独特效应。反应性影响显著介导了同伴规范、态度和饮酒影响对RWDD的作用。除了父母规范(对女性有显著影响)外,几乎所有影响在性别上都是恒定的。
研究结果突出表明,RWDD的重要先兆是反应性影响、态度以及同伴和父母规范。这些发现表明,几种干预方法,特别是规范反馈干预、基于父母的干预和简短动机访谈,可能对减少RWDD特别有益。